We have images trapped in legacy systems. What Vendor…
We have images trapped in legacy systems. What Vendor Neutral Archive (VNA) is best for consolidating data from different departments (Cardiology, Radiology)?
Data as of Oct 18, 2026ChatGPT SearchGoogle AI ModeBased on 333 AI responses from ChatGPT Search and Google AI Mode·Reviewed by Dimitry Apollonsky
To consolidate legacy imaging data across departments like cardiology and radiology, Fujifilm Synapse VNA, Agfa HealthCareEnterprise Imaging, and Mach7 Technologies stand out as top-tier solutions. These systems are recognized for handling multi-vendor environments and complex data, offering the interoperability needed to unify disparate clinical archives.
Best Vendor Neutral Archive (VNA) for consolidating Cardiology, Radiology, and other imaging systems
If your organization has images trapped in legacy PACS or departmental systems, the best Vendor Neutral Archive (VNA) is one that can consolidate imaging from Radiology, Cardiology, and other specialties into a shared, standards-based archive without forcing every department to replace its existing workflow.
My recommendation is to evaluate enterprise imaging platforms rather than storage-only products. The key is interoperability across legacy systems, preservation of clinical context, and the ability to retrieve images independently of the original vendor.
What matters most in your selection
1. Multi-department interoperability
Support for DICOM, DICOMweb where applicable, and HL7/FHIR integration to bring together Radiology, Cardiology, ultrasound, endoscopy, and other imaging sources.
2. Legacy migration and preservation
Reliable migration of images, reports, metadata, and patient identifiers from multiple legacy PACS and departmental archives, with reconciliation and validation.
Consolidating multi-departmental imaging data (such as Radiology and Cardiology) from legacy systems requires a true Vendor Neutral Archive (VNA) coupled with strong enterprise viewing and data lifecycle management capabilities. There is no single "best" VNA for every organization, as the right choice depends heavily on your existing EMR (e.g., Epic, Cerner), infrastructure preference (on-premise vs. cloud), and vendor ecosystem.[](https://www.gartner.com/reviews/market/vendor-neutral-archives)
Leading VNA platforms frequently deployed for multi-departmental consolidation include:
Key factors to evaluate when making your selection include:
True Neutrality vs. Suite Lock-in: Ensure the VNA handles non-DICOM data ( cardiology waveforms, dermatology photos, ophthalmology) just as well as standard radiology DICOM objects.
Migration vs. Staging: Determine whether the vendor has automated tools to extract and clean metadata from your specific legacy systems to minimize expensive professional services fees during data extraction.
To help narrow down which VNA fits your organization best, could you share:
A common repository, documented interfaces, flexible storage options, and the ability to change viewers or PACS vendors without losing access to historical studies.
VNA vendors I would shortlist
Based on the stated requirement—consolidating legacy imaging across Cardiology and Radiology—these are the four platforms I would evaluate first.
1. AGFA HealthCare Enterprise Imaging VNA
(My first evaluation)
AGFA explicitly supports consolidation of third-party PACS and departmental systems, DICOM and non-DICOM content, centralized lifecycle management, and cloud or on-premises deployment. It is a strong starting point when the objective is to unify many departmental archives without a wholesale replacement of existing systems.
Best fit: heterogeneous legacy systems and phased enterprise consolidation.
Sectra supports a broad range of clinical content, including DICOM, ECG, non-DICOM images, videos, and digital pathology. Its modular architecture, standards-based interfaces, and specialty-aware workflow options make it particularly worth evaluating if Cardiology and Radiology must retain distinct diagnostic workflows while sharing an archive.
Best fit: multi-specialty organizations prioritizing clinical workflow integration.
Philips offers a standards-based repository for structured and unstructured content, multi-site imaging, metadata management, and legacy archive integration. Its documented support for DICOM take-over and patient identity standards makes it a good candidate where historical archives and inconsistent patient identifiers are major concerns.
Best fit: legacy archive migration and longitudinal patient imaging records.
GE HealthCare provides enterprise imaging capabilities focused on interoperability, unified patient imaging records, and scalable infrastructure. Include it in the shortlist if you want to compare managed cloud deployment and broader enterprise imaging capabilities.
Best fit: organizations evaluating cloud-based enterprise imaging and consolidated access.
