Upgrade of imaging IT to AI-enabled, fully integrated RIS/PACS underlines how hospitals are reshaping diagnostics, oncology and remote reporting workflows.
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A new contract to replace a hospital’s radiology information system and expand its imaging archive with AI capabilities points to a wider shift in how public providers organise diagnostics, oncology and remote reporting. Taken with a cluster of recent procurements across the region, it shows imaging IT moving from simple storage to a connected, AI-ready backbone for care.
On 20th November 2025, Szpital Praski p.w. Przemienienia Pańskiego spółka z ograniczoną odpowiedzialnością published a notice for RIS and PACS System Replacement. The contract covers replacing the hospital’s RIS system, expanding PACS servers with AI capabilities, ensuring full integration with the wider hospital system and enabling remote examination review and description.
The scope goes beyond a straightforward hardware refresh. The hospital wants its radiology systems tied closely into other clinical and administrative applications, so data flows cleanly between imaging, electronic records and other specialist systems. The requirement for “full integration with the hospital system” makes interoperability as important as raw storage capacity.
AI features are written into the specification from the outset, with the PACS expansion explicitly linked to “AI capabilities”. While the notice does not detail individual tools, the intention is clear: the imaging archive must be able to host and support algorithmic analysis alongside traditional image viewing. That matters for areas such as pathology and oncology, where image-heavy workflows and rising volumes put pressure on specialists.
The contract also calls for “remote examination review and description”. That implies imaging studies, and their formal descriptions, can be accessed and completed away from the hospital site. In practical terms, this opens the door to teleradiology arrangements, flexible working patterns and easier access to sub-specialist opinion, as long as network capacity, security and workflow design keep pace.
The Szpital Praski procurement sits within a discernible oncology-focused investment wave. Imaging and cancer services appear together in several recent notices, underlining how digital infrastructure is now seen as part of modern oncology care, not an afterthought.
In August 2025, Wojewódzki Szpital Zespolony w Elblągu launched a project titled Robotic Equipment for Oncology Care. It covers delivery of robotic equipment and a machine for administering cytostatic drugs as part of a project to modernise and develop oncology care at the Provincial Integrated Hospital in Elbląg, with detailed specifications set out in supporting documentation.
Earlier, in July 2025, Wojewódzki Szpital Specjalistyczny im. Janusza Korczaka w Słupsku sp. z o.o. issued a notice for Chemotherapy Robot Delivery and Installation, combining delivery of a chemotherapy robot with room adaptations and specialist software for cytostatics and parenteral nutrition at a hospital pharmacy. Here again, robotics and software sit together as a single modernisation effort.
On the imaging side, oncology providers are investing heavily in storage and networks. In October 2025, Centrum Onkologii Ziemi Lubelskiej im. św. Jana z Dukli published Expansion of PACS Server Storage, aiming to enlarge storage for imaging data on its PACS server to enhance e-health services and treatment processes at the Oncology Center of Lublin Land.
In November 2025, Szpital im. Ojca Rafała z Proszowic Samodzielny Publiczny Zespół Opieki Zdrowotnej w Proszowicach went to market with Server and Network Equipment Delivery. That contract covers servers and network equipment for storing medical and imaging documentation from diagnostic devices, explicitly framed as part of a project to enhance cancer diagnosis and treatment services.
Together, these tenders suggest oncology is a strong driver of digital investment. Robotics, safe cytostatic handling, and expanded image storage are being procured alongside AI-ready RIS/PACS, creating a more data-rich environment around the cancer pathway.
A recurring theme in many recent notices is integration: connecting RIS and PACS with hospital information systems (HIS), national e-health platforms and new “Intelligent Services Platform” architectures. The Szpital Praski contract’s call for full hospital integration mirrors these wider ambitions.
In September 2025, Warmińsko-Mazurskie Centrum Chorób Płuc w Olsztynie issued a notice for Modernization of Health IT Systems. The contract involves modernising HIS, RIS and PACS systems and integrating them with national e-health systems to create a secure, interoperable IT environment for comprehensive electronic patient documentation.
Also in September 2025, Krapkowickie Centrum Zdrowia sp. z o.o. launched Hospital Information System Implementation, covering delivery and implementation of a comprehensive HIS with RIS, PACS and LIS modules, support for Electronic Medical Documentation, integration with the P1 platform, and the necessary equipment and service support.
On 19th November 2025, Zespół Opieki Zdrowotnej followed with Information Systems Modernization. That contract combines cloud infrastructure, a RIS/PACS system, digitisation of patient documentation and equipment for digitising medical records, all integrated with the HIS AMMS system.
AI is increasingly explicit in these integration projects. On 4th November 2025, Wojewódzki Specjalistyczny Szpital Dziecięcy im. św. Ludwika w Krakowie published a notice for an AI Imaging Documentation Solution, which must integrate with the CeZ system and adapt existing HIS, RIS and PACS.
