RSNA 2025 Recap: Why the Industry is Finally Ditching the Silo

The wind in Chicago wasn’t the only thing biting at RSNA 2025. The commentary on legacy systems was sharper than ever.

While the exhibition floor was packed with the usual buzz, a clear consensus emerged among industry veterans: the era of the “lift-and-shift” cloud strategy is over. The market is moving decisively toward cloud-native optimisation and open architecture.

At AdvaHealth Solutions, we didn’t just witness this shift, we were cited as a prime example of it. Here is a deep dive into the three major trends validated at RSNA 2025, and what they mean for your imaging strategy in 2026.

For years, hospitals have been promised interoperability, only to be sold another proprietary silo. This year, the experts called time on that approach.

Herman Oosterwijk, the renowned “PACS Guy” and interoperability expert, released his influential “RSNA25: What’s IN and What’s OUT” list. He placed “Open Architecture PACS” firmly in the “IN” category, specifically contrasting it against the “OUT” category of “Silos.”

Oosterwijk highlighted AdvaPACS as a key disruptor, noting:

• True Openness: The ability to plug in preferred viewers and AI without vendor lock-in.
• The “15-Minute” Reality: He cited a direct testimony of our system going live in just 15 minutes, validating that rapid deployment is no longer just a marketing claim.
• Business Model Innovation: He praised the “No upfront costs, pay-as-you-go” model as a necessary shake-up for the vendor community.

The Takeaway: If your current PACS vendor is charging you heavy upfront CapEx for a system that locks you in, they are officially “OUT.”

“Cloud adoption” is old news. The conversation at RSNA 2025 moved to “Cloud Optimisation.”

In an exclusive interview from the show floor, AdvaHealth Solutions Board Member Imad Nijim sat down with our CCO Lynette Fong to unpack this nuance. Imad, a technology strategy veteran, warned that many providers are currently “paying twice” for the same utility because they are stuck in a transition that was supposed to take months but has dragged on for years.

“From a CIO perspective, you tend to think of the cloud as an operating system of all your applications versus a single destination,” Imad explained.

When you treat the cloud as an OS:

• Integration accelerates: Plugging in new innovations is “accelerated 100-fold” compared to on-premise infrastructure.
• Hidden costs vanish: You avoid the “egress rate” traps and interface costs that plague hybrid/legacy setups.

A major theme this year was the maturity of AI. The hype around “black box” diagnostic tools is fading, replaced by a demand for practical workflow efficiency.

As Imad Nijim noted during the conference, “AI is not solving problems… AI plus radiologists are solving the problems”.

The industry is realising that diagnostic AI often lacks reimbursement pathways and regulatory clarity. The real value lies in workflow optimisation, using AI to automate routine tasks and triage lists so the radiologist can focus on complex cases. This aligns perfectly with the AdvaPACS philosophy: we provide the platform (the “OS”) where you can plug in the specific AI tools that solve your specific workflow bottlenecks.

Finally, the importance of resilience cannot be overstated. The Core Connect Group (CCG) recognised AdvaHealth Solutions alongside other Australian innovators like 4DMedical and Kailo Medical, highlighting the strength of Australian medtech on the global stage.

As noted by our CCO Lynette Fong, the primary challenges for providers today are “access, resilience, and cost“. A true cloud-native architecture solves all three by removing geographical barriers and eliminating single points of failure.

RSNA 2025 proved that the market is ready for a change. The experts have validated that Open Architecture is “IN,” and the “Silo” is dead.

Don’t let your imaging strategy get stuck in the “OUT” pile.