Comparison against your consolidation requirements
Requirement
AGFA
Sectra
Philips
GE HealthCare
Multiple PACS and departmental sources
Strong documented fit
Strong documented fit
Strong documented fit
Strong documented fit
DICOM and non-DICOM content
Yes
Yes
Yes
Enterprise imaging support
Specialty-specific workflows
Validate in demo
Strong documented options
Validate in demo
Validate in demo
Legacy archive migration
Assess migration tooling
Migration tools documented
Take-over capabilities documented
Assess migration tooling
Cloud deployment
Yes
Yes
Options vary
SaaS options
Overall assessment
First to evaluate
Close contender
Strong migration candidate
Strong enterprise alternative
This is a feature-based shortlist, not an independent head-to-head technical test. Exact connector support, migration effort, licensing, and performance depend on your existing systems and contract.
The critical architectural distinction is that a VNA is not automatically a replacement for PACS or a diagnostic viewer. You can consolidate storage while allowing departmental systems to continue managing their specialized workflows. Confirm that the proposed architecture supports the intended migration and retrieval model.
Before signing, require a proof of concept that demonstrates:
DICOM studies and associated reports can be migrated and retrieved intact.
Cardiology waveforms, echocardiography, ECGs, and relevant non-DICOM objects are preserved in usable forms.
Duplicate records and patient identity mismatches are detected and reconciled safely.
Clinicians can retrieve prior studies through their existing workflow.
Data can be exported in documented formats if you change vendors in the future.
My recommendation
Start with AGFA HealthCare and Sectra, then include Philips if legacy migration and patient identity reconciliation are the dominant concerns. Evaluate GE HealthCare alongside them if managed cloud delivery is a major priority.
The best choice ultimately depends on your installed systems and whether you need a central archive only or a complete enterprise imaging platform.
One question that would help me narrow this to the best fit: What are your existing Radiology and Cardiology systems—for example, GE, Philips, Siemens, Sectra, Change Healthcare, Intelerad, or a mix of vendors?
Consolidating legacy data across both Cardiology and Radiology —two of the heaviest and most complex imaging generators in a health system—requires a true enterprise-grade Vendor Neutral Archive (VNA). Cardiology data (cine loops, ECG waveforms, echocardiograms, hemodynamic reports) has very different structuring requirements than standard DICOM radiology studies.[](https://www.guideflow.com/blog/vendor-neutral-archives-software)
The "best" VNA depends on your organization's scale and existing EHR ecosystem, but several top-performing enterprise vendors consistently lead the market in multi-departmental consolidation, robust data migration capabilities from legacy silos, and high KLAS Research rankings:
Fujifilm (Synapse VNA): Consistently scores at the top of market evaluations for VNA performance. Synapse VNA is known for rock-solid backend data lifecycle management, handling massive scale, and supporting multi-specialty workflows across both cardiology and radiology without favoring one vendor's ecosystem.[](https://healthsystemcio.com/2025/09/09/enterprise-imaging-leaders-gain-ground-klas-finds/)
Mach7 Technologies (Mach7 VNA): Built on a truly open API and modular architecture. Mach7 is favored by health systems that want high flexibility, control over their data routing/metadata, and a lightweight footprint that can integrate third-party diagnostic viewers or AI tools cleanly.[](https://www.gartner.com/reviews/market/vendor-neutral-archives)
Sectra (Enterprise Imaging / VNA): While widely lauded for their dominant Radiology PACS, Sectra's unified enterprise imaging approach handles multi-departmental environments (including pathology and cardiology extensions) exceptionally well, offering tight EHR integration and high user satisfaction.
Key Factors to Prioritize for Cardiology + Radiology:
Non-DICOM Handling: Cardiology generates copious non-DICOM data (PDFs, JPEGs, structured reports, physiologic signals). Ensure the VNA natively ingests and maps non-DICOM objects to the correct patient ID.
Enterprise Viewer Interoperability: A VNA is only half the battle; clinicians need a fast, unified universal viewer to see both a cardiac echo and a chest CT side-by-side without launching separate departmental desktop clients.
To help narrow down the ideal vendor for your specific situation, tell me:
What EHR (e.g., Epic, Oracle Health/Cerner) are you integrated with?
Roughly how many terabytes or annual studies are locked in your legacy cardiology and radiology systems?
Are you leaning toward an on-premise, cloud-native, or hybrid deployment?
Best Vendor Neutral Archive (VNA) for consolidating Cardiology, Radiology, and other departmental images
If your organization has images trapped in legacy systems, I would prioritize a vendor-neutral, enterprise imaging archive that can consolidate data from Radiology, Cardiology, and other departments without forcing every department to replace its existing imaging equipment or applications.
