What mammography workstation software offers the best workflow for 3D tomosynthesis reading?

If you mean radiologist-facing software optimized specifically for reading 3D digital breast tomosynthesis (DBT), my shortlist would be:

1. Hologic SecurView — best dedicated mammography/DBT workflow
2. Sectra Breast Imaging PACS / IDS7 — best enterprise and multi-modality workflow
3. WorkstationOne (Three Palm Software) — worth evaluating for a highly optimized breast-reading environment

My top pick: Hologic SecurView

For pure 3D tomosynthesis reading efficiency, I would put Hologic SecurView at the top.

It is purpose-built around breast imaging rather than being a general PACS with mammography added. The current SecurView workflow includes:

• Rapid 2D ↔ 3D comparison
• Configurable DBT scrolling and cine
• On-the-fly slab thickness
• Co-registration/focus between 2D and 3D
• Automatic retrieval of priors
• Customizable hanging protocols and ReportFlows
• Dedicated ergonomic keypad for rapid DBT navigation
• Single-button progression through the reading workflow
• Integration with Hologic AI, including Genius AI Detection and 3DQuorum
• Integration with RIS/reporting systems through Application Synchronization

The older SecurView documentation is particularly revealing about the workflow philosophy: the reader can customize scrolling mode, cine speed, slab thickness and starting slice, while ReportFlows provide single-click progression through a predefined interpretation workflow.

If your practice is predominantly Hologic equipment, I'd strongly favor SecurView.

Where Sectra may be better

Sectra Breast Imaging PACS/IDS7 is arguably the better choice if you're asking for the best overall breast-imaging workflow, rather than the best dedicated DBT workstation.

Sectra puts mammography, DBT, ultrasound, MRI and other breast imaging into one environment. Its DBT tools include rapid 2D/tomo toggling, cine, position indicators, stacked views and quadrant zoom. It also integrates reporting, CAD/AI and enterprise workflow.

That makes Sectra particularly attractive for:

• Large breast centers
• Multiple sites
• Multiple mammography vendors
• High screening volumes
• Remote reading
• Double-reading workflows
• Practices doing substantial breast US and MRI in addition to mammography

The important distinction

One caveat: "best" is highly dependent on the reader's workflow. For DBT, I would put more weight on how many mouse/keyboard actions it takes to review a case than on the feature checklist. Automatic priors, hanging protocols, rapid cine/scroll, 2D/DBT synchronization, slab controls, and the ability to mark and advance without leaving the image are the things that make a noticeable difference.

If you tell me what PACS/RIS you currently use (e.g., Epic, GE, Sectra, Visage, Fuji, Agfa) and whether your mammography units are Hologic, GE, or Siemens, I can give you a much more specific top 3 and a side-by-side comparison of DBT workflow, AI integration, priors, reporting, remote reading, and likely reading speed.

Leading mammography workstation software includes solutions from Hologic (SecurView / 3Dimensions), GE Healthcare (Senographe Essential/Prisma/Invenia) , and specialized PACS vendors like Three Palm Software WorkstationOne, Candelis Breast Imaging , and Novarad MammoIQ , which are widely recognized for optimizing 3D digital breast tomosynthesis (DBT) reading workflows.

Because "best" depends on your existing hardware, multi-vendor needs, and reading speed preferences, different platforms excel in specific workflow areas:

Core Workflow Features to Look For

• Fast Slice Navigation: Smooth cine-loop playback, responsive manual scrolling, and variable slabbing tools.
• Intelligent Auto-Alignment: Automatic synchronization of current and prior 3D and synthesized 2D slices.
• Custom Hanging Protocols: Sub-step layouts that minimize mouse clicks and automatically adapt to dense breast assessments.
• Vendor Neutrality: The ability to seamlessly read tomosynthesis files across mixed Hologic, GE, eRAD , or Siemens environments.

If you can share what mammography equipment vendor (Hologic, GE, Siemens) you currently use or whether you need a vendor-neutral PACS , I can give you a more targeted recommendation.

