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The Future of Radiology Collaboration

Connect imaging systems across hospitals. Share studies intelligently. Accelerate diagnostics. One unified, vendor-neutral platform.

Connected with
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GDPR Compliant
MDR IIa Pathway
ISO 27001 Aligned
NIS2 Compliant
E2E Encrypted
EU AI Act Ready
30-Day PHI Purge
<60s Cloud processing latency
<1 min Disaster recovery RPO
<15 min Disaster recovery RTO
10 min STAT fallback routing SLA

The Growing Crisis

The pressure driving the need for change

Radiology networks worldwide face a critical breaking point — an aging workforce, rising demand, and systemic overload are compromising patient outcomes.

0%
Radiologists Over 51
0%
Retiring Within 5 Years
0%
Overload → Diagnostic Errors
0
EU States Understaffed

A Workforce on the Brink of Collapse

EU-REST Census · PubMed Central (PMC)

"16 of 27 EU member states fall below the average of 127 radiologists per million. 45% of Europe's radiologists are over 51, with 19% set to retire within five years — yet imaging demand is projected to surge 70% by 2030."

Growing Shortfall, Growing Risk

Royal College of Radiologists · 2024 Census

"The UK faces a 29% shortfall in radiology consultants, projected to reach 39% by 2029. CT and MRI demand grew 8% in 2024 while the workforce grew only 4.2% — the gap is widening every year."

Overload Drives Diagnostic Errors

American College of Radiology · Medscape 2024

"Diagnostic error rates increase by 226% when radiologists read 67–90 studies per shift versus 19–26. Meanwhile, 51% of radiologists report clinical burnout — a direct threat to patient safety."

Patients Left Waiting

Royal College of Radiologists · NHS England 2024

"In 2024, 976,000 imaging scans in England breached the one-month reporting target — a 28% increase year-on-year. Reporting backlogs exceed 7 days in a third of European hospitals."

Sources: EU-REST / European Commission Census · PubMed Central (PMC) · Royal College of Radiologists 2024 Workforce Census · American College of Radiology · Medscape Physician Burnout Report 2024 · NHS England Diagnostic Data

Radiologist Experience

Your Workflow, Unchanged

HubNex operates inside your existing ecosystem. Studies appear on your worklist. You read. Reports deliver themselves. You never leave your PACS.

01

Study lands on your worklist

A teleradiology request from a partner hospital appears directly in your RIS — automatically routed, prioritised, and labelled. No VPN. No portal login. No phone call.

Zero extra logins
HubNex · Radiology Worklist ● Live
My Worklist 3 studies 1 incoming
CT · Chest · STAT
STATJust now
MRI · Brain · Routine
14 min ago
X-Ray · Chest · Routine
32 min ago
02

Prior exams pre-attached

Relevant historical studies from other institutions are already surfaced before you open the case — queried, fetched, and linked automatically. No chasing down CDs or calling IT.

Cross-institution priors, automatic
CT · Chest · P. Dubois Priors Ready
CT Chest — 2025-03-04
New
CT Chest — 2024-11-12
Prior
CT Chest — 2023-06-28
Prior
03

AI analysis already embedded

AI annotations, bounding boxes, and measurements are baked directly into the DICOM — rendered as Secondary Captures readable in any viewer. Clinical history and labs are pre-populated into your dictation software.

No AI login, no separate tool
CT · Chest · AI Pre-Analysis AI Ready
Chest CT scan with AI overlay
RUL Nodule14.2 mm
Confidence94.1%
FleischnerCategory 4B
DictationPre-filled ✓
04

Read in your own PACS viewer

Open the study in the same viewer you use every day. No retraining. No new hanging protocols to configure. Subspecialty routing means you only see cases matched to your expertise.

Any PACS — OHIF, Sectra, Agfa, GE
CT · Chest · Reading ● In Progress
CT scan in DICOM reading view
ViewerLocal PACS (native)
Hanging ProtocolAuto-applied ✓
SubspecialtyChest / Oncology
SLA24 h · 18 h remaining
05

Sign report — it delivers itself

Dictate and sign as normal. HubNex intercepts the HL7 ORU, routes the finalised report back to the requesting hospital's EMR automatically. The loop closes without you lifting a finger.

