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On-premises PACS license price is a one-time purchase, not a subscription.
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How many PCs/tablets are accessing the on-premises PACS at the same time?
How many modalities (US, CT, etc.) do you send images from to the on-premises PACS?
How many software will be connected to on-premises PACS via DICOM communication? (e.g., third party’s PACS, DICOM viewers, etc.)

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