MacAngioView

A DICOM cine viewer. Play back x-ray angiography (XA) and multiframe ultrasound (US) loops from a wide range of cath-lab and echo imaging systems — and read the study's PDF and Structured Report documents alongside.

Free download · macOS 14 or later (universal) · Windows 10/11 (64-bit) · Source & releases on GitHub

MacAngioView playing a coronary cine-angiogram run at 30 fps, with run thumbnails including a structured report, frame slider, and window-level controls MacAngioView playing a color-Doppler echocardiography (ultrasound) loop, with study thumbnails, frame slider, edge-enhance and window-level controls

Features

DICOM XA / RF playback

Open and play multi-frame DICOM XA cine-angiogram and radiofluoroscopic (RF) runs, including lossless-JPEG compressed studies from cardiac catheter X-ray systems.

Multiframe ultrasound (US)

Play back multiframe DICOM ultrasound cine loops — review echo and vascular ultrasound studies alongside your angiograms.

CT/CTA series

A study's CT slices are grouped into one browsable stack, ordered by their true position in the patient rather than by file numbering, and stepped slice by slice. A series holding several reconstructions or cardiac phases opens as one stack each, with a Preset picker for multi-valued window/level (soft tissue, bone, lung).

MR series

MR studies are read alongside the rest of a patient's imaging, grouped into browsable stacks in anatomical order. A sequence acquired at more than one echo opens as one stack per echo, so each echo can be reviewed on its own rather than interleaved.

Broad system compatibility

Reads studies exported from many cath-lab, ultrasound, and CT imaging systems — load a study CD or exported folder and browse the runs.

Frame-by-frame review

Step through frames, adjust playback speed, and review runs at your own pace. Jump straight to any run by name from the Select menu.

DSA subtraction

View angiograms with the standing anatomy subtracted away — automatically when the study provides a mask, or pick any pre-contrast frame yourself and nudge out patient motion.

Export

Export cine runs to standard movie formats for presentations and teaching files. Exports and copied frames match what you see: zoom in and the export is the magnified view, trimmed to any region you set.

Reports & waveforms

View a study's reports right next to the imaging — encapsulated PDF reports, DICOM Structured Reports (cath, QCA, hemodynamics, ECG summaries), and Waveform Storage instances (12-lead ECG, hemodynamic, cardiac EP) rendered as calibrated lead-strip pages.

Quiz Mode

A self-study workflow — hides a study's own report until you're ready, then lets you record your own Cath, Echo, or Vascular findings and check them against the real report.

Caliper Tool

Two-click distance measurement in millimeters, calibrated automatically from an ultrasound region or XA beam geometry — or manually from a catheter shaft for the most accurate reading.

Native-resolution viewport

Every study renders at its own pixel resolution in a freely resizable window — drag to roam, scroll to zoom under the cursor, drag a box to magnify a region, double-click to switch between actual size and fit to window.

Presentation States

Reads a study's saved annotated views (GSPS): the window, crop, and circle, ellipse, or text markup someone recorded on an image, shown as its own page with the unmarked original still available.

Discs without an index

A folder of DICOM files with no DICOMDIR index opens as one study, so exported folders and discs that lack a catalogue are still readable.

Note: MacAngioView is intended for review and educational use. It is not certified as a medical device and should not be used for primary diagnosis.

New in 1.5b

One universal Mac app, native on Apple silicon and Intel. Every study now opens at its own resolution, MR joins the supported modalities, and saved annotated views are read for the first time.

MacAngioView showing an abdominal CT slice magnified to 220 percent, roamed to the liver, pancreas and kidneys

Every study renders at its own pixel resolution in a freely resizable window. Scroll to zoom under the cursor, drag to roam, drag a box to magnify a region, and double-click to switch between Actual Size and Fit to Window. Image data: CHAOS challenge dataset (Kavur et al., 2019), CC BY-NC-SA 4.0; this screenshot is shared under the same licence.

Additional Support

MacAngioView stepping through a real 3-slice CT/CTA series, window-leveled with the SOFT TISSUE preset

CT slices sharing one series are grouped into a single browsable stack — step through with Left/Right or the frame slider, and pick a Window/Level preset (soft tissue, bone, lung) when the study offers one.

Requirements

FAQ

Can I open my angiogram CD myself?

Yes. Insert the CD (or copy its contents to a folder), open MacAngioView, and point it at the disc or folder. It finds the DICOM XA runs automatically — no separate viewer software from the CD is needed.

Does it play ultrasound studies?

Yes. Multiframe DICOM ultrasound (US) cine loops — such as echocardiography and vascular studies — play back the same way as angiography runs.

Is it free?

Yes. MacAngioView is a free download, distributed through GitHub Releases. The Mac build is signed and notarized by Apple, so it opens with no security warnings.

Windows says "Windows protected your PC" — is that a problem?

No. The Windows beta isn't code-signed yet, so SmartScreen warns on first launch. Click More info, then Run anyway. Extract the zip first and run MacAngioView.exe from the extracted folder.

Can I use it for diagnosis?

No. MacAngioView is for review, education, and personal record-keeping. It is not a certified medical device and must not be used for primary diagnosis or treatment decisions.

Is there a DICOM Conformance Statement?

Yes — read the DICOM Conformance Statement right here on the site (also available as a PDF, and included in the download). It lists the supported SOP classes, transfer syntaxes, media profiles, and display pipeline.

Support

Questions or feedback? Email wil.lapointe@mac.com.