Closed-loop delivery, fully audited
CT · Chest · Report Delivered ✓
Report Signed & Delivered
Report signed locally09:42
HL7 ORU routed via HubNex09:42
Delivered → City Radiology EMR09:43
Audit trail sealed · HIPAA ✓09:43
HubNex · Radiology Worklist ● Live
My Worklist 3 studies 1 incoming
CT · Chest · STAT P. Dubois · City Radiology Centre
STAT Just now
MRI · Brain · Routine T. Berger · North Medical Hub
14 min ago
X-Ray · Chest · Routine M. Peeters · St. Elara Hospital
32 min ago
CT · Chest · P. Dubois Priors Ready
CT Chest — 2025-03-04 City Radiology Centre · 342 images
New
CT Chest — 2024-11-12 North Medical Hub · 298 images
Prior
CT Chest — 2023-06-28 Riverside Medical · 210 images
Prior
X-Ray — 2022-01-09 Westfield Clinic · 2 images
Prior
CT · Chest · AI Pre-Analysis AI Ready
Chest CT scan with AI nodule detection overlay
RUL Nodule 14.2 mm
Confidence 94.1%
Fleischner Category 4B
Dictation Pre-filled ✓
CT · Chest · Reading ● In Progress
Chest CT scan in DICOM reading view with windowing toolbar
ViewerLocal PACS (native)
Hanging ProtocolAuto-applied ✓
SubspecialtyChest / Oncology
SLA24 h · 18 h remaining
CT · Chest · Report Delivered ✓
Report Signed & Delivered
Report signed locally 09:42
HL7 ORU routed via HubNex 09:42
Delivered → City Radiology EMR 09:43
Ordering physician notified 09:43
Audit trail sealed · HIPAA ✓ 09:43

The Platform

Everything your radiology
network needs

A vendor-neutral ecosystem that enhances collaboration, accelerates workflows, and supports better patient outcomes.

Instant Imaging Access
HubNex Imaging Portal
CT · Abdomen · City Radiology Centre
MRI · Brain · North Medical Hub
X-Ray · Chest · Westfield Clinic
CT · Thorax · St. Elara Hospital
Prior: CT 2022 · Riverside Medical
Chest CT scan - DICOM instant access DICOM Viewer
● Live 3 institutions connected Prior available

Instant Imaging Access Across Institutions

Connect imaging across every hospital in your network. Prior exams are immediately accessible, wherever they're stored — eliminating delays and duplicated scans.

  • Zero-copy DICOM retrieval via DICOM/HL7
  • Prior studies surfaced automatically at read time
  • Works with any PACS — no forklift required
Cross-Hospital Collaboration
Collaboration Hub
Urgent CT · Neuro · Case #4821
Dr. Jean-Michel Dr. Rossini Dr. Al-Larbi Dr. Maes is typing…
Frontal lobe lesion — recommend biopsy consultation
Agreed. Forwarding to neurosurgery.

Cross-Hospital Collaboration

Secure, seamless sharing for second reads, joint diagnostics, and multidisciplinary teamwork across sites — as if everyone is in the same reading room.

  • Real-time case discussion with audit trail
  • Second-read requests in one click
  • MDT workflow support across facilities
Smart Workload Balancing
Workload Dashboard
142Studies today
8Radiologists active
17 minAvg. TAT
Dr. Maes
72%
Dr. Rossini
48%
Dr. Alvarez
89% ⚠
Dr. Chen
31%

Smart Workload Balancing

Intelligently distribute cases across your radiologist network based on subspecialty, urgency, capacity, and modality — reducing burnout and improving turnaround.

