Compare · VIDIStar

VIDIStar PACS Alternatives and Synapse Select CVIS Options for Echo and Vascular Labs

The short answer

VIDIStar is a cloud cardiovascular PACS and structured reporting system built by VidiStar, LLC of Greenville, South Carolina. Hitachi bought it in early 2018, Fujifilm took it over with Hitachi's imaging business on March 31, 2021, and Fujifilm now sells it as Synapse Select. It holds two FDA clearances, K083910 (2009) and K152822 (2015).

Search for VIDIStar PACS alternatives and you get Capterra and G2 listings that suggest a lab system and an oncology package. Nothing on the first page tells a cardiology practice or a community hospital echo lab what VIDIStar has become, what the FDA record shows, or which systems actually do the same job. The buyer usually arrives with a Synapse Select renewal, a Fujifilm proposal to move to Synapse Cardiology PACS, or a hospital IT team asking why cardiology runs on a different system from radiology.

This page is for that person: the echo or vascular lab manager, the practice administrator at a cardiology group, or the imaging director at a community hospital where VIDIStar handles echo and vascular ultrasound. Every fact below comes from a record we can point to, and where the record is empty we say so rather than fill it in.

The Reading Station

Assistant ready

Worklist

Not for diagnostic use

Structured report

Draft

Run the assistant to draft this report for review.

You review & sign

Decision support. The radiologist reviews and signs every study.

Drafted in · you review & sign Worklist re-prioritized

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional judgment.

See the comparison

Flag · prioritize · draft · you review and sign

Fujifilm sells the cardiovascular information system: VIDIStar, now Synapse Select, with its echo and vascular viewer, structured reports and analytics. Radiological.ai sells none of that. It is an assistant for the radiology side of the same hospital, reading from the PACS you already run on X-ray, CT and MRI, and it does not read echocardiograms.

Side by side

VIDIStar against the cardiovascular systems on a typical shortlist

What a VIDIStar or Synapse Select site is usually weighing at renewal. Every row is a published fact or a public record, not a benchmark we ran.

What to compare	VIDIStar (Fujifilm Synapse Select)	Other CVIS and cardiology PACS
Who owns it	FUJIFILM Healthcare Americas. Hitachi bought VidiStar, LLC in early 2018; Hitachi Healthcare Americas became FUJIFILM Healthcare Americas Corporation in July 2021.	Philips (IntelliSpace Cardiovascular), Siemens Healthineers (syngo Dynamics), Merative (Merge Cardio), Digisonics (privately held), Lumedx, Core Sound Imaging (Studycast).
Who it is built for	Fujifilm positions Synapse Select for community hospitals, private practices and imaging centers. Larger systems are steered to Synapse Cardiology PACS.	Philips and Siemens target health systems with cath and EP labs. Digisonics and Studycast sell to practices and outpatient labs.
Deployment	Cloud based, with browser reporting and remote viewing of the whole cardiac record.	Mixed. Studycast is cloud native; Philips, Siemens and Merge are usually on premises or hosted by the vendor.
FDA 510(k) record	Two clearances under VidiStar, LLC, both code LLZ: K083910 (April 15, 2009) and K152822 VidiStar HeartView (November 25, 2015). None since under the VIDIStar or Synapse Select name.	Siemens syngo Dynamics K253689 (April 2026). Philips IntelliSpace Cardiovascular K251215 (October 2025). Merge Cardio K192276 (2019). Lumedx CardioPACS K120514 (2012). Digisonics K970402 (1997).
Federal purchasing record	Zero prime awards to VidiStar on USAspending, and none naming VIDIStar or Synapse Select in the description.	Digisonics: 19 VA awards from 2007 to 2017 worth $847,834, including a $228,800 vascular ultrasound reporting system in 2015.
Price	Unpublished. Quoted by Fujifilm.	Unpublished for all of them. Ask for a per-study or per-reader figure in writing.
Where it wins	A cloud CVIS built for smaller sites, cardiology structured reporting that fills from measurements, and a vendor big enough to stay.	Philips and Siemens on cath, EP and hemodynamics depth. Digisonics on OB and vascular reporting. Studycast on outpatient echo and remote reading.
Switching cost	Staying avoids migration, but a move to Synapse Cardiology PACS is still a migration inside Fujifilm.	High. Priors, measurement packages, report templates and the EMR interface all move.

