Radical Imaging
Radical Imaging is a Boston-based medical imaging engineering consultancy that builds custom OHIF viewers, DICOM pipelines, and AI viewer workflows for healthcare providers, imaging companies, and AI startups, serving as co-creator and maintainer of the OHIF open-source platform.
- Company typePrivate
- Founded2012
- HeadquartersBoston, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Radical Imaging does
Radical Imaging, LLC is a Boston-based engineering consultancy founded in 2012 that specializes in production medical imaging software. The firm is the co-creator and ongoing maintainer of the OHIF (Open Health Imaging Foundation) open-source imaging platform, alongside Mass General Hospital, and builds custom OHIF viewers, DICOM pipelines, AI viewer workflows, and cloud deployments for healthcare providers, medical imaging companies, and AI startups in the imaging space. Its engineering practice is organized around a proprietary system design and planning methodology, the "Radical Method," which the firm positions as a disciplined approach to delivering software on time, on budget, and on quality in regulated clinical environments.
The company operates a project-based professional services model, with engagements ranging from discovery and design through full custom software development and ongoing support. It also offers a packaged 1–2 week Production Readiness Review diagnostic as a fixed-scope entry point. Notable customers include Mayo Clinic, Mass General Hospital, Brigham & Women's Hospital, University of Calgary's LIBIN Cardiovascular Institute, Bayer, CitiusTech, Clario, and a long tail of medical imaging startups such as Ezra, Prenuvo, Acurix, Cortechs.ai, Yunu, and Flywheel. In April 2026, the firm divested its FlexView zero-footprint DICOM viewer to AdvaHealth Solutions, where it was rebranded AdvaView and integrated into the AdvaPACS cloud-native platform; founder and CEO Rob Lewis joined AdvaHealth's Board of Directors as part of the transaction. The firm is founder-owned, privately held, and has not disclosed external institutional investment.
Radical Imaging firmographics
Firmographics- Name
- Radical Imaging
- Legal name
- Radical Imaging, LLC
- Website
- https://radicalimaging.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Radical Imaging is a Boston-based medical imaging engineering consultancy that builds custom OHIF viewers, DICOM pipelines, and AI viewer workflows for healthcare providers, imaging companies, and AI startups, serving as co-creator and maintainer of the OHIF open-source platform.
- Ownership category
- akta.pro rank
Radical Imaging industry classification
Industry- Product category
- Medical Imaging Software Services
- NAICS
- Scientific Research and Development Services (5417)
- SIC
- Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Universal Viewers & Enterprise Imaging Access (Zero-footprint/Diagnostic) (HLACALAD)
- akta.pro secondary industries
- Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM), Radiology AI, CAD & Advanced Visualization Software (HLAHABAJ), Quality, Peer Review & Compliance Tools (MQSA/ACR/QA) (HLACALAL), Medical Imaging AI (HDAAAEAH)
Keywords
Where Radical Imaging is headquartered
LocationHeadquarters
- HQ city
- Boston
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Radical Imaging business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Professional Services / Consulting: Consulting and professional services for custom medical imaging software development. Engagements include discovery and design phases, project execution, and ongoing support. Revenue is generated through billable consulting engagements.
- Software Development Engagements: Custom software development projects for medical imaging systems including custom OHIF viewers, DICOM integration, AI viewer workflows, and cloud deployments. Revenue derived from project-based engagements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Other | Consultation - 30-minute call |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels2 records
Radical Imaging product offering
Product offeringCore offering
Radical Imaging is an engineering consultancy that designs, builds, and ships production-grade medical imaging software for healthcare organizations, medical imaging companies, and AI vendors. Its core deliverables are custom OHIF viewers, DICOM pipeline integrations, AI viewer workflows, cloud deployments of imaging systems, and a fixed-scope Production Readiness Review diagnostic. The firm is the co-creator and maintainer of the OHIF open-source imaging platform.
Product overview
Radical Imaging is a Boston-based engineering consultancy specializing in production medical imaging software. The company is the co-creator and ongoing maintainer of the OHIF open-source imaging platform. Their core offering is custom OHIF viewers built for healthcare organizations, supplemented by AI viewer workflow integration services and a Production Readiness Review diagnostic offering. They previously engineered FlexView — a zero-footprint DICOM viewer — which was acquired by AdvaHealth Solutions in May 2026 and integrated into AdvaPACS as AdvaView. The company emphasizes engineering discipline and system design methodology to deliver software on time, on budget, and on quality in medical imaging contexts.
Differentiator
Problem solved
Functional benefit
Products and services
- Custom OHIF Viewers Custom medical imaging viewers built on the OHIF (Open Health Imaging Foundation) platform, incorporating 3D segmentation, multi-planar reconstruction, and clinical workflow integration. Delivered to healthcare organizations, medical imaging companies, and AI companies needing production-grade diagnostic viewers.
- AI Viewer Workflow Integration Engineering services to integrate AI capabilities into medical imaging viewers, designed for healthcare production environments that require high reliability and clinical accuracy.
- Production Readiness Review A 1–2 week fixed-scope diagnostic service that produces a map of potential failure points, prioritization of fixes, and cost estimates for medical imaging software projects, helping clients assess production readiness before committing to full-scale development.
