Starlink Compatible

Diagnostic radiology. Clear sky required. Nothing else.

Sirona's adaptive bitrate streaming adjusts to satellite bandwidth in real time. Pair it with Starlink, and your radiologists can read from a mountain cabin, a rural clinic, or the middle of the ocean. Same platform, same quality, no infrastructure.

See Sirona in Action

How Sirona is Different

The last geographic constraint on radiology is gone

Legacy PACS requires a wired network connection to an on-premise server, often over a VPN with strict bandwidth requirements. Take that laptop to a cabin and you can't read. Sirona streams images from a global CDN using Netflix-style adaptive bitrate encoding — the same technology that lets you watch a movie on a plane. When bandwidth fluctuates on Starlink (typical for satellite), Sirona adjusts quality dynamically. Initial images load fast at compressed quality, then refine to full diagnostic resolution as bandwidth stabilizes. Your radiologists read from anywhere a Starlink dish can see the sky.

How Sirona works over satellite

Adaptive bitrate streaming, zero on-premise infrastructure, and a global CDN make Sirona uniquely suited to variable-bandwidth connections.

Adaptive Bitrate Streaming

Images stream at compressed quality first, then refine to full diagnostic resolution as bandwidth allows. Reads start immediately — no waiting for a full download.

Global CDN

Images are cached on edge servers worldwide. Starlink connects you to the nearest CDN node, minimizing latency regardless of your physical location.

Zero On-Premise Infrastructure

No PACS server, no SAN, no VPN. Just a laptop, a Starlink dish, and a browser. The entire platform lives in the cloud.

Bandwidth Resilience

Satellite bandwidth fluctuates with weather and congestion. Sirona adjusts dynamically — no dropped sessions, no frozen screens, no restarts.

Disaster Recovery Connectivity

Starlink operates independently from terrestrial ISPs. When your primary internet goes down, Starlink keeps your radiologists reading.

Rural & Remote Access

Critical access hospitals and mobile imaging units in areas without broadband can run a full diagnostic radiology platform over Starlink.

Satellite-ready by design, not by accident

Streaming

Diagnostic images that stream like video

Sirona uses the same adaptive bitrate approach that Netflix and YouTube use for video. Images are encoded at multiple quality levels and streamed progressively — a compressed preview loads in seconds, then refines to full diagnostic resolution as bandwidth allows. On Starlink, where latency averages 25-60ms and throughput varies between 50-200 Mbps, this means a radiologist can start reading almost immediately while the system catches up to full quality in the background. No waiting for a complete download. No frozen viewer.

Progressive image loading — start reading in seconds

Multiple quality tiers adapt to real-time bandwidth

Handles Starlink's variable throughput (50-200 Mbps) gracefully

Same streaming engine used by all Sirona customers regardless of connection type

Resilience

Your practice doesn't go dark when your ISP does

Starlink operates on a completely separate infrastructure from terrestrial internet providers. When a fiber cut, a provider outage, or a natural disaster takes down your primary connection, Starlink keeps working. For practices that depend on continuous reading — emergency radiology, stroke protocols, overnight teleradiology — this is genuine disaster recovery for your clinical workflow. Set up a Starlink dish as a backup connection, and your radiologists switch over seamlessly. Sirona doesn't care which pipe the bits come through.

Independent satellite infrastructure — no shared failure points with terrestrial ISPs

Seamless connection switching — Sirona sessions persist across network changes

Covers natural disaster scenarios where ground infrastructure is damaged

Backup connectivity that costs less than a single hour of reading downtime

Access

Enterprise radiology for places without broadband

There are thousands of critical access hospitals, rural clinics, and mobile imaging units in areas where reliable broadband doesn't exist. These facilities typically can't run a modern PACS because legacy systems require dedicated infrastructure and stable, high-bandwidth connections. Sirona on Starlink changes that equation completely. A rural hospital in Montana gets the same diagnostic viewer, the same AI-powered reporter, and the same 24x7 support as a health system in New York. The only hardware on site is a laptop and a satellite dish.

Full diagnostic platform — viewer, reporter, worklist, AI — over satellite

No on-site IT infrastructure required

Same diagnostic-quality viewer regardless of connection type

Opens teleradiology markets in regions without terrestrial broadband

Setup

From shipping crate to first read in under an hour

A standard Starlink kit ships with everything needed to get online: dish, router, cables, base. Mount the dish with line of sight to the sky, plug in the router, and you have internet. From there it's a browser tab and a Sirona login — no PACS server to configure, no VPN appliance to deploy, no images to migrate to the device. A rural clinic can stand up a full diagnostic-quality reading station in the time it takes most legacy vendors to ship the install acknowledgment email.

Standard Starlink kit: dish, router, cables — no extra hardware

No on-site PACS, SAN, or VPN appliance to deploy or maintain

Browser-based access — works on any laptop already in the building

Repeatable across rural clinics, mobile units, or temporary sites in hours

Connectivity that keeps up

25-60ms

typical Starlink latency — fast enough for diagnostic streaming

50-200 Mbps

Starlink throughput range — Sirona adapts automatically

0

on-premise hardware needed at any site

Multi-AZ

high-availability architecture, regardless of connection type

Radiology without geographic limits

Starlink in Action: Sirona's 2023 Launch Event from Mount Wilson

In 2023, Sirona launched RadOS to the world. To show how being built different changes everything about where and how you practice, we filmed our launch demo at 10,000 ft above sea level — at the base of Mount Wilson in Telluride, Colorado.

All you need is internet and power

The great thing about Sirona is its accessibility. All you need is internet and power — from my side of the standpoint, Sirona provides all the rest. Sirona infrastructure is cloud-based. I need to log in to a web browser, and I can immediately start reading studies. It has an integrated reporter. I can immediately start dictating studies, and I can send back my reports instantaneously. Every component, every possible need that I had in order to provide the best care possible — in order to provide my vision to the people of North Dakota — was easily attainable through Sirona.

Dr. Luke Roller

President, IMC

FAQs

Can I really read diagnostic studies over Starlink?

Yes. Sirona uses adaptive bitrate streaming that adjusts to Starlink's variable bandwidth in real time. Images load progressively — you can start reading within seconds while the system refines to full diagnostic resolution. You get the same diagnostic-quality viewer regardless of your connection type.

What Starlink speeds does Sirona need?

Sirona adapts to whatever bandwidth is available. Starlink typically delivers 50-200 Mbps with 25-60ms latency — more than enough for diagnostic streaming. Even during bandwidth dips, adaptive streaming maintains a usable viewing experience.

Can I use Starlink as a backup if my primary internet goes down?

Absolutely. Starlink operates on satellite infrastructure completely independent of terrestrial ISPs. Set it up as a failover connection, and your radiologists switch over seamlessly — Sirona sessions persist across network changes.

Does this work for rural hospitals without broadband?

That's exactly the use case. A critical access hospital with no broadband can run Sirona's full platform — diagnostic viewer, AI-powered reporter, intelligent worklist — over Starlink with just a laptop and a satellite dish. No PACS server, no SAN, no VPN, no on-site IT.

Is there any loss of diagnostic quality over satellite?

No. Adaptive bitrate streaming loads images progressively, but the final image is full diagnostic quality. The streaming approach affects speed of initial display — not the resolution or accuracy of what you see once the image is fully loaded.

What about satellite latency for dictation and reporting?

Starlink's latency (25-60ms) is comparable to many terrestrial connections and well within the range needed for real-time dictation, speech recognition, and report editing. Sirona's reporter works normally over satellite — no perceptible delay.