  • Real-time capacity visibility across sites
  • Auto-routing by subspecialty & urgency
  • Overload alerts before backlogs form
Automated Workflows
Workflow Automation
PACS
Received
AI Triage
Priority: High
Routed to
Dr. Maes
Report
Finalised
Active Urgent CTs → On-call radiologist
Active Neuro MRI → Subspecialty pool
Draft Paediatric → Dr. Peeters

Automated Workflows

Define rules once — studies are automatically triaged, routed, and escalated without manual intervention. Reduce administrative overhead on every case.

  • Rule-based routing by modality, urgency, subspecialty
  • AI-assisted triage for prioritisation
  • SLA tracking with automated escalation
Enterprise Security
Security & Compliance Centre
GDPRCompliant
HIPAAReady
ISO 27001Aligned
TLS 256End-to-end
Audit Log
09:41Dr. Maes accessed Case #4821
09:38Study shared → North Medical Hub
09:30New session — role: radiologist

Enterprise Security & Compliance

Built for healthcare from the ground up. End-to-end encryption, role-based access control, immutable audit logs — meeting GDPR, HIPAA, and SOC 2 requirements.

  • No PHI stored in cloud — data stays on-premise
  • Role-based access & full audit trail
  • GDPR, HIPAA, NIS2 & ISO 27001 aligned
Remote Expertise Access
Expert Network
Dr. Maes
Dr. Maes
Neuroradiology · Brussels
● Available
Dr. Rossini
Dr. Rossini
MSK · Milan
● In session
Dr. Khalil
Dr. Khalil
Chest Radiology · Dubai
● Available

Remote Expertise Access

When local capacity runs thin, tap into a verified network of subspecialists. Connect to the right expert for second reads, urgent cases, or overflow reporting.

  • Verified subspecialist pool across regions
  • On-demand access — no long-term contracts
  • Turnaround SLAs with performance tracking
Non-Disruptive Upgrades
Integration Status
Agfa IMPAXConnected
Philips IntelliSpaceConnected
Sectra IDS7Connected
GE CentricityConnected
+Your existing PACSReady to pair
Edge Gateway installed · Read-only · No data migration

Non-Disruptive Upgrades

HubNex layers over your existing infrastructure. No forklift upgrades, no data migration, no clinical disruption — just an immediate connectivity layer that works from day one.

  • Compatible with all major PACS & RIS vendors
  • Read-only edge gateway — zero interference
  • Up and running in under 30 minutes
For Hospital IT
HubNex · Network Architecture
Hospital A
Edge Gateway · VM
HTTPS 443 ↑
HubNex Cloud
Orchestrator · KMS · AI
HTTPS 443 ↑
Hospital B
Edge Gateway · VM
Inbound firewall ports required None
Outbound port HTTPS 443 only
Data at rest encryption AES-256 · KMS
VPN required None
Network reconfiguration None

HubNex never opens your firewall

The Edge Gateway deploys on-premise as a VM and communicates using 100% outbound HTTPS/443 only. No inbound firewall rules. No VPN tunnels. No network reconfiguration required — ever.

  • Zero inbound ports · outbound HTTPS/443 only
  • Local Edge Gateway — data stays on your hardware
  • AES-256 encryption at rest · KMS key management
  • Passes most hospital security reviews without exception
Critical Findings Alert
HubNex · Critical Findings
Critical Finding — Action Required STAT
StudyCT Chest · P. Dubois
Finding14mm RUL nodule — Fleischner 4B
RadiologistDr. Maes · Signed 09:42
NotifiedDr. Laurent (ordering) · SMS + Pager
Awaiting acknowledgement…
Closed-Loop Audit Trail
09:42Report signed · critical flag auto-detected
09:42SMS dispatched → Dr. Laurent (+32 4xx)
09:42Pager alert fired → City Radiology Centre
--:--ACK pending · Part 11 audit seal on receipt

Critical Findings — Closed-Loop Alert

HubNex auto-detects critical findings at sign-off and immediately dispatches SMS and pager alerts to the ordering physician. A mandatory acknowledgement click seals the FDA Part 11 audit trail.