The best choice depends on whether you need primarily a central image repository or a broader enterprise imaging platform that also migrates legacy data, manages clinical context, and makes images accessible across departments.
My recommendation: Shortlist enterprise imaging platforms from Sectra, Philips, AGFA HealthCare, and GE HealthCare, then evaluate them against your existing PACS, cardiology systems, and migration requirements. The most important distinction is how well each vendor handles your actual legacy data and workflows—not simply whether it advertises VNA capabilities.
Top VNA platforms to evaluate
1. AGFA HealthCare Enterprise Imaging VNA
(Best overall starting point)
Designed to consolidate imaging across third-party PACS, departmental systems, and multiple sites. Supports DICOM and non-DICOM content, with cloud and on-premises options. AGFA also ranked first in the 2026 Best in KLAS VNA category according to a published industry comparison.
Best if: You want a central archive without replacing every department's existing system.
Vendor:
2. Sectra VNA
A strong candidate for multi-specialty enterprise imaging, particularly when you want to coordinate clinical imaging workflows as well as consolidate storage.
Best if: Cardiology and Radiology need to share imaging while retaining specialized departmental workflows.
Vendor:
3. Hyland Acuo VNA
Worth evaluating when archive independence and migration from multiple legacy imaging systems are central to the project. Hyland is also identified as a major multi-specialty archive provider in enterprise imaging research.
Best if: Your long-term objective is to decouple image storage from individual PACS vendors.
Vendor:
4. Fujifilm Synapse VNA
Another established option for consolidating imaging across different systems and specialties. Include it in your RFP to compare interoperability, operational costs, and migration capabilities.
Best if: You want an additional mature enterprise archive option to benchmark against AGFA, Sectra, and Hyland.
Vendor:
What matters most for your legacy consolidation project
A VNA can centralize storage, but it will not automatically make every legacy image viewable or reconcile inconsistent patient records. I would make these six capabilities mandatory in the evaluation.
Requirement
What the vendor must demonstrate
Legacy migration
Extract and validate images, reports, and metadata from each existing archive
Cross-department support
Handle Radiology PACS and Cardiology imaging systems, including ECGs, echo studies, and relevant video
Interoperability
DICOM, HL7, and appropriate DICOMweb or IHE integration capabilities
Patient identity
Reconcile medical record numbers, duplicate identities, and merged patient records
Clinical access
Retrieve historical studies within existing EHR and departmental workflows
Data ownership
Philips' Clinical Repository, for example, explicitly describes support for DICOM, non-DICOM, IHE XDS/XDS-I, HL7-related workflows, and multi-site image consolidation. That makes it another reasonable option if Philips is already part of your imaging environment.
My suggested selection strategy
Start with AGFA and Sectra for an initial demonstration.
Add Hyland Acuo and Fujifilm Synapse VNA to broaden the competitive evaluation.
Provide all vendors with the same representative legacy datasets from Cardiology and Radiology.
Require a proof of concept that validates migrated study counts, image integrity, metadata, patient matching, retrieval performance, and total migration cost.
Do not select a VNA based on a product demo alone. A successful migration of your actual legacy studies is the strongest evidence that the solution fits.
One question that would help me narrow this down
What are you currently using for the legacy images?
1. Existing systems
Different PACS and cardiology systems
GE HealthCare legacy systems
Philips legacy systems
Siemens legacy systems
Unknown or other legacy archives
2. Deployment scope
One hospital
Multi-hospital health system
Hospital and outpatient imaging centers
3. Primary objective
Migrate everything into one archive
Keep existing PACS but centralize storage
Replace PACS and consolidate imaging
Enable enterprise-wide image access through the EHR
If the core problem is legacy images trapped in separate Cardiology and Radiology systems, I would put Sectra VNA and AGFA Enterprise Imaging VNA at the top of the evaluation, with Hyland Acuo as another strong migration-focused option.
My shortlist
VNA
Best fit
Why I'd consider it
Sectra VNA
Best for Cardiology + Radiology convergence
Built specifically for multi-specialty imaging, including cardiology, radiology, pathology, ECG, video/audio and DICOM/non-DICOM. Supports DICOM, HL7, WADO and XDS, with migration tooling.
AGFA Enterprise Imaging VNA
Best overall enterprise VNA
Strong third-party PACS/departmental integration, DICOM + non-DICOM, multimedia, XDS, cloud/on-prem, and incremental consolidation without a forced rip-and-replace. It was the 2025 Best in KLAS VNA, scoring 86.9.