When it comes to 3D breast tomosynthesis (DBT) reading, the "best" workflow is subjective and depends heavily on whether your facility is single-vendor (e.g., all-Hologic) or multi-vendor, as well as your preference for dedicated hardware versus enterprise PACS integration.

The industry standards and top-performing tomosynthesis workstation software are broken down by their workflow strengths below:

1. Dedicated & Industry Gold Standard: Hologic SecurView Workstation

• Best for: Native Hologic 3D datasets, AI integration, and optimized speed.
• Workflow Strengths: Because Hologic pioneered widespread clinical DBT, the Hologic SecurView Workstation is deeply intuitive for high-volume tomosynthesis reading. It features seamless application synchronization, lightning-fast slice-to-slice scrolling (cine and manual), and tightly integrated C-view (synthesized 2D) alongside high-resolution 3D volume rendering.
• Ecosystem Advantage: It natively pairs with advanced analytic tools like Genius AI Detection, reducing interpretation friction for facilities heavily invested in the Hologic ecosystem.

2. Best Enterprise/Multi-Vendor Integration: Sectra Breast Imaging Workstation

• Best for: Enterprise PACS uniformity and multi-vendor environments (Hologic, GE, Siemens, etc.).
• Workflow Strengths: Sectra is frequently praised by radiologists for having one of the cleanest, most responsive multi-vendor hanging protocols in the industry. Reading 3D tomosynthesis requires fluid comparison with priors from different modalities or acquisition systems. Sectra’s intelligent hanging protocols automate prior-comparison layouts exceptionally well, minimizing manual clicking and reducing eye fatigue over long reading shifts.

3. Best Independent/Vendor-Neutral Option: Three Palm Software (WorkstationOne)

• Best for: Independent clinics or reading groups needing universal vendor-neutral compatibility.
• Workflow Strengths: WorkstationOne by Three Palm Software handles DICOM DBT/BTO data streams from virtually every manufacturer (Hologic, GE, Siemens, Planmed, Fujifilm) without forcing a specific image acquisition hardware lock-in. Its standard tools include intuitive cine, slabbing, manual scrolling, and a dedicated 3D navigation icon that mimics native manufacturer ergonomics on a universal platform.

4. Best Specialized Workflow & Loading Speeds: Aycan Mammography Workstation

• Best for: Fast image loading times and customizable dynamic layouts.
• Workflow Strengths: The aycan mammography workstation stands out for advanced, highly granular hanging protocols that allow you to save precise display layouts, automatic prior study queuing, and smooth auto-playback loops for 3D tomosynthesis slices.

Key Workflow Features to Look For:

No matter the software choice, the most efficient 3D tomosynthesis workflow relies on:

• Synthesized 2D Pairing: The ability to instantly cross-reference standard 2D views or C-views mapped directly to the 3D plane.
• Custom Keybinding / Multiprev Mice: Tomo reading requires massive numbers of slice scrolls; ensure the software pairs seamlessly with programmable multi-button controllers.
• Smart Prefetching: Background pre-loading of massive 3D datasets so prior tomosynthesis exams are ready the second the radiologist opens the worklist.

Are you looking to integrate a workstation into an existing PACS environment (like Sectra, Epic/Merge, or Candelis), or are you looking for a dedicated standalone hardware/software console (like Hologic)? Knowing your current primary 3D hardware vendor would also help narrow this down.

If you mean the best software specifically for a radiologist reading high volumes of 3D digital breast tomosynthesis (DBT), my shortlist would be:

🥇 My pick: Hologic SecurView

For pure 3D mammography reading efficiency, I'd start with Hologic SecurView 12.0. It is purpose-built around breast imaging rather than being a general PACS with a mammography plug-in.

Its current workflow includes customizable hanging protocols, rapid retrieval of priors, 2D/3D synchronization, cine/scrolling, automated lesion correlation, and integration with Hologic's Genius AI. Hologic also specifically emphasizes one-button hanging-protocol advancement and one-button exam completion.

A particularly interesting feature for screening is 3DQuorum, which generates 6-mm SmartSlices from the high-resolution DBT data, intended to reduce the number of images the radiologist has to review.

