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Veterinary PACS: Cloud, On-Premise, or Hybrid?

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Published On October 2, 2025
Reading Time: 2 minutes

Cloud vs On-Premise PACS for Veterinary Clinics: Which Is Right for You?

Cloud PACS veterinary: costs, security, performance, and when hybrid wins.

For most clinics, cloud PACS delivers faster deployment, easier collaboration, elastic storage, automatic updates, and fewer IT headaches. On-premise PACS can still fit if you require guaranteed offline performance, already own robust infrastructure, and have in-house IT…but expect higher ownership overhead. The best of both worlds? Hybrid PACS, like Keystone Omni – which combines local control with cloud accessibility for unmatched flexibility and security.

Discover Hybrid PACS

What Is a PACS in Veterinary Medicine?

How PACS Fits Into Everyday Veterinary Workflows

A PACS (Picture Archiving and Communication System) stores, retrieves, and shares diagnostic images (radiography, ultrasound, CT, MRI). You can deploy it three ways:

  • On-premise PACS: lives on servers in your clinic.
  • Cloud PACS: lives in secure cloud infrastructure, accessible on any device with internet.
  • Hybrid PACS: like Keystone Omni, which offers local control for speed + cloud redundancy for access, collaboration, and resilience.

Want a veterinary-built option? Explore Asteris Keystone PACS

Cloud PACS: Flexibility & Future-Proofing

Benefits of Cloud PACS for Growing Practices

Why clinics choose cloud

  • Access anywhere: Review images at the clinic, at home, or on the road.
  • Elastic storage: Add capacity instantly—no hardware purchases.
  • Automatic updates & security: Vendor-managed patches, backups, and encryption.
  • Teleradiology-ready: Share studies with specialists in a click.
  • Lower barrier to entry: Predictable subscription vs. big CapEx.

On-Premise PACS: Control with Caveats

Drawbacks of On-Premise PACS for Veterinary Teams

When on-prem makes sense

  • Local control and strong offline operation.
  • Higher upfront cost for servers, storage, and setup.
  • Maintenance burden: You handle patches, backups, and hardware refresh.
  • Scaling friction: Growth often requires new hardware/VPN complexity.

Good fit if you have reliable in-house IT, predictable volumes, and strict offline needs.

Hybrid PACS: Best of Both Worlds

Why Hybrid PACS Is the Best of Both Worlds

Keystone Omni offers a hybrid architecture that combines local speed and offline reliability with cloud resilience, collaboration, and security. This model provides the strongest form of protection because data is stored both on-site and in the cloud. Even if internet drops, you keep working locally, and once reconnected, everything syncs seamlessly. For many clinics, hybrid is the ideal blend of performance, security, and convenience.

Decision Guide: Which One Fits Your Clinic?

Choosing Cloud, On-Premise, or Hybrid: Key Questions to Ask

  • Small animal GP with limited IT: Choose cloud PACS for fast deployment and easy collaboration. Start with Keystone Omni.
  • Specialty/referral hospital with in-house IT: Consider hybrid: local archive for speed + cloud for sharing/DR. Book a demo to design it.

Book a Demo of Keystone Omni Now

Submit images directly through Asteris Keystone or via our free and simple Asteris Keystone Community application.

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