Ownership facts come from the Hitachi announcement of January 9, 2018, trade press on the February 2018 closing, the Fujifilm and Hitachi closing on March 31, 2021, and the Fujifilm Synapse Select product page. FDA data is from the openFDA 510(k) database, federal data from USAspending.gov. All collected October 13, 2026.

What the public record shows

The FDA record for cardiovascular image and reporting systems

Fujifilm publishes no Synapse Select price and the federal record holds no VIDIStar purchase, so the most useful public comparison is the clearance history: how recently each vendor has put a version through the FDA.

Product	Most recent 510(k)	What it tells a buyer
VIDIStar HeartView	K152822, November 25, 2015 (LLZ)	The newest clearance under the VidiStar name. Ask Fujifilm which clearance covers the Synapse Select version you would sign for.
Siemens syngo Dynamics	K253689, April 10, 2026 (QIH)	Ten clearances in total, with versions VA40E, VA40F, VA41D and VA41F cleared since 2022. The most active record in the group.
Philips IntelliSpace Cardiovascular	K251215, October 2, 2025 (LLZ)	A second clearance ten years after the first (K153022, 2015).
Merge Cardio (Merative)	K192276, September 20, 2019 (LLZ)	One clearance on the record under that name.
Lumedx CardioPACS	K120514, July 5, 2012 (LLZ)	Plus K123466 for the HealthView ECG Manager in December 2012.
Digisonics	K970402, March 26, 1997 (LLZ)	Three clearances, the oldest from 1980. Reporting software that does not process images may not need a new one.
Studycast (Core Sound Imaging)	No record found	No 510(k) under Core Sound Imaging or Studycast. Ask which parts of the product are cleared for diagnostic viewing.

Source: openFDA 510(k) database, searched by device name and applicant on October 13, 2026. LLZ is System, Image Processing, Radiological (21 CFR 892.2050, class II); QIH is Automated Radiological Image Processing Software. A missing record can mean a product name we did not search, so ask each vendor for its K number.

Side by side

Radiological.ai vs VIDIStar, honestly

A fair look at what each does well. Both are capable tools. Here is where they differ.

What matters	Radiological.ai	VIDIStar
What you are buying	Software that flags suspected findings on X-ray, CT and MRI, prioritizes the radiology worklist and drafts the structured report.	The cardiovascular information system: echo and vascular viewing, measurements, structured cardiology reports and analytics.
Which department	Radiology. It does not read echocardiograms or vascular ultrasound.	Cardiology and the vascular lab, sometimes radiology ultrasound too.
Relationship to your systems	Works alongside the radiology PACS you already run over standard DICOM.	It is the cardiology PACS and reporting system. Replacing it moves your cardiac priors.
Unit of cost	Per reading radiologist, published: $399 a month on the Practice plan or $199 a month billed annually, and $598 a month on the Group plan or $299 a month billed annually.	Unpublished. Quoted per site or contract.
Who signs the report	The radiologist. The assistant never signs anything.	The reading cardiologist or vascular physician.
Best suited for	Community hospitals where radiology is short of reading time while the cardiology system question runs its course.	Practices and hospitals that need cardiology structured reporting and a cardiac image record.

Comparison reflects general, publicly understood positioning. Capabilities change, so check each product for the latest.