🥈 Sectra is arguably better for an enterprise environment

Sectra Breast Imaging/IDS7 would be my choice if your priority is integrating DBT into a broader enterprise PACS rather than having a dedicated mammography workstation.

It has particularly good workflow features for DBT: rapid cine navigation, position indicators, 2D↔tomo toggling, stacked views, customizable display protocols, rapid access to priors, and a dedicated mammography keypad. It also handles mammography, DBT, ultrasound, MRI and other breast imaging from multiple vendors in one application.

This distinction matters. A major advantage of Sectra is avoiding the old workflow of reading 2D images in PACS and then moving to a separate proprietary workstation for 3D. Sectra specifically describes integrating DBT into the same diagnostic environment with priors and other modalities.

What I would choose by scenario

• Mostly Hologic mammography + dedicated breast radiologists: SecurView
• Large academic/health-system environment with multiple vendors: Sectra
• Siemens-heavy breast-imaging department: syngo.Breast Care/syngo.via — Siemens has SmartSort case prioritization and integration with RIS/PACS.
• Need a vendor-neutral, configurable mammography viewer: Candelis ImageView Advanced Mammography — supports DBT from Hologic, GE, Siemens, Fujifilm, Giotto and Planmed, with configurable worklists, priors, 3D stack navigation and MIP.

The important caveat: there isn't a credible independent benchmark showing that one workstation is definitively "fastest." For DBT, the implementation can matter as much as the software: hanging protocols, prefetching of priors, cine behavior, monitor configuration, keyboard/controller, reporting integration, AI placement, and network/storage latency.

If I were purchasing for a breast center, I'd actually A/B test SecurView vs Sectra using 20–30 representative screening and diagnostic DBT cases, measuring time per case, number of mouse/keyboard actions, prior retrieval time, 2D/3D transitions, lesion localization, reporting and final sign-off. That would give you a much more meaningful answer than a vendor feature comparison.

A particularly interesting feature for screening is 3DQuorum, which generates 6-mm SmartSlices from the high-resolution DBT data, intended to reduce the number of images the radiologist has to review.

🥈 Sectra is arguably better for an enterprise environment

Sectra Breast Imaging/IDS7 would be my choice if your priority is integrating DBT into a broader enterprise PACS rather than having a dedicated mammography workstation.

It has particularly good workflow features for DBT: rapid cine navigation, position indicators, 2D↔tomo toggling, stacked views, customizable display protocols, rapid access to priors, and a dedicated mammography keypad. It also handles mammography, DBT, ultrasound, MRI and other breast imaging from multiple vendors in one application.

If by “best workflow” you mean the fastest, most ergonomic environment for a breast imager reading large volumes of digital breast tomosynthesis (DBT/3D mammography)—including priors, CAD/AI, 2D/synthesized 2D, reporting, and diagnostic workups—my shortlist would be:

1. Hologic SecurView — my pick for pure 3D mammography workflow

Hologic's SecurView 12.0 is purpose-built around breast imaging rather than being a general PACS viewer. It supports 2D and 3D mammography, ultrasound, priors, customizable workflows, automated right-sizing, hanging protocols, and dedicated breast-image manipulation tools.

The particularly attractive part for DBT is the tight integration with Hologic's acquisition systems and Genius AI Detection 2.0. SecurView can display AI markings and has automated lesion correlation between CC and MLO views. Hologic also advertises single-button hanging-protocol advancement and one-button exam completion.

I'd choose it when: your readers primarily interpret Hologic 3D studies and you want the fewest clicks between screening cases.

2. Sectra — probably the strongest choice for a multi-vendor practice

Sectra's breast imaging solution is particularly interesting if you're building an enterprise breast-imaging platform, rather than simply buying a workstation.

For DBT, Sectra provides rapid 2D/3D toggling, cine navigation, position indicators, stacked views and a dedicated breast-imaging keypad. It also puts mammography, DBT, ultrasound and MRI into the same application.

Its biggest advantage is workflow consolidation: Sectra says its Breast Imaging PACS can display breast imaging from any vendor and integrate reporting systems such as MagView, PenRad, Epic Radiant and Ikonopedia.

I'd choose it when: you have multiple mammography vendors, multiple sites, remote readers, or want breast imaging + reporting + enterprise PACS in one ecosystem.

