medical software development since 1999  

  • Sante Free PACS Server

  • Sante Free PACS Server

  • Sante Free PACS Server

  • Sante Free PACS Server


Sante Free PACS Server


New version 2!

Store, archive, manage, and view medical images

Sante Free PACS Server is a DICOM 3.0-compliant PACS server and an HTTP (web) server for DICOM files that offers high performance and reliability completely free of charge! It provides connectivity to all DICOM modalities (CT, MR, US, CR, NM, XA, MG, DX, etc.). The built-in web server can be used as a free cloud server for DICOM files!

The perfect companion to a cloud solution

If you have chosen a cloud-based solution for DICOM file archiving, Sante Free PACS Server can serve as an ideal companion. It can function as a local backup server for the entire archive, with web-based access, while retaining older studies locally when they do not need to be stored in the cloud. This approach can significantly reduce the monthly cost of the cloud solution.

What is new in Version 2

  • Supports the addition of extra drives or storage devices
  • Supports routing rules (automatically forwarding studies received from one AE Title to one or more other AE Titles)
  • Allows patients and physicians to receive and view studies online using tokens (instead of logging in with an account), eliminating the need to create CD/DVD discs and their associated cost
  • Web users can optionally retrieve and review only studies whose Referring Physician Name matches their own
  • Web users can optionally retrieve and review only studies whose Institution Name matches their own institution
  • Two built-in, world-class, free DICOM viewers for remote (web) use: Sante DICOM Web Viewer and the OHIF Viewer
  • The built-in OHIF DICOM Viewer runs client-side with no installation on any device (desktop, mobile, tablet) and on any OS (Windows, Linux, macOS, iOS, Android, etc.).

Program modules

Sante Free PACS Server consists of three modules:

The Database module
The program uses the SQLite file-based server for database management and offers storage of unlimited number of patients/studies/series/images (it depends only on hard disk size).



The DICOM Server module
The built-in DICOM server supports all DICOM network services (C-FIND SCU/SCP, C-MOVE SCU/SCP, C-STORE SCU/SCP, C-GET SCU/SCP, C-ECHO SCU/SCP), and is compatible with all modalities (CT, MR, NM, US, XA, MG, CR, DX, etc.), all manufacturers, and all DICOM 3.0 and NEMA 2 file types. Moreover, it supports an unlimited number of connections, DICOM nodes, and DICOM clients.



The Web Server module
The Web Server module lets remote users of the system to connect with it, query and retrieve studies that have been stored in the database of the DICOM Server. The Web Server module, for these connections, uses the HTTP ot HTTPS protocol of the internet and the remote user must use a web browser like Edge, Chrome or Mozilla to query and retrieve studies. The web server supports SSL secure connections. This module lets the user connect, query, retrieve and review DICOM studies stored in the system from anywhere in the world and it can be used as a free cloud server!



From the system’s home page, remote users can download and install two free applications for use with this web server: Sante Web Downloader and Sante DICOM Web Viewer.

Sante Web Downloader lets the user inspect the downloading procedure. In the end of receiving Sante Web Downloader saves the received studies in a zip file. The user can configure Sante Web Downloader to open the saved zip file with a DICOM Viewer of their choice, such as Sante DICOM Viewer Pro or Sante DICOM Editor. The DICOM Viewer must support opening zip files from command line. For more information, please read the Sante Web Downloader User Guide. This application is useful when a user wishes to use a DICOM Viewer other than Sante DICOM Web Viewer.

Sante DICOM Web Viewer lets the user inspect the downloading procedure as Sante Web Downloader does, but it is also a high quality, full-featured, completely free 2D/3D DICOM Viewer, with all the necessary tools like measurements, roi statistics, MPR and study/series comparison. It allows the user to work smoothly in a multi-modality, multi-manufacturer environment because it has all the features of Sante DICOM Viewer Pro and Sante DICOM Viewer 3D Pro except the post-processing functions like anonymizing (de-identification).
Sante Web Downloader Sante DICOM Web Viewer


Cloud support

The program can export compressed studies to Cloud shared drives like OneDrive, DropBox, Google Drive, etc., with a DICOM viewer (Sante DICOM Viewer Lite or any other viewer of user choice).



Migration tool

The built-in Migration tool simplifies the process of migrating from an old PACS system to Sante Free PACS Server. It is an external program and works independently from Sante Free PACS Server without burden it with unnecessary load. It can be used not only for migration tasks, but it is useful to insert into database any folder with DICOM files any time, e.g. from a USB memory stick or from an external hard disk drive.

Download Download the application


Differences from Sante PACS Server and Sante PACS Server PG

The commercial versions of the server include features that are not available in the free version, such as:
  • They include a built-in worklist server
  • Customization of the appearance of the web pages of the built-in web server, so that they match the company’s colors, logos, and links
  • The interface of the web portal supports 23 languages (English, French, German, Italian, Spanish, Portuguese, Dutch, Swedish, Polish, Romanian, Russian, Ukrainian, Serbian, Bulgarian, Albanian, Greek, Turkish, Hebrew, Arabic, Chinese, Japanese, Hindi and Korean)
  • They support scheduled receiving and forwarding of studies from/to other AE Titles
  • They can burn DICOM CD/DVD discs (with free viewer for Windows and MacOS)
  • They can burn DICOM CD/DVD discs automatically on Epson and Primera robotic disc publishers when they receive a study
  • They support creating encrypted (SHA-256) CD/DVD media to protect patients' personal, medical, and other sensitive data.
  • They can print to DICOM printers
  • They support attaching PDF report files to studies stored in the local database or on other remote DICOM nodes.
  • Web users can upload files (DICOM files, zip files with DICOM files, HL7 files for the built-in Worklist server)
  • Web users can upload PDF report files
  • They receive priority support
  • Sante PACS Server PG uses the advanced PostgreSQL or MySQL database systems, which are full-featured, enterprise-grade SQL database engines, instead of the file-based SQLite of Sante Free PACS Server.

For a powerful, full-featured viewer that supports among others burning of DICOM CD/DVD discs and printing on DICOM printers the user can use Sante DICOM Viewer Pro, Sante DICOM Editor or Sante DICOM Viewer Mac.


Minimum Requirements

  • Windows Server 2025/2022/2019/2016 or Windows 11/10 64-bit
  • Intel Core i3 / AMD Ryzen 3 or better
  • 8 GB RAM or more (16 GB for large US files)
  • Graphics card with 512 MB of memory
  • Monitor with a resolution of 1366x768 or higher and true color (16M colors)
  • 500 MB of free hard disk space (for the application only)
The minimum server requirements apply to systems with a minimal number of connections.
The optimal server configuration depends on its workload.


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