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 why one-size-fits-all PACS workflows break once cardiology and pathology are added.

What they cover

• What breaks when a cardiology or pathology system is bolted onto a radiology archive
• Where vendor-neutral storage changes the cost of switching systems later
• Where AI helps the worklist today, and where it does not
• How to migrate an archive while radiologists keep reading

Why the question keeps coming up

A single organization may now span radiology, cardiology, digital pathology, AI applications and care teams spread across sites. Each new department strains an archive built for radiology alone. The problem is rarely one bad system. It is the cost of swapping it out later.