Szpital Wolski sp. z o.o. is pursuing a similar direction. Its 5th November 2025 notice, PACS System Purchase and Integration, combines acquisition of a PACS system, integration with AMMS and connection to an Intelligent Services Platform for medical imaging data transmission and AI-assisted analysis, as part of a digital transformation initiative.
AI also features in broader hospital IT programmes. On 24th November 2025, Samodzielny Publiczny Zakład Opieki Zdrowotnej Szpital im. dr. J.Dietla w Krynicy-Zdroju advertised Hospital IT System Modernization, aimed at purchasing and implementing an IT solution to modernise the hospital’s domain systems, integrate them with an Intelligent Services Platform and utilise AI to enhance diagnostic and therapeutic processes.
Further integration work is planned at Samodzielny Szpital Wojewódzki im. Mikołaja Kopernika w Piotrkowie Trybunalskim, where the December 2025 notice RIS/PACS System Expansion seeks to extend the RIS/PACS system and integrate it with an Intelligent Services Platform, and at Samodzielny Publiczny Szpital Kliniczny Nr 1 im. prof. S. Szyszko SUM w Katowicach, where PACS/RIS System Integration will link PACS/RIS with the HIS system and an integration services platform.
The trend extends beyond a single country. In July 2025, Nemocnice Znojmo, příspěvková organizace in the Czech Republic published PACS Solution Supply, seeking a new PACS including a central web portal for image documentation management, a modern web DICOM viewer, necessary hardware and support services to ensure secure access and sharing of medical images.
Across these projects, AI is still framed in broad terms – “AI capabilities”, “AI-assisted analysis” or “utilizing AI to enhance diagnostic and therapeutic processes” – rather than named algorithms. But the common requirement is clear: imaging systems must now be capable of hosting AI tools, integrating them into routine workflows and sharing their outputs securely.
Imaging upgrades like the Szpital Praski project depend on wider investments in networks, servers, cybersecurity and hospital IT. Several notices make that link explicit.
On 24th November 2025, Szpital Wojewódzki im. Mikołaja Kopernika w Koszalinie launched Digital Services and Cybersecurity Enhancement, a project that combines supply of equipment and licences, updates to PACS and HIS systems, and measures to enhance cybersecurity.
In June 2025, Centrum Opieki Medycznej set out a combined imaging and infrastructure purchase through Supply of Computer Tomograph and IT Infrastructure, covering delivery and integration of a computer tomograph with the necessary IT infrastructure and compliance with hospital IT security standards.
Other projects are widening digital services while touching PACS and e-services. Wojewódzki Szpital Wielospecjalistyczny im. dr. Jana Jonstona w Lesznie is using European funding for e-health development to finance Expansion of HIS and E-Services, including expansion of the HIS system, e-services and PACS, along with data migration. Górnośląskie Centrum Medyczne im. prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach is using the National Recovery Plan to fund Equipment and Software Delivery, including modifications to existing systems, installation of new monitoring systems and expansion of infrastructure.
More broadly, a series of notices – from Szpital Powiatowy w Radomsku’s Hospital Computerization Solutions and Powiatowe Centrum Zdrowia sp. z o.o.’s Digital Transformation for Health Center on 21st November 2025, to Miejskie Centrum Medyczne im. dr K Jonschera w Łodzi’s Supply of IT Equipment and Software on 4th November 2025 – focus on broader digital transformation and security. Szpital Specjalistyczny im. Edmunda Biernackiego Mielcu’s PACS System Modernization and IT Equipment notice of 18th November 2025, which upgrades PACS to PACS VNA and delivers new computer sets, underlines how imaging-specific investments now sit alongside organisation-wide IT refreshes.
These foundations – more resilient infrastructure, better cybersecurity and integrated platforms – will be critical if AI-enabled RIS/PACS systems like the one planned at Szpital Praski are to support routine remote reporting and data-intensive oncology care.
The Szpital Praski notice is concise and does not spell out which AI functionalities will be prioritised, how radiology workflows will change or how remote reporting will be organised day to day. Those details will emerge in technical specifications, contracts and subsequent implementation phases.
Across the wider set of procurements, the direction of travel is clearer than the end state. Hospitals are modernising HIS, RIS and PACS; tying them into national e-health and integration platforms; and specifying that new systems must accommodate AI and remote access. The practical questions – around interoperability between vendors, data migration from legacy systems, staff training and clinical governance – will define how far these ambitions translate into improved diagnostics and oncology outcomes.
For now, the RIS and PACS System Replacement at Szpital Praski stands as one of several signals that hospitals now see imaging IT – and the AI tools it can host – as central to their digital future rather than a specialist add-on.
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