Hyland Acuo VNA
Best when legacy migration is the primary problem
Very strong archive-independence story: DICOM and multimedia, XDS, HL7, DICOMweb and FHIR, plus migration tools and preservation of image ownership/history.
Fujifilm Synapse VNA
Large/multi-site environments
Strong customer satisfaction and a mature enterprise archive; 2025 KLAS score was 86.8 across 31 organizations.
Mach7 VNA
Highly open/standards-oriented architecture
Consolidates DICOM and non-DICOM from every modality/site and emphasizes avoiding proprietary internal storage formats.
My recommendation
If I were running the RFP, I'd start with:
1. Sectra VNA — strongest Cardiology + Radiology fit
This is particularly compelling if Cardiology isn't just producing conventional DICOM. Sectra explicitly supports ECG, HD film, non-DICOM images and other multimedia, while also providing workflow modules for cardiology and radiology. Its VNA can retain content in native format or DICOM-wrap it.
2. AGFA Enterprise Imaging VNA — strongest all-around enterprise choice
AGFA is especially attractive if you have many departmental PACS, multiple hospitals, and a gradual consolidation strategy. Its current architecture emphasizes connecting existing systems rather than forcing a rip-and-replace, while supporting both DICOM and non-DICOM content. KLAS's 2025 data also puts it at the top of the ranked VNA field.
3. Hyland Acuo — strongest migration/archive-independence candidate
I'd move Acuo to #1 if your biggest headache is getting data out of proprietary legacy archives. Its architecture is explicitly designed to separate the archive from departmental PACS and includes migration capabilities, XDS, DICOM, HL7, DICOMweb and FHIR.
One important caveat
Don't select a VNA based simply on "supports DICOM." That's table stakes.
For your use case, I'd make the RFP demonstrate these seven things using your actual legacy data:
DICOM + non-DICOM ingestion — especially ECG, echo/cine loops, scanned documents, JPEG/MP4 and other Cardiology content.
There's also an important market signal: KLAS's 2025 VNA report shows Sectra at 93.8, but with only 8 organizations and therefore lower confidence, while AGFA and Fujifilm had much larger respondent bases. KLAS separately notes that Sectra VNA is receiving significant consideration, while AGFA has made substantial customer-experience gains.
Bottom line:
Best Cardiology + Radiology convergence:Sectra VNA
Best broad enterprise/multi-site VNA:AGFA Enterprise Imaging VNA
Best legacy migration/archive-independence option:Hyland Acuo
Best open-architecture challenger:Mach7
Best mature large-enterprise alternative:Fujifilm Synapse VNA
If you tell me roughly how many hospitals, PACS/archive vendors, annual studies, and whether you're Epic/Cerner, I can narrow this to a 2–3 vendor RFP shortlist and give you a weighted VNA evaluation matrix.
Consolidating images from disparate legacy systems—especially across high-volume, data-heavy specialties like Radiology and Cardiology—requires a true Enterprise Imaging VNA that handles multi-specialty DICOM and non-DICOM data (like cardiology waveforms, visible light, ECGs, and PDFs) while normalizing metadata at the database level.[](https://www.gartner.com/reviews/market/vendor-neutral-archives)
There is no single "best" vendor for every healthcare organization, but industry analyses (such as KLAS Research ) highlight several top-performing VNA and Enterprise Imaging vendors recognized for cross-departmental consolidation:
Philips (Enterprise Imaging Solutions): Offers strong lifecycle management and cross-departmental viewing tools (such as Vue Motion). Philips is a solid contender if your cardiology department relies heavily on advanced hemodynamic and echo reporting that needs tightly coupled enterprise interoperability.
Key Evaluation Criteria for Cardiology + Radiology Consolidation
Cardiology Support: Cardiology data is notoriously tricky because it includes non-DICOM formats, dynamic clips, and structured reporting data that standard radiology-focused VNAs sometimes struggle to ingest natively. Ensure the VNA handles cardiology-specific objects seamlessly.
Legacy Data Migration Engine: Moving "trapped" data out of legacy archives involves heavy data cleansing and header normalization. Ask vendors for documented case studies on migrating from your specific legacy PACS.
Viewer Strategy: Determine whether departments will keep their diagnostic desktop viewers (e.g., dedicated cardiology reading stations) and just use the VNA for backend storage, or if you plan to move toward a unified universal enterprise viewer.
To help narrow down the right vendor match, let me know:
What legacy PACS/VNA vendors are you currently trying to extract data from?
Are you looking for a pure backend archive or a universal clinical viewer for end-users?
