Healthcare imaging infrastructure — built, deployed, managed.

From DICOM routing and vendor-neutral archiving to whole-slide pathology, structured reporting, and migration tooling — Synthology builds the imaging software that runs modern healthcare departments. We’ve spent twenty years deploying these systems for hospitals. Now we make them.

Products13

across the imaging lifecycle

FDARegistered

Non-device · Clinical Tier 2 on 510(k) path

Vendor experience20+

Siemens, Epic, Philips, Agfa & more

Implementation experience at

  • Mayo Clinic
  • Cleveland Clinic
  • Northwell Health
  • OU Health
  • El Camino Hospital
  • Denver Health
  • …and many more

Our team has worked on-site as technical resources, leading imaging-system implementations across vendor stacks at health systems nationwide.

Implementation, Interoperability & Migration experience with

  • Epic
  • Siemens Healthineers
  • Agfa HealthCare
  • Philips
  • Microsoft (Nuance)
  • Jacobian (M*Modal)
  • Merative (Merge)

Two decades of deployment, migration, and integration work across the major imaging-vendor stacks — applied to your modernization or to our own products.

The imaging stack, end to end.

Thirteen products covering DICOM routing, vendor-neutral archiving, structured reporting, migration, whole-slide pathology, encounter workflows, load balancing, cross-site result relay, and fleet analytics. Plus the platform tooling that runs underneath: quality management and the document vault that keeps everything regulator-ready.

XyDromatics Router
DICOM routing platform — ingest from any modality, route by rules, transform tags, anonymize, prefetch, hold-and-release.
Non-Device · §520(o)(1)(D)
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XyDromatics VNA Family
Five Router-pattern VNA hosts: Repository, Migration, Research (RUO), Clinical (SaMD), Clinical+Research. One regulatory class per binary.
4 Non-Device + 1 SaMD Class II
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XyDromatics SR Engine
Structured-report ingest, transformation, and forwarding. Standalone licensed subset extracted from Router.
Non-Device · §520(o)(1)(D)
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XyDromatics Migration Engine
HL7/MWL-driven archive ingest and scheduled sends. The standalone migration appliance for legacy-system retirements.
Non-Device · §520(o)(1)(D)
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XyDromatics Pathology Engine
Whole-slide imaging ingest. Converts native pathology formats (SVS, NDPI, MRXS) to DICOM Supplement 145 WSI and forwards to your VNA.
Non-Device · §520(o)(1)(D)
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XyDromatics Encounter Engine
POCUS-style encounter workflow with mandatory human-verification gate. Receives DICOM, matches HL7 ADT, blocks on verification, forwards enriched studies.
Non-Device · §520(o)(1)(D)
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SynthIQ
Vendor-neutral DICOM load balancer. Drop-in replacement for F5, NetScaler, or HAProxy in front of any PACS or Router pool — keeps clinical studies together on one backend by routing on Study Instance UID, not TCP 5-tuple.
Non-Device · §520(o)(1)(D)
Patent Pending
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SynthCloudConnect
Cross-site DICOM result relay. Bridges AI-vendor result delivery into firewall-isolated on-prem Router fleets via outbound-initiated mTLS WebSocket — no inbound firewall holes, no Synthology-to-customer initiated traffic. Pre-launch.
Non-Device · §520(o)(1)(D)
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SynthInSight
Standalone historical + cross-router analytics. Reads the gzipped-NDJSON event archive each product writes and answers all-time, fleet-wide aggregate questions with an embedded DuckDB engine — off the hot path, aggregate-only (never row-level PHI). Pre-launch.
Non-Device · §520(o)(1)(D)
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Platform tooling

SynthQMS
Quality management system + CRM for the Synthology product family. Document control, training, audits, CAPAs, complaints, MDR — everything 21 CFR Part 11 + ISO 13485 wants.

SynthVault
Versioned document vault with checkout/checkin, hash-chain audit, integrity sweeps, and webhooks. Generic file versioning that customers turn into Part-11-friendly retention via license feature.