  • Auto-triggered on report sign — no manual step
  • SMS + pager — escalation if unacknowledged in 15 min
  • Physician ACK timestamped in immutable audit log
  • Satisfies FDA 21 CFR Part 11 closed-loop requirement
In-Viewer Chat
PACS Viewer · Technologist Chat
CT Chest · P. Dubois · City Radiology Centre Secure Session
T. Renard
T. Renard (Technologist) Patient was very agitated — series 3 has motion on upper slices. Would you like us to repeat?
Diagnostic quality still sufficient for series 3. No repeat needed. Please note the clinical context in the request form.
T. Renard
Understood, noted. Thanks Dr. Maes.
Tokenized session · linked to Case #4821 · expires on close

Talk to Techs — Without Leaving Your Viewer

HubNex embeds a secure, tokenized chat URL directly into the DICOM Study Description and HL7 OBX segment. One click in your PACS opens a web chat locked to the originating technologist and study. No app. No login.

  • Chat URL injected into DICOM metadata — opens in browser
  • Session token locked to case · auto-expires on close
  • Full conversation logged to the study audit trail
  • Works in any PACS viewer that renders Study Description

Intelligent Routing

Routing that understands radiology

Not every study is the same. HubNex routes with clinical awareness — urgency, modality, compliance, and patient history all factor into every dispatch decision.

Auto priors · zero radiologist action

Intelligent Priors Forwarding

When a study is routed to the reading radiologist's PACS, HubNex automatically queries the originating hospital's archive and forwards relevant prior exams — no manual retrieval required.

  • MPI-reconciled patient matching across institutions
  • Relevant priors forwarded with the current study
  • Radiologist always has context — in their own PACS
  • Configurable look-back window per modality
Cross-Institutional Continuity
10 min STAT fallback SLA · global

STAT Priority Routing

Urgent studies are routed immediately to the nearest available radiologist. If no acknowledgement is received within 10 minutes, HubNex automatically escalates to the next available reader.

  • Urgency extracted from HL7 ORC/OBR priority field
  • Nearest available reader calculated in real time
  • 10-min SLA watchdog · auto-escalation on breach
  • Full routing decision log · US & EU compliant
Urgency & Escalation Routing
0 non-compliant routes allowed

Compliance Routing Gates

HubNex enforces routing rules at the study dispatch layer — a study never reaches a site that doesn't meet the required clinical or regulatory criteria for that modality.

  • Mammography only routes to FDA-cleared 5MP monitor sites (US)
  • Modality-specific site capability checks (US & EU)
  • Blocked routes logged & alerted — never silently dropped
  • Configurable rule sets per institution or network
Regulatory Compliance · US & EU

How HubNex Works

From install to reporting — up and running in under 30 minutes.

01

Deploy Edge Gateway

Install our lightweight gateway on-premise. Connects read-only to your PACS/RIS via DICOM/HL7.

02

Configure Routing

Set intelligent rules: prioritize by subspecialty, urgency, modality, or AI-driven triage.

03

Share Securely

Studies flow encrypted between approved sites. No PHI stored in the cloud. Full audit trail.

04

Report & Optimize

Radiologists read using their own viewers. Analytics dashboard tracks TAT, volumes, and efficiency.

Ready to transform your radiology network?

Join our pilot program or reach out to learn more.

FAQ

Questions, answered

Everything you need to know about integrating HubNex into your radiology network.

Still have questions?

Talk to our team →

Overview

3 questions

HubNex is a cloud-edge platform that securely connects hospitals' PACS/RIS systems, enabling intelligent sharing of imaging studies based on workload, subspecialty, and urgency. It's ideal for multi-site health networks, radiology departments, imaging centres, and referring physicians.

HubNex is a technology layer — not a reading service. You retain full control over your data and radiologists. HubNex simply enables secure, intelligent study sharing across your network — you choose who reads what, and when.

No. HubNex overlays your existing PACS/RIS systems via an on-premise Edge Gateway that integrates through standard DICOM/HL7 protocols — enhancing workflows without requiring any system replacement or data migration.

Technical

4 questions

Deploy the lightweight Edge Gateway (software or VM) on-premise. It connects read-only to your PACS/RIS via DICOM/HL7, extracts metadata, and securely communicates with the HubNex cloud. No PACS replacement is needed and the full deployment takes under 30 minutes.

