Your Vision. Expertly Engineered.
We combine deep healthcare technology expertise with hands-on software engineering to build, integrate, and modernize complex medical software, from DICOM viewers and PACS to clinical workflows and AI-enabled applications.
One engineering team for medical imaging companies, healthcare providers, and healthcare technology teams.
Build, modernize, and extend imaging platforms with engineers who already know the stack.
Explore imaging engineeringConnect imaging systems, clinical workflows, and the applications your infrastructure already runs.
Explore radiology workflowsTurn healthcare and imaging models into software clinicians can actually use.
Explore AI integrationMedical imaging, interoperability, clinical software, AI integration, and architecture.
DICOM viewers, PACS, DICOMweb, MPR, segmentation, advanced visualization, and image exchange. Explore OHIF customization and PACS/DICOM integration.
Imaging engineeringHL7, FHIR, DICOMweb, EHR integrations, APIs, and clinical data exchange.
Interoperability engineeringCustom radiology worklists, study routing, reporting, and PACS, RIS, and EHR handoffs.
Radiology workflow engineeringModel integration, result visualization, workflow integration, and review interfaces.
AI integrationArchitecture, cloud, legacy modernization, performance, and secure development. The repository stays yours.
Architecture and modernizationHealthcare software requires more than general programming skills. Complex architectures, clinical workflows, and standards such as DICOM, HL7, and FHIR introduce challenges that take specialized experience to navigate.
Since 2019, ACANIO has helped teams build and extend medical imaging software. We bring that expertise directly to your project, helping you move forward without building a specialized engineering team from scratch.
Led by a former OHIF core team member, ACANIO combines first-hand experience building web-based medical imaging platforms with a team specializing in viewers, visualization, interoperability, and clinical workflows.
From legacy architectures to intricate integrations, we understand how healthcare technologies connect and operate.
Access specialized engineering expertise for a single challenge, an entire project, or ongoing development, without expanding your permanent team.
Stay supported beyond delivery with flexible maintenance, enhancements, troubleshooting, and continued development.
Real challenges. Specialized expertise. Production-ready solutions.
Our public Nextcloud DICOM viewer builds on OHIF with browser-based imaging and DICOMweb archive support. Explore its source and integration structure.
View DICOM Viewer on the Nextcloud App Store ↗ Read the public project walkthrough ↗ View the DICOM viewer source ↗Ask about viewer development, PACS and healthcare system integration, and advanced visualization. We can discuss relevant project examples where sharing is permitted.
We can discuss relevant experience with specialized clinical imaging applications, including the technical approach, where a confidentiality agreement allows it. Explore our veterinary imaging engineering.
Choose a defined project, engineers alongside your team, or continued support. We agree scope, milestones, and timing with you, then provide regular progress reports so you can review delivery and plan next steps.
Defined projects, integrations, and product development with a scope you can review before work starts.
Engineers working alongside your team, inside your repositories and review process.
Maintenance, enhancements, consulting, and continued assistance after the first release.
We build security into software architecture and development from the beginning. Our approach covers access controls for sensitive data, secure system integrations, and safe handling of AI results within clinical workflows.
81%
Hacking / IT Incidents
Share of U.S. HIPAA breach reports affecting 500 or more individuals in 2024.
$7.42M
Average Breach Cost
For hospitals and clinics in IBM's 2025 global Cost of a Data Breach study.
279 days
To Identify and Contain
Average healthcare breach lifecycle in IBM's 2025 global study.
Sources: HHS OCR (2024) and IBM/Ponemon (2025). IBM figures reflect a nonstatistical global sample of hospitals and clinics, covering breaches from March 2024 through February 2025 involving 2,960–113,620 compromised records. These are industry research findings, not ACANIO project outcomes.