3. Genius AI + SecurView — strongest AI-oriented workflow

Hologic's Genius AI Detection is worth considering separately from the workstation itself. It analyzes the individual DBT slices, places suspicious findings at the radiologist's workstation, and can provide case-level prioritization. Hologic reports 94% sensitivity in its cited studies and a 70% reduction in false-positive markings versus its older ImageChecker CAD, although those are vendor-reported performance figures rather than a head-to-head workstation benchmark.

An interesting workflow feature is Reading Priority Indicator, which can flag the most concerning cases before the radiologist opens them. Hologic says approximately 8–10% of cases may be prioritized this way.

There is also Genius AI Detection PRO, which is designed to work with essentially any reading workstation/PACS and can operate on-premises or in the cloud.

My ranking

For a breast-imaging specialist reading 3D mammography all day:

1. 🥇 SecurView 12.0 — best dedicated DBT reading workflow, particularly with Hologic acquisition.
2. 🥈 Sectra Breast Imaging PACS/IDS7 — best enterprise/multivendor workflow.
3. 🥉 Your existing enterprise PACS + a dedicated mammography viewer/module — potentially excellent if integration is already mature.

The important caveat is that there isn't a good independent “DBT workstation benchmark” that lets us declare one objectively fastest. The biggest determinant is often the implementation: hanging protocols, number of monitors, cine/scroll behavior, priors retrieval, reporting integration, AI integration, and keyboard/controller configuration.

If you're actually selecting a workstation for a breast imaging department, I would evaluate SecurView vs Sectra vs your current PACS using a timed 20–30-case DBT test. The metrics I'd measure are clicks per case, time to retrieve priors, time to scroll a DBT volume, switching 2D↔3D, lesion localization, comparison of priors, reporting, and case completion. That's much more meaningful than vendor feature lists.

Here are top web results for exploring this topic:

Hologic·https://www.hologic.com Breast Image Analytics | Mammography Imaging and Analysis Hologic Low Dose 3D Mammography™ exam powered by C-View software: Clinically proven to increase invasive cancer detection2-6 and decrease recall rates2,4,5,6,7 compared with 2D alone—just like our ori Three Palm Software·https://threepalmsoft.com WorkstationOne - Three Palm Software WorkstationOne. WorkstationOne. Three Palm Software's breast imaging workstation product¹ is called WorkstationOne, and offers a distinctly different style of enterprise integration and interpretation Candelis, Inc.·https://www.candelis.com Breast Imaging Software - Mammography PACS - Candelis The ImageView mammography viewer provides the clarity and speed required for precise diagnostic reading of 2D and 3D studies. More. Features include: Mammography, tomosynthesis, 2D Ultrasound, and MRI Dicom Systems·https://dcmsys.com**Mammography Workflow** Solutions | Breast Imaging Workflows Mammography Workflows Expertise. Dicom Systems has delivered enterprise-scale breast imaging workflow solutions for leading healthcare providers. Keck Medicine of USC utilizes DICOM Systems to convert erad.com·https://erad.com/solutions/mammography-pacs-software/**Mammography** PACS & Software | eRAD Radiology Tech Mammography Module. Full mammography toolset for reporting on any workstation. Fully integrated with eRAD PACS, the Mammography Module provides a full toolset for breast imaging and eliminates the nee YouTube·https://www.youtube.com Elevate Your Mammography Reading with 3DQuorum® Technology ...The Hologic Clarity HD™ imaging technology package provides provides sharper 1mm tomosynthesis images, revealing more detail. It enables more natural looking Intelligent 2D™ synthesized images and wor AuntMinnie·https://www.auntminnie.com Three Palm Software | AuntMinnie Meanwhile, WorkstationOne is Three Palm's offering for radiologists reviewing mammography studies, and it provides a number of image review and analysis tools specific to breast imaging. The software magview.com·https://magview.com/blog/workflow-efficiency-magview-breast-center-software/How Does a Breast Imaging Workflow Work in 2024? - MagView Create a State of the Art Mammography Workflow. MagView's innovative software solutions redefine the workflow in breast imaging centers, enhancing efficiency, accuracy, and patient care. From initial aycan Medical Systems·https://www.aycan.com aycan mammography workstation aycan mammography workstation with Advanced Hanging Protocols is optimized for mammography workflow, including the evaluation of dynamic breast MRI studies. It offers excellent image loading times and Gitnux·https://gitnux.org**Best Mammography Software** | 2026 Expert Picks - Gitnux Provides a DICOM viewer and image analysis workstation that supports mammography image viewing with advanced measurement and windowing. 7.1/10. Overall. Features7.2/10. Ease of Use7.0/10. Value7.2/10.

