What J-MAC SYSTEM does

J-MAC SYSTEM is a Japanese medical imaging IT specialist that develops and sells PACS (Picture Archiving and Communication System), RIS (Radiology Information System), and related clinical software for hospitals and clinics. Founded in Sapporo in July 1989 by radiological technologists under the original name Vox-View launch, the company operates as a 100% in-house, domestically developed software vendor with 137 full-time employees as of August 2025 and a six-branch nationwide direct sales network (Sapporo HQ, Sendai, Tokyo, Nagoya, Osaka, Fukuoka). Its core technology stack centers on DICOM-compliant medical image management, web-based cloud architecture (Climis, CASOL), and AWS-backed long-term archival, with multiple medical device certifications including ISO 13485 (since 2009) and ISO/IEC 27001 (since 2012).

The product portfolio spans the entire imaging workflow: XTREK Series integrated PACS for hospitals, XTREK STATION for clinics, Climis cloud PACS, ACTRIS RIS, ACTRIS RI for nuclear medicine, FUSION Plus for PET/CT image fusion (with reported ~40% market share among Japanese PET/CT facilities), LUCID reporting, DoseChecker for radiation dose management, PMAneo brain perfusion analysis, XTREK QA quality assurance, XTREK MAMMO mammography, and CASOL archival. Supported modalities include DICOM image, dynamic PET/CT video, and nuclear-medicine structured metrics. The FUSION Plus module reportedly holds approximately 40% PET/CT market share. The company recently launched its Rely-AI in-house AI image-processing brand (April 2025) and entered a sales partnership with Elpixcel (November 2025) to distribute the EIRL image-diagnostic AI suite across its installed base.

Revenue is generated through a mix of perpetual software licenses, subscription/SaaS (Climis cloud PACS, DoseChecker monthly plans), hardware sales (gateway PCs, Cleable waterproof keyboards), installation and professional services, and ongoing maintenance/support contracts. Pricing for Climis cloud PACS is publicly disclosed at ¥16,500/month with unlimited storage; enterprise PACS contracts are quote-based. Customer segments are split between hospitals and large medical centers (enterprise, including regional and university hospitals such as Fujita Health University, Kurashiki Central, and Ishinomaki City Hospital) and clinics/private practices (SMB, including newly opening physician practices). The company is a subsidiary of Infocom Corporation following a capital and business partnership established in April 2023, with a leadership transition from founding president Tsukiyama Furuse to Kuriyama Fujio effective April 1, 2026. Distribution combines direct enterprise field sales, a three-tier Climis partner channel, and e-commerce for consumer-grade infection-control products.

Name

J-MAC SYSTEM

Legal name

株式会社 ジェイマックシステム

Website

https://j-mac.co.jp

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

101–250 employees

Short description

J-MAC SYSTEM is a Japanese medical imaging IT vendor developing 100% in-house PACS, RIS, and cloud imaging software (XTREK, Climis, ACTRIS, FUSION Plus) for hospitals and clinics, with 750+ facility installations and direct sales across six regional offices.

Ownership category

akta.pro rank

Product category

Medical Imaging Software (PACS/RIS)

NAICS

Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (3345)

SIC

Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Universal Viewers & Enterprise Imaging Access (Zero-footprint/Diagnostic) (HLACALAD)

akta.pro secondary industries

Imaging Informatics & Workflow (PACS/RIS/VNA) (HLAHABAI), Teleradiology Platforms & Reading Workflow (HLACALAK), Radiology Reporting, Dictation & Structured Reporting (HLACALAF), Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM), AI Orchestration & Imaging Analytics Platforms (Model Management/Triage) (HLACALAG)

Keywords

• Medical imaging software
• PACS systems
• Radiology information systems
• Radiation dose management
• Nuclear medicine imaging

Headquarters

HQ city

Sapporo

HQ country

Japan

HQ region

Asia

Offices6 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Supply Chain, Infrastructure

Revenue model

1. Medical Imaging Software (PACS/RIS/Viewers): J-MAC SYSTEM's primary revenue stream from licensing and subscription of its core PACS, RIS, and medical image viewer software. Revenue is generated through both perpetual licensing (on-premises) and subscription/SaaS models (cloud services). Products include XTREK Series, ACTRIS, LUCID, FUSION Plus, DoseChecker, and cloud services like Climis and XTREK F.E.S.T.A.
2. Hardware Sales (Gateway PC): Sale of dedicated hardware (gateway PC) required for Climis cloud service. Initial hardware purchase is part of the total cost of ownership for cloud PACS customers. Hardware is bundled with installation services.
3. Installation and Professional Services: System installation, configuration, and on-site setup services for medical imaging systems. Provided as a packaged offering with hardware for cloud services, and separately for on-premises system deployments.
4. Maintenance and Support Services: Ongoing software support, remote and on-site maintenance, and hardware support services. Offered through multiple tiers including total support packages, remote-only, and on-site options. Special 24/7 support also available.
5. Infection Control Products (Cleable): Sales of waterproof/washable keyboards and mice (Cleable brand, Seal Shield). Hardware product line targeting medical facilities. Distributed through direct inquiry for bulk orders and through e-commerce marketplaces (Yahoo Shopping, Rakuten) for individual purchases. Note: Airdog air purifiers were discontinued July 31, 2025.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