Quantifiable outcome
- Delivers software projects on time, on budget, and on quality through disciplined engineering methodology
Companies that use Radical Imaging
Customer profileNamed customers17 records
Segments3 records
Ideal customer profiles3 records
Radical Imaging technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Radical Imaging partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- AdvaHealthcoreAdvaHealth acquired FlexView (a zero-footprint DICOM viewer engineered by Radical Imaging) and integrated it into their AdvaPACS cloud-native platform. Rob Lewis, Founder and CEO of Radical Imaging, was appointed to AdvaHealth's Board of Directors following the acquisition.
- OHIF (Open Health Imaging Foundation)coreRadical Imaging co-founded OHIF with Mass General Hospital and has been the maintainers ever since. OHIF is an open-source medical imaging platform that serves as the foundation for custom viewer implementations.
Scale indicators1 record
Recent moves6 records
Expansion highlights3 records
Radical Imaging competitors and assessment
Company assessmentDirect peers
- Kitware: Kitware is an open-source medical imaging R&D services firm that contributes to and commercializes around platforms like VTK, ITK, and 3D Slicer. Like Radical Imaging, it monetizes deep expertise in DICOM/medical imaging toolkits via custom development and consulting — the most direct comparable in business model.
- Visage Imaging: Visage Imaging provides enterprise diagnostic viewers and PACS, including the Visage 7 zero-footprint viewer. It directly competes in the universal/zero-footprint DICOM viewer category where Radical's FlexView (now AdvaView) operated.
- Blackford Analysis: Blackford provides a platform that curates, integrates, and deploys medical imaging AI algorithms into clinical workflows. It overlaps with Radical's AI viewer integration work and competes for the same AI imaging startup and provider budget.
- Flywheel: Flywheel is a medical imaging data management and AI development platform and is itself a Radical Imaging customer. It is a peer in the sense of serving the same AI-medical-imaging buyer with adjacent platform tooling.
- MIM Software: MIM Software builds medical imaging analysis and visualization applications across radiology, radiation oncology, and molecular imaging. It competes with Radical's custom viewer offerings in advanced visualization and clinical workflow use cases.
- AdvaHealth Solutions: AdvaHealth acquired Radical's FlexView viewer and now operates in the cloud-native PACS / zero-footprint viewer space. It is both a strategic partner and a direct peer in the viewer category Radical once sold into.
Emerging players
- Arterys: Arterys (now TEMENOS) offers cloud-native, AI-powered medical imaging viewers and clinical applications. It overlaps with Radical's cloud-deployed OHIF-based viewer work and the AI viewer integration service line.
- Nanox AI (formerly Zebra Medical Vision): Nanox AI develops and distributes AI algorithms for medical imaging that integrate into radiology workflows. It is an emerging peer in the AI imaging integration space where Radical provides AI viewer workflow services.
Broad incumbents
- TeraRecon: TeraRecon (now ConcertAI) provides advanced visualization and AI orchestration for medical imaging across enterprise health systems. It is a broader incumbent in the same advanced visualization category where Radical delivers custom viewers.
- Philips HealthSuite / IntelliSpace: Philips is a broad incumbent in radiology IT and enterprise imaging, offering PACS, universal viewers, and AI-enabled workflow products that overlap with Radical's custom viewer and OHIF integration services.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Radical Imaging social profiles
Digital presenceRadical Imaging financial estimates
Financial estimateRevenue estimate
Valuation estimate
Radical Imaging leadership team
Management profileNumber of profiles
Profiles1 record
Radical Imaging funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Radical Imaging M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Radical Imaging
What does Radical Imaging do?
Radical Imaging is an engineering consultancy that designs, builds, and ships production-grade medical imaging software for healthcare organizations, medical imaging companies, and AI vendors. Its core deliverables are custom OHIF viewers, DICOM pipeline integrations, AI viewer workflows, cloud deployments of imaging systems, and a fixed-scope Production Readiness Review diagnostic. The firm is the co-creator and maintainer of the OHIF open-source imaging platform.
Is Radical Imaging a public or private company?
Radical Imaging is a private company. It is currently operating.
When was Radical Imaging founded?
Radical Imaging was founded in 2012. It employs 11 to 50 people.
Where is Radical Imaging based?
Radical Imaging is headquartered in Boston, United States, in the North America region.
How does Radical Imaging make money?
Two revenue lines are on record. Professional Services / Consulting is the primary driver. The others are software Development Engagements.
Who are Radical Imaging's main competitors?
Direct peers on record are Kitware, Visage Imaging, Blackford Analysis, Flywheel, MIM Software and AdvaHealth Solutions. Emerging players are Arterys and Nanox AI (formerly Zebra Medical Vision). Broad incumbents are TeraRecon and Philips HealthSuite / IntelliSpace.
Does Radical Imaging have an API?
No public API is recorded for Radical Imaging.
What industry is Radical Imaging in?
Radical Imaging's product category is Medical Imaging Software Services. Its primary akta.pro industry code is HLACALAD, Universal Viewers & Enterprise Imaging Access (Zero-footprint/Diagnostic), with a secondary code of HLACABAM, Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity). Its NAICS code is 5417 and its SIC code is 3841.