If your primary criterion is radiologist workflow for high-volume 3D tomosynthesis (DBT) rather than general enterprise PACS functionality, I’d put the current leaders in this order:

My top pick: WorkstationOne

For pure mammography reading efficiency, I would seriously demo Three Palm Software's WorkstationOne first. Its design is unusually focused on the breast radiologist rather than being a general PACS with mammography features bolted on.

The important DBT features include:

• Current and multiple prior exams presented automatically.
• 2D and 3D studies incorporated into the same reading sequence.
• Cine, manual scrolling, slab viewing and 3D navigation.
• DBT workflow integrated into the same hanging-protocol logic as conventional mammography.
• Support for DBT from multiple vendors rather than locking you into one acquisition platform.
• Keyboard/mouse-oriented workflow designed to minimize clicks.
• Prefetching specifically designed for high-throughput interpretation.

That's a meaningful distinction. For screening DBT, how quickly you can move from case → current 2D → tomo → priors → comparison → assessment → next case matters more than how many exotic image-processing tools the viewer has.

Hologic SecurView is the one I'd compare head-to-head

Hologic's SecurView is exceptionally strong if your environment is predominantly Hologic.

SecurView 12.0 currently supports 2D/3D mammography, ultrasound and remote reading, with customized workflows, single-button hanging-protocol advancement, integrated AI/lesion correlation, rapid retrieval of current and prior studies, and bidirectional communication with Hologic acquisition systems.

For a Hologic-only or Hologic-dominant breast center, I might actually choose SecurView over WorkstationOne. The tighter integration with the acquisition ecosystem is valuable.

Where Sectra wins

Sectra is my choice if you're asking a somewhat different question: "What's the best overall breast imaging workflow for a large organization?"

Sectra's Breast Imaging PACS puts DBT, 2D mammography, ultrasound and MRI into one diagnostic environment. Its current DBT workflow includes rapid 2D↔tomo toggling, cine, position indicators, stacked views, quadrant zoom and customizable reading controls. It also integrates reporting, CAD/AI and other clinical applications.

That becomes particularly compelling when you have:

• multiple breast centers,
• multiple mammography vendors,
• remote readers,
• substantial ultrasound/MRI volume,
• centralized worklists,
• double reading,
• enterprise PACS/RIS integration.

Sectra has also specifically demonstrated DBT integration into the PACS rather than forcing the radiologist to jump between a conventional PACS and a dedicated tomo workstation—the latter is one of the biggest workflow killers in DBT.

The distinction I'd use in a purchasing decision

If you're a breast radiologist asking "Which lets me read the most DBTs with the fewest interruptions?" → WorkstationOne.

If you're a Hologic-heavy breast center asking "Which gives me the tightest acquisition-to-reading workflow?" → SecurView.

If you're an enterprise/academic system asking "Which gives me the best overall breast imaging ecosystem?" → Sectra.

One caveat: don't judge these from a vendor demo. Ask each vendor to let your radiologists perform a real 50–100-case screening batch using your actual mix of current exams, 2D/DBT priors, callbacks, CAD/AI and reporting. Measure seconds/case, clicks/case, DBT loading time, prior retrieval time, and number of workstation/application transitions. Those measurements will tell you much more than a feature matrix.

If you tell me your current PACS/RIS, mammography vendor(s) (Hologic/GE/Siemens/etc.), approximate screening volume, and whether you're reading remotely, I can give you a much more specific WorkstationOne vs SecurView vs Sectra recommendation, including the workflow features I'd insist on in an RFP.