J-MAC SYSTEM designs, develops, and sells medical imaging software—primarily PACS (Picture Archiving and Communication Systems), RIS (Radiology Information Systems), and specialized image viewers—for hospitals and clinics across Japan. The company delivers both on-premises solutions (XTREK Series, XTREK STATION) and cloud-based services (Climis Cloud PACS, XTREK F.E.S.T.A, CASOL), complemented by supporting products for nuclear medicine imaging, dose management, brain image analysis, quality assurance, and reporting. It also sells related hardware (gateway PCs, waterproof keyboards/mice) and provides installation, maintenance, and support services.

Product overview

J-MAC SYSTEM is a specialized medical imaging IT company offering a comprehensive PACS (Picture Archiving and Communication System) product portfolio. The core offering centers on the XTREK Series PACS for hospitals and XTREK STATION for clinics, complemented by Climis cloud PACS for cloud-first deployments. Supporting products include radiation department systems (ACTRIS, ACTRIS RI), reporting solutions (LUCID), quality assurance (XTREK QA), dose management (DoseChecker), nuclear medicine fusion (FUSION Plus), brain imaging analysis (PMAneo), and long-term archive services (CASOL, XTREK F.E.S.T.A). The company also offers infection control products including washable keyboards (Cleable) and formerly air purifiers (Airdog, discontinued 2025). Recent AI capabilities include Rely-AI branded processing and partnership with Elpixel EIRL image diagnostic AI.

Differentiator

Problem solved

Functional benefit

Brands

• Climis: 新規開業医向けクラウド型PACSサービス。月額制で保存容量無制限。
• XTREK
• FUSION Plus
• ACTRIS
• LUCID
• DoseChecker
• PMAneo
• CASOL

Products and services

• XTREK Series Integrated PACS solution for hospitals with Japanese-language interface, matrix-format exam history display, MPR reconstruction, visceral fat measurement, and comprehensive imaging workflow support. Includes advanced image display, MPR, TIC measurement, visceral fat measurement, COPD measurement, CTR measurement, and PowerPoint integration with auto-anonymization.
• XTREK STATION Compact on-premises PACS for clinics with intuitive operation, built-in measurement functions (Cobb angle, CTR), MPR, and optional mammography viewer. Includes visceral fat measurement, MPR, and generic file (PDF/JPEG) management.
• Climis Cloud PACS Web-browser-based cloud PACS service for new clinics with unlimited data storage, monthly fixed pricing (¥16,500/month), cross-platform support (Mac/iPad/PC), remote reading integration, and electronic medical record launch linkage.
• XTREK F.E.S.T.A Hybrid cloud PACS solution combining on-premises performance with cloud economics, disaster recovery, and remote reading capabilities. Available in Hybrid and Archive types for different deployment needs.
• FUSION Plus Nuclear medicine volume-based image fusion system supporting PET, SPECT, CT, and MR volume data fusion with amyloid PET imaging, MTV/TLG measurements, cardiac three-axis reconstruction, and PERCIST compliance. Approximately 40% market share among PET/CT facilities in Japan.
• ACTRIS Radiology department business system (RIS) with workflow customization, incident prevention features, contrast agent monitoring, and statistical reporting for exam data analysis. Flexible user customization and comprehensive statistics.
• ACTRIS RI Nuclear medicine department management system for PET and RI examination order management, radiopharmaceutical inventory, and PET examination progress tracking.
• LUCID Reading report support system with binder function, double-check feature, JED-compliant endoscopy reporting, and overlooked-report prevention management.
• DoseChecker Simple radiation dose management system supporting DRLs 2025 compliance, with automated recording and inspection output functions for healthcare facilities.
• XTREK QA Quality assurance and inspection system for filmless image diagnostics providing authenticity and readability, with auto-inspection and DICOM tag editing.
• PMAneo Automated brain image analysis software analyzing MR DWI and MR/CT perfusion images, generating mismatch maps (CBV/CBF/MTT/Tmax) with PACS-compatible output for stroke diagnosis. Distributed by J-MAC SYSTEM under license from Micron Corporation.
• CASOL Long-term cloud image archival service using AWS S3 for storing infrequently accessed historical images, enabling PACS renewal cost reduction and BCP disaster recovery measures.
• XTREK WebView Web-based DICOM viewer for external image access supporting PC and iPad with security-conscious design for informed consent and regional medical coordination.
• XTREK MAMMO Dedicated mammography viewer with tomosynthesis support, wheel-mouse layout switching, and LUCID integration for double-reading compliance.
• Cleable (クリアブル) Washable waterproof keyboard and mouse (IP68/IP66 rated) for infection control in healthcare environments, manufactured by Seal Shield (USA) under license.

Quantifiable outcome

• Climis 5-year total cost: ¥1,595,000 vs typical on-premises ¥3,000,000–¥5,000,000 (65–75% cost reduction)
• +3 more outcomes

Named customers13 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability6 records

Feature12 records

Partnerships

Six partnerships are on record, tiered core and minor.