We make the products. We deploy them. We run them for you.

Three tiers, from one-time deployment through ongoing operation. Implementation services aren’t XyDromatics-only — twenty years of deploying competitor imaging stacks means we can move you off any legacy system, onto our products or alongside them.

Implementation

Deploy any imaging system — including ours.

  • XyDromatics product deployment (any host, any topology)
  • Migration off legacy PACS/VNA/RIS — Siemens, Philips, Merative (Merge), Optum (Change), Fujifilm, GE Healthcare
  • EMR/EHR integration — Epic, Cerner
  • Reporting — Microsoft (Nuance), Jacobian (M*Modal)
  • CVIS — Siemens, Agfa, GE, Merative (Merge), Baxter (Epiphany)
  • Third-party imaging applications — Philips, Materialise, Siemens, Hyland, Microsoft, GE HealthCare (Intelerad), plus AI vendors (Aidoc, Riverain) and more
  • Workflow Orchestration — Laurel Bridge, DicomSys
  • Go-live support, user training, workflow analysis

Who it’s for: Hospitals + imaging centers replacing or modernizing imaging infrastructure.

Professional

Strategy, workflow, and training — vendor-agnostic.

  • Imaging-department workflow optimization
  • Vendor selection + RFP support
  • Best-practice review against 21 CFR Part 11 / ISO 13485 / IHE profiles
  • Custom user-training programs
  • Staff augmentation for project teams
  • Lessons-learned reviews and post-mortems

Who it’s for: Health systems planning a multi-year imaging modernization or compliance posture upgrade.

Managed

We run the stack so your team doesn’t have to.

  • 24×7 operation of XyDromatics-deployed environments
  • Patch + upgrade management
  • License renewal + DICOM port reconciliation
  • Capacity planning + storage tiering
  • Audit-trail attestation for SOC 2 / Part 11 reviews
  • Defined SLAs with named technical contacts

Who it’s for: Customers running XyDromatics in production who want a service-level commitment instead of in-house operations overhead.

Software you can deploy today.

Our DICOM/HL7 routing, VNA, and workflow products are non-device software under FD&C Act §520(o)(1)(D) — the statutory carve-out from the 21st Century Cures Act of 2016. Customers can purchase and deploy without waiting on FDA premarket clearance. We maintain ISO 13485–aligned quality discipline anyway, because shipping reliable medical-data infrastructure demands it.

FD&C Act §520(o)(1)(D) Active Non-Device Software

QMS Framework
Active ISO 13485-aligned

FDA Guidance (2019)
Active Non-device under §520(o)(1)(D)

SaMD Class II Path
In development 510(k) in development

Coordinated Vuln. Disclosure
Active RFC 9116

DUNS
Active 090142131

Twenty years deploying imaging systems. Now we make them.

Synthology spent its first two decades as a Healthcare IT consultancy — implementing PACS, CPACS, RIS, Workflow Orchestration, and Reporting systems for hospitals from standalone facilities to multi-entity national systems. Siemens, Philips, Agfa, GE, Fuji, Merative, Epic, Microsoft (Nuance), Jacobian (M*Modal), Laurel Bridge, DicomSys — we’ve helped deploy them all, learned where each one struggled, and watched the same workflow gaps recur across customer after customer.

The XyDromatics product family is what twenty years of those deployments told us was missing: an imaging stack that respects regulatory boundaries by design (one binary per classification), treats vendor-neutral archiving as the default, follows the DICOM, IHE, HIE, and HL7 standards, and ships with the audit-trail tooling regulated environments actually need rather than retrofitting it later.

The consulting practice didn’t go away. It moved up: our implementation team still deploys imaging stacks for hospitals — including XyDromatics, but also alongside whatever else is already there.

Ready to modernize your imaging stack?

Book a 30-minute conversation with our team. We’ll review your current architecture, identify migration paths, and walk through the XyDromatics product family in detail.