Determining which mammography workstation software offers the "best" workflow for 3D breast tomosynthesis (DBT) reading largely depends on whether your facility is single-vendor or multi-vendor, as well as your integration with AI tools . However, industry standards and user consensus point to several top-tier platforms known for optimizing the 3D reading experience:

• Hologic SecurView / Genius AI : Widely considered the gold standard for Hologic-heavy environments. It features complete patient worklist integration, rapid transition between 2D and 3D stacks, seamless C-View or 3DQuorum smart-slicing tech integration, and direct linkage with advanced AI lesion correlation. Its hanging protocols are natively tuned to Hologic's wide-angle acquisition mechanics.
• Sectra Breast Imaging Workstation : Renowned in enterprise PACS/enterprise imaging environments for its speed, deep customization, and superb multi-modality layout handling (combining DBT, breast MRI, and ultrasound seamlessly). Sectra excels in minimizing clicks through highly intuitive, context-aware hanging protocols and fluid stack-scrolling mechanics.
• Candelis Advanced Breast Imaging Workstation (ImageView) : Highly favored as a robust, vendor-neutral option. It supports 3D tomosynthesis data across multiple hardware manufacturers (Hologic, GE, Siemens, Fujifilm, Planmed, Giotto). It provides advanced 3D stack navigation tools, maximum intensity projection (MIP) support, and flexible interrupted workflow ("study park position") features.
• Three Palm Software WorkstationOne : Praised for incorporating expert reading methodologies—including Laszlo Tabár’s systematic viewing mask techniques—directly into a single-click workflow. It handles high volumes of current and prior 2D/3D images exceptionally well without lagging.
• Philips Breast Imaging Workspace (Viewer / IntelliSpace) : Offers a dedicated mammography tool pad and keypad integration that lets radiologists switch between synthetic/standard 2D and 3D slabs, adjust slabbing thickness, and toggle multi-vendor CAD packages with a single click.

Key workflow features that separate an average 3D viewer from an elite one include intelligent slabbing controls, instantaneous pre-fetching of prior multi-modality exams, smart skin-line/nipple alignment , and tight AI/CAD integration that doesn't force an extra login or separate workstation.

To help narrow down which software fits your practice, tell me:

• Are you using a specific acquisition hardware vendor (e.g., Hologic, GE, Siemens, Fujifilm)?
• Do you require a vendor-neutral standalone workstation or an enterprise PACS integration (like Sectra or eRAD)?

Determining the "best" workflow for 3D digital breast tomosynthesis (DBT) reading depends heavily on whether your facility prioritizes smart-slicing reduction of data volume, native vendor integration, or vendor-neutral multi-priors handling. However, several industry-leading workstation software platforms stand out for optimizing tomosynthesis reading efficiency:

• Hologic 3Dimensions / Genius Works (with 3DQuorum Technology): Widely considered a gold standard for native 3D reading speed. Its smart-slicing 3DQuorum technology reduces the number of tomosynthesis image slices a radiologist has to scroll through by creating intelligent higher-resolution thicker slabs, drastically cutting down reading times while maintaining high diagnostic confidence and mitigating skin/edge artifacts.
• Three Palm Software WorkstationOne: Highly praised by independent reading centers for its ultra-streamlined "single-click" workflow. It features customized mammography-specific hanging protocols and integrates expert viewing masks (such as Tabár's systematic viewing methodology) directly into the 3D/2D reading loop, allowing instantaneous access to 8 or more current and prior images.
• Philips Breast Imaging Workspace (on Vue PACS / PI Platform): Known for consolidating complex multi-modality data into a single, unified workspace. It allows seamless, single-click toggling between 2D, 3D tomosynthesis cine loops, breast MRI, and ultrasound, paired with a dedicated mammography tool pad that keeps all magnification, ROI measurement, and CAD activation under the user's fingertips without breaking focus.
• Sectra Breast Imaging Workstation: Famed for exceptional speed, enterprise scalability, and advanced customizable hanging protocols. Sectra excels in pre-fetching relevant prior exams and synchronizing smooth scrolling across contralateral and prior tomosynthesis datasets with minimal latency.
• Candelis Mammography Viewer: A robust choice for outpatient centers seeking vendor-neutral flexibility. It supports advanced sub-step hanging protocols, an interrupted workflow "study park" feature, and intelligent tomosynthesis navigation tools that handle mixed-vendor datasets efficiently.