• エルピクセル株式会社 (Elpixcel Inc.)coreTechnology or Integration · 21 November 2025J-MAC SYSTEM and Elpixcel entered a sales partnership to integrate Elpixcel's AI diagnostic support system 'EIRL' series into J-MAC's XTREK Series PACS. EIRL covers chest X-ray, CT, endoscopy, and MRI. Users can access AI analysis results with a single button operation. Elpixcel has deployed EIRL to 1,000+ facilities with 12M+ total analyses as of June 2025. J-MAC SYSTEM serves as the PACS distribution channel partner for Elpixcel's AI products.
• 株式会社インプル (Impl Co., Ltd.)coreStrategic or Co-development Partner · 28 June 2021J-MAC SYSTEM partnered with Impl Co., Ltd. to co-develop and launch the 'Climis' clinic reservation system in June 2021. The partnership combined J-MAC's medical IT expertise with Impl's web/app development capabilities. The system provides online medical appointment booking with calendar-based booking, video consultation support, and MEO optimization for patient acquisition.
• 株式会社マイクロン (Micron Corporation)coreOEM/ Whitelabel/ Licensing Partner · 28 May 2020J-MAC SYSTEM distributes the PMAneo brain image analysis program, originally developed by ASIST-Japan as research software 'PMA (Perfusion Mismatch Analyzer)' and now repositioned as a medical device by Micron Corporation. J-MAC SYSTEM is the authorized distributor for this product, which analyzes MR/CT brain images for stroke diagnosis.
• トゥーコネクト社 (Two Connect Corporation)minorChannel Partner/ Reseller/ DistributorJ-MAC SYSTEM previously served as the Japanese distributor for the Airdog series air purifiers, sourced from an overseas manufacturer through Two Connect as the exclusive domestic sales agent. This distribution arrangement ended July 31, 2025 due to the exclusive sales contract ending between Two Connect and the overseas manufacturer.
• 倉敷中央病院 / 大原記念倉敷中央医療機構 (Kurashiki Central Hospital / Ohara Healthcare Group)coreTechnology or IntegrationKurashiki Central Hospital implemented a comprehensive VNA (Vendor Neutral Archive) environment with J-MAC's ACTRIS RIS, LUCID reporting system, and VNA-compatible XTREK. This reference customer deployment demonstrates advanced multi-vendor integration capabilities and was featured in industry publications.
• エーシードッグ Inc. / Seal Shield LLC (Airdog / Seal Shield)minorChannel Partner/ Reseller/ DistributorJ-MAC SYSTEM distributes Seal Shield's waterproof/washable keyboards and mice under the 'Cleable' brand in Japan. Seal Shield (USA) is the original equipment manufacturer. The products are IP66/IP68 rated for complete waterproofing and are targeted at medical facilities for infection control.

Scale indicators7 records

Recent moves6 records

Expansion highlights7 records

Broad incumbents

• Philips Healthcare: Global enterprise imaging and PACS vendor with established Japan presence. Offers broader modality + software bundles that overlap with J-MAC's PACS and viewer offerings at larger hospitals.
• GE Healthcare: Global incumbent in medical imaging, PACS, and enterprise imaging. Competes with J-MAC at large Japanese hospital sites, typically as part of full modality + IT bundles.
• Hologic: Women's health and mammography imaging vendor. Overlaps with J-MAC's XTREK MAMMO dedicated mammography viewer at mammography-focused facilities and women's-health clinics.
• Siemens Healthineers: Global PACS/VNA vendor serving academic and large hospitals worldwide. Overlaps with J-MAC's VNA-compatible XTREK deployments at multi-vendor hospital sites in Japan.

Direct peers

• Agfa HealthCare: International PACS/RIS/EHR vendor with enterprise imaging solutions. Competes for radiology IT contracts at Japanese hospitals and is a comparable to J-MAC's PACS and RIS offerings.
• Canon Medical Systems: Major Japanese imaging vendor offering diagnostic imaging equipment and PACS/RIS solutions to hospitals. Competes with J-MAC for radiology IT contracts in mid- and large-sized Japanese healthcare facilities.
• Carestream Health: Medical imaging and healthcare IT vendor with PACS and radiology workflow products. Closely comparable PACS vendor competing for hospital and clinic imaging-IT contracts similar to J-MAC's XTREK and Climis.
• Fujifilm Healthcare: Largest Japan-headquartered PACS and medical imaging IT vendor with comprehensive enterprise imaging portfolio. Most direct competitor to J-MAC's XTREK Series in Japanese hospitals, with overlapping presence at university and regional hospitals.

Emerging players

• Elpixcel: Japan-based AI diagnostic support company (EIRL series) with 12M+ analyses across 1,000+ facilities. Formally a J-MAC distribution partner but increasingly competitive as adjacent technology and AI-PACS bundling expands.

Regional players

• Yokogawa Electric (Healthcare): Japanese industrial conglomerate with adjacent medical imaging IT exposure. Regional Japanese player with overlapping hospital technology footprint but less direct PACS specialization than J-MAC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about J-MAC SYSTEM