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.

Products

Overview of Products

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.

Product Family

  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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

  1. SynthQMS (Internal control plane)
    Quality management system + CRM for the Synthology product family. Document control, training, audits, CAPAs, complaints, MDR — everything 21 CFR Part 11 + ISO 13485 wants.
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  2. SynthVault (RUO + optional Part 11 mode)
    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.
    Learn more →

Services

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

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

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

Regulatory Posture

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.

Heritage

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.

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.