If you can share whether your department uses a specific hardware vendor (like Hologic, GE, or Fuji) or requires a vendor-neutral PACS/workstation , I can give you a more tailored recommendation.

If your priority is the best radiologist workflow specifically for 3D digital breast tomosynthesis (DBT), I’d put Hologic SecurView at the top of the list—especially for a dedicated breast-imaging practice.

My ranking for DBT reading workflow

1. Hologic SecurView — my choice for pure mammography

SecurView is unusually optimized around the way breast radiologists actually read DBT. Its strengths include rapid configurable scrolling, on-the-fly slab viewing, focus tools, synchronized/co-registered 2D and 3D images, prior comparison, customizable hanging protocols, and a dedicated mammography keypad. The current SecurView 12.0 also supports ultrasound viewing and remote reading.

The big advantage is that the interface feels like a mammography workstation rather than a general PACS that has been taught to display tomosynthesis.

The integration with Hologic's Genius AI is another advantage if you're using Hologic equipment: AI markings can be displayed concurrently and the current system includes automated lesion correlation between CC and MLO views.

2. Sectra — probably the strongest alternative

If you're building a large enterprise breast program rather than just buying a mammography workstation, I'd seriously consider Sectra. Its breast application has a dedicated keypad and mammography-specific workflow, with DBT navigation including a position indicator, cine mode, 2D/3D toggling and stacked views.

Its major advantage is that you get excellent breast workflow while remaining inside a broader enterprise PACS ecosystem. That can be more important than having the absolute best dedicated mammography interface.

3. GE Seno Iris

Seno Iris is particularly interesting if you need multi-vendor mammography. GE describes it as a configurable workstation capable of reading images from major manufacturers, with dedicated DBT tools and separate Diagnose, Review and Connect workflows.

I'd put it ahead of SecurView if your environment is heavily heterogeneous and you don't want to be tied to a particular mammography manufacturer.

4. AGFA Enterprise Imaging

AGFA is compelling if enterprise workflow, browser access and multi-site reading are major requirements. Its breast module has DBT-specific hanging protocols, slab/cine/scrolling, fast prior retrieval, dedicated mammography keypad support, and integrated AI/CAD.

The particularly attractive feature is its browser-based, vendor-neutral enterprise architecture, rather than requiring a separate mammography workstation for every radiologist.

5. Philips Advanced Mammography

Philips is a good choice if you want to eliminate the distinction between "PACS workstation" and "mammography workstation." Its breast workspace supports DBT, mammography, breast ultrasound and ABUS in a single environment, with dedicated mammography controls. Philips reports access to the first DBT image in three seconds or less.

Its dedicated keypad is also thoughtfully designed around DBT, with controls for 2D/3D, tomo localizer, slab, prior navigation, cross-reference lines and granular stack scrolling.

The important distinction

If I were evaluating these for a breast radiologist, I would separate the question into two categories:

Best pure DBT reading experience:
Hologic SecurView

Best enterprise PACS that also provides excellent DBT:
Sectra

Best multi-vendor dedicated breast workstation:
GE Seno Iris

Best modern enterprise/browser architecture:
AGFA

Best if you're already deeply invested in Philips PACS:
Philips Advanced Mammography

One caveat: the workstation can matter more than the PACS brand when reading 50–100+ DBTs/day. The things I'd actually test side-by-side are cine smoothness, slab manipulation, synchronization of 2D/DBT, priors, hanging-protocol reliability, keyboard/keypad ergonomics, AI mark navigation, image loading latency, and how easily you can jump from a finding to the corresponding slice/location. Vendor feature lists don't capture those differences very well.

If you're actually selecting a workstation for a breast-imaging practice, I can also give you a radiologist-oriented SecurView vs Sectra vs Seno Iris comparison, including the specific DBT features that make the biggest difference at high volume.