Is your organization leaning toward cloud-hosted or on-premise infrastructure?
For your specific problem—legacy images trapped in separate Cardiology and Radiology systems—I’d build the shortlist around Hyland Acuo, Sectra VNA, AGFA Enterprise Imaging VNA, and Fujifilm Synapse VNA, with Mach7 as another strong candidate.
How I’d evaluate them
VNA
Legacy consolidation
Cardiology + Radiology
DICOM + non-DICOM
Key differentiator
Hyland Acuo VNA
Strong
Strong
Yes
Particularly focused on enterprise archive independence and migrations
Sectra VNA
Strong
Very strong
Yes
Strong cross-specialty platform, including cardiology multimedia
AGFA Enterprise Imaging VNA
Strong
Strong
Yes
Broad third-party PACS/departmental consolidation
Fujifilm Synapse VNA
Strong
Strong
Yes
Mature enterprise VNA with extensive multi-department deployment
Mach7 VNA
Strong
Strong
Yes
Open architecture and ability to sit above existing PACS
Hyland Acuo is especially relevant when "images trapped in legacy systems" is the dominant problem. It is designed to consolidate DICOM and multimedia content, retain image ownership/history, and facilitate migrations while remaining independent of proprietary imaging systems.
Sectra VNA deserves particularly close evaluation if Cardiology is important. Its VNA supports DICOM, HL7, WADO and XDS and can incorporate workflows for radiology, cardiology and pathology. Sectra also describes cardiology workflows involving imaging and multimedia alongside radiology.
AGFA is a compelling enterprise-consolidation option: its VNA accepts content from AGFA and third-party PACS/departmental systems and handles both DICOM and non-DICOM content, with on-premises and cloud storage options. www.agfahealthcare.com KLAS's 2026 VNA assessment gives the winning product an overall performance score of 89.8/100, so that's a useful external market signal—but I'd still validate it against your own migration workload.
Fujifilm Synapse VNA is another mature option. Fujifilm explicitly positions it as a patient-centric archive spanning multiple sites, facilities and departments, supporting both DICOM and native non-DICOM objects.
Mach7 is worth adding if architectural openness is a priority. Its current VNA supports DICOM and non-DICOM imaging across modalities/sites and is designed to sit above existing PACS, allowing systems to be retired incrementally rather than requiring a simultaneous rip-and-replace.
The important part: don't just buy "storage"
For your use case, I'd make these RFP requirements, in roughly this order:
Legacy ingestion/migration from each existing PACS and cardiology system.
DICOM + non-DICOM — including echo, ECG, cath-lab video, PDFs, photos and other specialty content.
Patient identity reconciliation across departmental systems.
Preservation of original metadata and provenance.
DICOMweb, HL7 and preferably FHIR/XDS interoperability.
Ability to federate or leave an old archive in place temporarily, rather than forcing everything to migrate on day one.
EHR launch/integration, particularly with your existing Epic/Cerner/etc.
Lifecycle management, tiered storage and cloud/on-prem/hybrid options.
A clear exit strategy: prove that you can export your entire archive in usable standard formats.
A migration test using real samples from both Cardiology and Radiology, including the ugly legacy cases.
My practical shortlist
If I were writing the RFP, I'd invite AGFA + Hyland + Sectra + Fujifilm, and add Mach7 if you want a more explicitly open/decoupled architecture.
The deciding question isn't really "Which VNA is best?" It's "Which VNA can successfully ingest our ugliest legacy Cardiology and Radiology data without creating the next silo?"
If you give me your current PACS/vendors (e.g. GE, Philips, Siemens), EHR (Epic/Cerner), approximate study count/TB, and whether Cardiology includes ECG/cath/echo, I can turn this into a vendor-by-vendor VNA RFP scorecard with weighted criteria and demo test cases.
Top-performing VNA and Enterprise Imaging vendors frequently recognized by industry analysts like KLAS Research and Gartner Peer Insights for multi-departmental consolidation include:
Agfa HealthCare (Enterprise Imaging): Highly regarded for true enterprise-wide scalability. Agfa’s platform is built to handle cross-departmental data (radiology, cardiology, pathology, point-of-care) under a single patient-centric data core, reducing siloes effectively.[](https://www.gartner.com/reviews/market/vendor-neutral-archives)
Sectra (Enterprise Imaging): Consistently scores top marks in KLAS Research rankings for customer satisfaction and system reliability. While famous for robust diagnostic radiology, their unified architecture scales cleanly into cardiology and other specialties without forcing a rip-and-replace of departmental workflows.