This page covers one cardiology vendor. Fujifilm's radiology PACS is a separate product with its own record, covered in Fujifilm Synapse PACS alternatives. For obstetric and maternal-fetal reporting, where Digisonics and ViewPoint compete with each other, see OB ultrasound reporting software, and for what the category costs, ultrasound reporting software pricing reads the federal awards row by row.

If radiology ultrasound runs in the same building, AI ultrasound reporting covers how dictated ultrasound reports get drafted. Hospitals rethinking the archive under both departments can compare enterprise imaging software and the best vendor neutral archive for multi-site radiology.

If the radiology read is the bottleneck, how the assistant integrates with your PACS explains what connects to what, radiology worklist prioritization shows how urgent studies surface first, and the pricing page lists the per-radiologist plans.

Why groups pick Radiological.ai

One assistant across the whole read

Ask which clearance covers your version

The FDA record shows two VidiStar clearances, the last in November 2015, and nothing under the Synapse Select name. That can be fine for a reporting layer, but ask Fujifilm in writing which K number covers the viewer you use for diagnostic reads.

Find out where Synapse Select sits on the roadmap

Fujifilm sells two cardiology products: Synapse Select for smaller sites and Synapse Cardiology PACS for larger ones. Ask whether your renewal keeps you on Select or quietly prices in a move, and what happens to your report templates if you move.

Export your templates and measurement mappings first

The expensive part of any CVIS switch is rebuilding the structured report and the mapping from ultrasound measurements into it. Get a full export of both while your contract is live, whichever way you decide.

Keep the radiology decision separate

If the real complaint is radiology turnaround rather than cardiology reporting, a CVIS change will not fix it. An assistant that reads from your radiology PACS flags suspected findings, sorts the worklist and drafts the report without touching the echo lab.

Good questions

VIDIStar vs Radiological.ai, answered

FUJIFILM Healthcare Americas. Hitachi Healthcare Americas agreed to buy VidiStar, LLC in January 2018 and closed in February 2018, keeping the team in Greenville, South Carolina. Fujifilm bought Hitachi's diagnostic imaging business on March 31, 2021, and the US unit was renamed FUJIFILM Healthcare Americas Corporation that July.

Yes. Fujifilm's product page names it Synapse Select (VIDIStar) and describes it as a cardiovascular information system for community hospitals, private practices and imaging centers, with cloud-based viewing and reporting of the whole cardiac record and analytics at patient, department and population level.

Two versions are. The openFDA 510(k) database lists K083910, the VIDIStar PACS and DICOM viewer, cleared April 15, 2009, and K152822, VidiStar HeartView, cleared November 25, 2015, both under product code LLZ. We found no later clearance under the VIDIStar or Synapse Select name, so ask Fujifilm which one covers your version.

Fujifilm does not publish a price, and USAspending shows no federal purchase of VIDIStar, so there is no public contract to benchmark against. The nearest federal reference in cardiovascular reporting is Digisonics: 19 VA awards from 2007 to 2017 totaling $847,834, with a median of $12,698 and a largest award of $228,800.

The cardiovascular information systems with an FDA record are Siemens syngo Dynamics, Philips IntelliSpace Cardiovascular, Merge Cardio from Merative, Lumedx CardioPACS and Digisonics, plus Fujifilm's own Synapse Cardiology PACS. Outpatient echo labs also look at Studycast from Core Sound Imaging, which has no 510(k) on the record.

Yes, because they serve different departments. Radiological.ai reads from the radiology PACS over standard DICOM, flags suspected findings on X-ray, CT and MRI, prioritizes the worklist and drafts the structured report. It does not touch VIDIStar or read echocardiograms, and the radiologist reviews, edits and signs every study.

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From the blog: what the PowerScribe 360 end of life means for radiology groups, how much radiology AI costs, and the full comparison of the best AI radiology software in 2026.

See how Radiological.ai reads alongside your group

One assistant that flags suspected findings, prioritizes the worklist, and drafts the structured report on X-ray, CT and MRI. You review and sign every study.

See pricing

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional medical judgment.