Your practice PACS in a box — zero license fees, zero cloud dependency, one command.
A free, open-source DICOM viewer for dental and medical practices. View CBCT, CT, MRI, OPG and all DICOM formats in your browser — with 3D volume rendering, MPR, and measurement tools.
A dentist built a full PACS server with zero programming background — using AI coding tools. One Docker command. Zero license fees. Patient data stays on your hardware.
git clone https://github.com/Ambientwork/AmbientCT.git && cd AmbientCT
cp .env.example .env # Edit credentials before going live
docker compose up -dOpen http://localhost:3000 — your PACS is running.
- 🏥 Full PACS Server — Orthanc with DICOMweb, C-STORE, and WADO support
- 🧠 3D Volume Rendering — Axial, sagittal, and coronal MPR via Cornerstone3D
- 🦷 Dental Presets — Optimized Window/Level for bone, implants, soft tissue, and mandibular canal
- 📦 One Command Deploy — Docker Compose, runs on Mac, Linux, and Windows
- 🔒 Privacy First — Fully on-premise, no cloud, no tracking, DSGVO-ready
- 📂 Any DICOM Source — Drag & drop files or receive from any DICOM device via DIMSE
- 🛠️ Zero Config — Sane defaults out of the box,
.envfor overrides - 🆓 Free Forever — MIT license, no vendor lock-in
Browser → Nginx :443 → OHIF Viewer :3000 (React + WebGL)
→ Orthanc :8042 (DICOMweb REST API)
→ Orthanc :4242 (DICOM DIMSE, LAN only)
Storage: Orthanc → SQLite + filesystem (./data/orthanc-db/)
| Component | Version | Role |
|---|---|---|
| Orthanc | 24.12.2 | PACS server, DICOMweb, DIMSE |
| OHIF Viewer | v3.9.2 | Web imaging frontend |
| Cornerstone3D | latest | 3D rendering engine |
| Nginx | latest | Reverse proxy |
AmbientCT is not FDA- or CE-certified. It is intended for informational and workflow purposes only. Clinical diagnostic decisions must be made by licensed healthcare professionals using certified software.
Built by a dentist using AI-powered development tools (Claude Code + Conductor) as a showcase for what non-programmers can build with modern AI tooling. Read the full story →
By Ambientwork — the better OS for dental practices.
MIT License · Made with 🤖 and ☕