Visage Imaging (Visage 7 Enterprise Imaging Platform): Known for its "One Viewer" philosophy, Visage excels at ultra-fast streaming and universal viewing across disparate specialties. It handles multi-dimensional cardiology and radiology data seamlessly, rendering heavy diagnostic studies rapidly via a thin-client/cloud-ready framework.
Fujifilm (Synapse VNA): A market mainstay with deep pedigree in vendor-neutral data migration, Synapse VNA is praised for handling complex legacy data extraction, DICOM/non-DICOM lifecycle management, and tight integration with diverse EHR/EMR ecosystems.
Infinitt Healthcare (Infinitt Healthcare Platform): Noted for strong interoperability capabilities, offering robust DICOM tag morphing, lifecycle management (ILM), and native support for orders- and encounters-based non-DICOM workflows (audio, video, photos) suited for cardiology and multi-specialty consolidation.
Key Considerations for Cardiology + Radiology Consolidation
Cardiology Specifics: Cardiology generates non-DICOM data (hemodynamic waves, structured reporting, ECG waveforms, echocardiography clips) that standard radiology-focused archives sometimes struggle to index properly. Ensure the VNA natively supports non-DICOM objects and specialty-specific metadata.
Consolidating multi-departmental imaging data—especially bridging the high-volume structured/unstructured divide between Radiology (DICOM CT, MR, X-Ray) and Cardiology (echocardiograms, hemodynamics, ECG waveforms, and DICOM/non-DICOM formats)—requires a robust Enterprise Imaging strategy.
There is no single "best" VNA for every organization, as the right choice depends on your current Electronic Health Record (EHR) ecosystem, cloud strategy, and legacy migration budget. However, industry leaders consistently excel at cross-departmental consolidation:
Infinitt Healthcare / Ambra Health (Cloud VNA): Ideal for healthcare groups prioritizing cloud-native architectures. Infinitt/Ambra streamlines multi-site data exchange, reduces on-premises hardware footprints, and specializes in pulling legacy data silos into a centralized, accessible web environment.[](https://www.gartner.com/reviews/market/vendor-neutral-archives)
Hyland Software (NilRead / Acuo VNA): Widely praised for pure-play vendor neutrality and strong lifecycle management policies, making it very effective for independent archiving and universal viewing across disparate non-DICOM and DICOM departmental sources.
Key Evaluation Criteria for Cardiology + Radiology Consolidation
Non-DICOM Handling: Cardiology generates significant non-DICOM data (PDF reports, color Doppler clips, hemodynamic waveforms, ECG strips). Ensure the VNA natively indexes and associates non-DICOM objects to the correct patient ID in the enterprise viewer.
Lifecycle Management (ILM): Cardiology and radiology files are massive. Look for policy-based storage tiering (moving older, less-accessed legacy data to lower-cost cold storage or cloud blobs automatically).
Legacy Data Migration Tools: Extracting data "trapped" in legacy systems is often the most expensive part of the project. Prioritize vendors with proven, automated data-pump and historical indexing engines to minimize downtime and data corruption.
To help narrow down the best fit, could you share:
What EHR system (e.g., Epic, Cerner/Oracle Health) are you using?
Are you leaning toward an on-premises, hybrid, or fully cloud-based deployment?
Roughly how many terabytes/petabytes of legacy data need to be migrated?
Sectra VNA — particularly strong for mixed cardiology/radiology content, including ECG, video, DICOM and non-DICOM.
Hyland Acuo — worth evaluating when the priority is separating the archive from PACS and simplifying legacy migrations.
AGFA VNA — designed for enterprise-wide, multi-specialty consolidation.
Mach7 — strong standards-based approach for heterogeneous environments.
Most important: make vendors prove migration of your legacy data, including proprietary cardiology objects, non-DICOM files, patient-ID reconciliation, DICOM/DICOMweb, HL7/FHIR, and PACS replacement without another archive migration.
![Synapse® VNA | Fujifilm [Austria]](https://images.openai.com/static-rsc-4/shW0qJRbEh2JO6lLRDGJAlGwbijzd3c99vMYwObF7rNO7-pC032SsP1hmxYQCWj4wXj3tK-CVLgpbYoT8DInk00aKZFjOVj6zK0TwM508Xzf-g3mVqMV3Cj7lzNt5K2EiOv9Y_3hOtlP5mxccfDupBI2pKf5jQ2VAcDGQNxuJqer8Plv1fZ0PmQmxHs9DI6L?purpose=fullsize)
