Why enterprise imaging needs flexibility, not lock-in | Mach7

Teri Thomas and Barinder Dhillon join The Imaging Wire’s Brian Casey on why imaging is moving past standardized workflows, and what flexibility actually requires.

About the conversation

Recorded ahead of the SIIM Annual Meeting 2026, this episode of The Imaging Wire Show brings together host Brian Casey, Mach7 CEO Teri Thomas, and Barinder Dhillon for about 22 minutes on how enterprise imaging is evolving beyond traditional PACS and standardized workflows.

What they cover

• Why healthcare organizations are prioritizing flexibility and interoperability
• The growing importance of vendor-neutral strategies
• The operational realities of modern imaging workflows
• AI’s role in enterprise imaging and workflow orchestration
• How organizations can modernize without creating disruption
• The future of imaging data, cloud strategies, and intelligent workflow design

Why the question keeps coming up

Imaging environments keep getting broader. A single organization may now span radiology, cardiology, digital pathology, AI applications and care teams spread across sites, and each addition puts pressure on an architecture that was designed around one department. The recurring problem is not any individual system but how they connect, and how much freedom an organization keeps to change its mind later.

That is the thread running through this conversation: connecting systems intelligently while protecting workflow efficiency and clinical performance, and doing it without a rip-and-replace project.