Yes. HubNex is fully vendor-neutral and compatible with all major PACS systems. In low-bandwidth situations, the Edge Gateway automatically buffers and queues study transfers, then resumes seamlessly once connectivity is restored.

HubNex uses a hybrid cloud-edge architecture. The Edge Gateway runs entirely on-premise within your own datacentre, handling all DICOM/HL7 communication. Orchestration metadata passes through HubNex's ISO 27001-certified cloud — but imaging data itself never leaves your network unless you explicitly configure shared-study transfers to other approved sites.

Most single-site deployments are live within 30 minutes of Edge Gateway installation. A multi-site network rollout — including routing configuration, RBAC setup, and user training — typically completes in 2 to 5 business days. We assign a dedicated implementation engineer to every deployment.

Compliance

4 questions

Yes. HubNex uses end-to-end encryption (TLS 1.3), role-based access control, immutable audit logging, and optional pseudonymization. No PHI is persistently stored in the cloud — studies are transferred transiently and remain within your governed infrastructure.

Access is governed by granular, hospital-configured roles. Only authorized users at designated sites can view, assign, or report on studies. Every action generates an immutable, timestamped audit log that your compliance team can export at any time.

Patient imaging data (DICOM files) never leaves your on-premise infrastructure. HubNex's cloud layer handles only metadata and routing instructions — not PHI. For European customers, this architecture fully satisfies GDPR data residency requirements. For US customers requiring HIPAA BAA, we provide a signed Business Associate Agreement as standard.

Yes. HubNex's cloud infrastructure is ISO 27001 certified. Our architecture is designed to support NIS2 compliance for healthcare operators of essential services — including network segmentation, incident response procedures, and supply-chain security assessments. We provide a full compliance documentation pack on request.

Workflow

4 questions

Routing rules let you prioritize by modality, subspecialty (neuro, cardiac, paediatrics), urgency codes, or AI-driven triage scores. If a radiologist is unavailable or at capacity, cases auto-reassign to the next-best available expert within your network.

No. HubNex overlays existing workflows transparently. Radiologists and clinicians continue using their familiar viewers and reporting tools — HubNex orchestrates study movement and routing silently in the background without any new UX to learn.

HubNex provides rule-based routing out of the box (modality, urgency code, subspecialty, time-of-day). Optional AI triage integration allows external AI screening tools to inject urgency signals — for example, escalating a suspected PE or stroke study to the top of the worklist automatically. HubNex acts as the orchestration layer; clinical AI models are plugged in via our open API.

Yes. Referring clinicians can be granted a limited-access role that allows them to track study status, receive report notifications, and download finalised reports — without access to routing controls or administrative functions. Access is managed by your site administrator and scoped per clinician.

Admin & Analytics

3 questions

Live dashboards show study flow, turnaround times, workload distribution by radiologist, and SLA-breach alerts. Analytics track volume trends, team efficiency, and gateway performance — all exportable for data-driven optimization and board reporting.

All plans include 24/7 monitoring of the Edge Gateway with automated alerts. Standard support is business-hours with a 4-hour response SLA. Enterprise plans include 24/7 dedicated support with a 1-hour critical-incident SLA and a named customer success manager. Uptime SLA is 99.9% for the cloud orchestration layer.

HubNex is priced on a per-site subscription model, making costs predictable regardless of study volume. Network-wide enterprise agreements are available for health systems connecting five or more sites and include volume discounts. All pricing is bespoke — contact us for a quote tailored to your network size and workflow complexity.

Contact Us

Let's talk about your network

Whether you're a healthcare provider, radiology group, or IT partner — our team is here to help you explore how HubNex can transform your imaging workflow.

Location

Gent, Belgium

Phone

(+32) 486 036 288

(+32) 484 367 188

Email

contact@HubNex.net

Location

Gent, Belgium

Phone

(+32) 486 036 288

(+32) 484 367 188

Email

contact@HubNex.net