Horos

View and process medical images on macOS with open-source software

Vendor
The Horos Project
Also known as
horos

Available worldwide

What is Horos?

An unrestricted, community-developed desktop application that enables visualization and manipulation of medical imaging data on Apple computers, built on technology from OsiriX.

Independently observed

Horos pricing

We don't have Horos's full plan breakdown yet (its pricing page resisted automated reading). Here's what we could confirm. Always check live pricing for exact numbers.

What Horos does

The capabilities that matter for medical imaging pacs, normalised so it lines up with every alternative. “-” means we haven't confirmed it, not that it's missing.

Capabilities
Deployment model
Native desktop app
DICOM protocol native support
✓
Vendor neutral archive vna storage
-
3d volume multi planar reconstruction mpr
-
Fda cleared for primary diagnosis
-
AI computer aided detection cad triage
-
HL7 FHIR EHR integration
-
Non DICOM visible light photo management
-
Secure patient image sharing portal
✓
HIPAA baas business associate agreement
-
SOC2 type ii
-
ISO 27001
-
Pricing model
Free open source
Independently observed

Platform & deployment

Independently observed
Platforms
  • macOS
Deployment
  • Self-hosted

Integrations (1)

Independently observed
  • Purview•

Security & compliance

Known vulnerabilities: 0 (0 in the last 12 months) sourcea count reflects scale & disclosure, not quality

Horos FAQ

Common questions about Horos, answered from independent, dated evidence.

What is Horos?

An open-source DICOM viewer and imaging workstation that has served over one million users for more than a decade. Available as a desktop application with cloud-based sharing and reporting capabilities. It is indexed under Medical Imaging Pacs.

Source: https://horosproject.org

Is Horos free?

Horos offers a free tier, so you can start without paying. Pricing changes often, so verify at source before relying on it.

Source: https://horosproject.org

What platforms does Horos support?

Horos supports macOS. Platforms we have not confirmed are simply not listed here rather than ruled out.

Source: https://horosproject.org

Can Horos be self-hosted?

Yes. Horos can be deployed cloud / SaaS, hybrid and on-premise, so it does not have to run on the vendor's infrastructure.

Source: https://horosproject.org

What security certifications does Horos have?

We have independently confirmed GDPR for Horos. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Horos not holding them. Always confirm compliance directly before you rely on it.

Source: https://horosproject.org/security

Horos alternatives

Other medical imaging pacs we track, ranked by the same independent score.

All Horos alternatives, ranked →

Independent · unbought · dated

The vioscaleAI score: one lens on the evidence

Not user reviews and not a paid placement: a confidence-weighted blend of the independent signals below (adoption, activity, security posture, and more), which you can sort and re-weight yourself. Vendors can correct their listing but can never move their rank, and stars are weighted low as a vanity metric. It is one way to read the evidence for Horos, not the verdict.

Balanced composite 40 / 100
low · 30%
Signal contributions to the composite score
SignalScoreWeightContributionEvidence
Release cadence880.054.6✓
Capabilities460.073.1✓
Stars530.031.4✓
Security score270.041.1✓
Integrations90.070.6✓
Dependent projects00.060.0-
Development activity00.090.0✓
Security posture50.040.0-
Package downloads00.140.0-
Developer Q&A activity00.060.0-

Computed . Re-weight it by intent, or see the full method.

All data & sourcesshow ↓

Every value we hold, with its source, retrieval date, and confidence. This is the evidence behind the score: don't trust it, verify it.

Activity

AttributeValueEvidence
Commits last 30d0mediumsource · 2026-09-18 · 65%

Adoption

AttributeValueEvidence
Github stars630highsource · 2026-09-18 · 90%

Content

AttributeValueEvidence
Faq5 itemsmediumsource · 2026-09-10 · 62%

Features

AttributeValueEvidence
CapabilitiesPricing model: free_open_source · Deployment model: native_desktop_app · Dicom protocol native support: Yes · Secure patient image sharing portal: Yesmediumsource · 2026-09-02 · 60%

Integrations

AttributeValueEvidence
Count1mediumsource · 2026-09-02 · 60%

Language

AttributeValueEvidence
PrimaryC++highsource · 2026-09-18 · 90%

Market

AttributeValueEvidence
AvailabilityPrimaryMarkets: … · AvailabilityScope: global · AvailableCountries: … · NotAvailableCountries: …highsource · 2026-09-02 · 75%

Pricing

AttributeValueEvidence
Free tierYesmediumsource · 2026-09-18 · 60%
Modelopen_sourcemediumsource · 2026-09-18 · 60%
Price levelfreemediumsource · 2026-09-18 · 60%

Release

AttributeValueEvidence
Cadence days22mediumsource · 2026-09-18 · 70%
History20 itemsmediumsource · 2026-09-18 · 70%

Security

AttributeValueEvidence
GdprYeshighsource · 2026-09-02 · 75%
Trust centerhttps://horosproject.org/securitymediumsource · 2026-09-02 · 60%
VulnerabilitiesCount: 0 · Source: https://advisories.ecosyste.ms/api/v1/advisories?ecosystem=ubuntu&package_name=libgrokj2k&per_page=100 · Last 12m: 0highsource · 2026-09-02 · 90%
Scorecard2.7highsource · 2026-09-18 · 90%
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For the makers of Horos

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Last updated . Canonical URI: https://www.vioscale.ai/software/horos.