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OsiriX Viewer Review

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Should I use OsiriX Viewer?

OsiriX DICOM Viewer - The world famous medical imaging viewer - osirix-viewer.com

· 19 hours ago

Buy OsiriX MD if you are a Mac-based radiologist, clinician, or researcher who needs a full-featured clinical DICOM viewer. Skip it if you are a patient or casual user opening one imaging CD — free viewers cover that.

Confidence

Medium. Based on ~80 public sources; many review snippets were truncated, so no verbatim quotes could be safely extracted.

Ratings

  • Value for money
  • Ease of use
  • Feature depth
  • Support qualityNo support evidence found
  • Security posture

Pricing

Free

OsiriX Lite

ModelNot disclosed
Monthly feesNot disclosed
HardwareNot disclosed
Free tierYes
OsiriX MDPaid (price not listed in evidence)
OsiriX HDPaid iOS app

Best for

  • Mac-based radiologists and residents
  • Small clinics and veterinary practices
  • Medical education and case reviews
  • Surgical preoperative planning

Not for

  • Windows or Linux users — it is a Macintosh viewer
  • Patients opening one imaging CD — free viewers suffice
  • Enterprise PACS teams — admins report disliking it for small offices
  • Buyers needing a vendor with a clean security record

Gotchas - check before you buy

high

OsiriX Lite is demo-only; clinical work requires a paid MD license

high

Recurring CVEs mean you must run the latest version, especially with patient data

medium

Vendor site publishes attack pages on free rivals (Horos, Weasis); verify claims independently

medium

Mac-only; Windows and Linux users need another viewer entirely

Pros and cons

Pros

  • Full-featured, high-performance DICOM viewer for Mac
  • Widely used for radiology teaching and case reviews
  • Validated in peer-reviewed surgical planning research
  • Users report it is quick and easy to open studies
  • Free Lite version to start with

Cons

  • Free Lite is a demo; real clinical use requires paid OsiriX MD
  • Three vulnerabilities disclosed in OsiriX MD in 2025
  • Small unfunded Swiss vendor (Pixmeo SARL)
  • Some PACS admins reportedly dislike it for small offices

Sources & method

- 10 sources - Multiple 2025 CVEs in OsiriX MD, including local use-after-free and a Web Portal credential exposure advisory; plus historic issues from 2013 and 2016.

official x1review x4security x4news x1
  • CVE-2025-31946 — local use-after-free in Pixmeo OsiriX MD, Medium-severity local vulnerability disclosed May 2025.
  • CVE-2025-27720, One of three 2025 vulnerabilities identified in OsiriX MD.
  • CVE-2025-27578, One of three 2025 vulnerabilities identified in OsiriX MD.
  • OsiriX MD Web Portal credential exposure advisory, GitHub advisory describes the Web Portal sending credentials insecurely.

Key stats

  • Value for money: 3/5

    Rating

  • Free

    Starting price

  • 10

    Sources

  • Analyzed

  • Value for money: 3/5. Free Lite is limited; clinical MD costs extra, price unlisted
  • Ease of use: 4/5. Users report it is quick and easy to open studies
  • Feature depth: 5/5. Repeatedly described as full-featured and feature-rich
  • Support quality. No support evidence found
  • Security posture: 2/5. Three 2025 CVEs including credential exposure
  • Yes Free tier OsiriX Lite, free demo version
  • 14.2.2 Latest release OsiriX MD update, 2025
  • 3 2025 CVEs Disclosed in OsiriX MD
  • Unfunded Funding Pixmeo SARL, Switzerland

Pricing

OsiriX Lite

Free

  • Free demo version
  • Limited use

OsiriX MD

Paid (price not listed in evidence)

  • Full clinical version
  • Commercial license

OsiriX HD

Paid iOS app

  • Mobile DICOM viewing

Security

Multiple 2025 CVEs in OsiriX MD, including local use-after-free and a Web Portal credential exposure advisory; plus historic issues from 2013 and 2016.

  • CVE-2025-31946 — local use-after-free in Pixmeo OsiriX MDMedium-severity local vulnerability disclosed May 2025.³
  • CVE-2025-27720One of three 2025 vulnerabilities identified in OsiriX MD.
  • CVE-2025-27578One of three 2025 vulnerabilities identified in OsiriX MD.
  • OsiriX MD Web Portal credential exposure advisoryGitHub advisory describes the Web Portal sending credentials insecurely.⁴

What users say

Radiology residents and clinicians call it a go-to Mac DICOM viewer, though some PACS admins prefer other options for small offices.

Full analysis

Based on ~80 public sources; many review snippets were truncated, so no verbatim quotes could be safely extracted.

Powerful Mac-only clinical DICOM viewer; great for radiology pros, overkill for casual CD-viewing — free alternatives exist.

Methodology

Based on ~80 public sources; many review snippets were truncated, so no verbatim quotes could be safely extracted.

Read how a report is made.

Sources

  1. OsiriX DICOM Viewer official siteosirix-viewer.com
    official
  2. Vulnerabilities Identified in Pixmeo OsiriX MD DICOM Viewer — HIPAA Journalhipaajournal.com
    security
  3. CVE-2025-31946 Detail — NVDnvd.nist.gov
    security
  4. GHSA-j5r6-pp4x-vxpq — OsiriX MD Web Portal credential advisorygithub.com
    security
  5. OsiriX DICOM Viewer 8.0.1 Memory Corruption — Exploit-DBexploit-db.com
    security
  6. OsiriX, one of our favorite DICOM radiology viewers — iMedicalAppsimedicalapps.com
    review
  7. OsiriX Reviews — SourceForgesourceforge.net
    review
  8. Small office solutions — r/PACSAdminreddit.com
    review
  9. 3DICOM MD vs OsiriX MD comparison3dicomviewer.com
    review
  10. OsiriX company profile — Tracxntracxn.com
    news

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