For hospital IT

Acurix Gateway for Windows

A small Windows service that receives DICOM studies from your PACS or scanners and forwards prostate MRIs to the Acurix cloud over TLS. Download, run, paste your code — about ten minutes, no Linux, no Docker.

Download AcurixGatewaySetup.exe Version 1.3.1 · 2026-09-07 · 28 MB · Windows x64

This build is not yet code-signed, so Windows SmartScreen may show “Unknown publisher”. Verify the SHA-256 below before running it.

Three steps

1

Have your provisioning code ready

Acurix sends a one-time code (it looks like ACX-SITE-XXXX-XXXX) in the PACS integration email for your organization. It registers this gateway to your account and is used only once.

2

Run the installer as Administrator

On a Windows Server 2016+ / Windows 10+ machine on your imaging network, right-click AcurixGatewaySetup.exe and choose "Run as administrator". Paste the code when asked; the wizard checks it with the Acurix cloud before installing anything.

3

Give the connection card to your PACS administrator

The last page shows the AE title, IP address and port your PACS or scanners should send prostate MRIs to (also saved to C:\ProgramData\AcurixGateway\PACS-connection-card.txt). Acurix emails your contacts when the gateway’s self-test study has arrived.

What the installer does

  • ✓ Checks your provisioning code with the Acurix cloud before touching the machine
  • ✓ Installs everything it needs from one self-contained package — no Python, no downloads from third-party sites
  • ✓ Registers the AcurixGateway Windows service: starts with Windows, restarts on failure, checks for updates weekly
  • ✓ Opens the DICOM port (default TCP 11112) in Windows Firewall for Domain and Private networks only
  • ✓ Sends a synthetic test study so Acurix can confirm the whole path before your PACS is touched
  • ✓ Shows the PACS connection card (AE title, IP address, port) and adds an Apps & features entry for a clean uninstall

Studies are queued on the machine until they are confirmed stored in the cloud, then forwarded over TLS 1.2+. Only studies that match your organization’s routing rules (prostate MRI by default) leave the site; everything else is dropped locally. Program files are protected (SYSTEM and Administrators only) and the queue, audit trail and credentials live under C:\ProgramData\AcurixGateway.

Requirements

Operating system Windows Server 2016 / 2019 / 2022 or Windows 10 / 11, 64-bit
Hardware 2 vCPU, 4 GB RAM, 100 GB disk minimum (4 vCPU / 8 GB / 500 GB recommended); a VM is fine
Network Static IP or DHCP reservation on the imaging VLAN, reachable from the PACS / scanners
Outbound HTTPS (TCP 443) to api.acurix.app and get.acurix.app — nothing else, no inbound from the internet
Inbound (LAN only) TCP 11112 from the PACS / scanners (the installer opens it in Windows Firewall for Domain/Private networks)
Rights A local administrator account for the installation (the service itself runs as SYSTEM)

For IT automation

Silent install (SCCM, Intune, RMM). Exit code 0 means the service is installed, running and registered.

AcurixGatewaySetup.exe /VERYSILENT /SUPPRESSMSGBOXES /CODE=ACX-XXXX-XXXX-XXXX [/AETITLE=ACURIX_GW] [/PORT=11112]

Scripted alternative with the same result, from an elevated PowerShell window:

$env:ACURIX_PROVISIONING_CODE="ACX-XXXX-XXXX-XXXX"; iex (irm https://get.acurix.app/gateway/windows/latest/install.ps1)

Verify the download

SHA-256 of AcurixGatewaySetup.exe 1.3.1:

1221be0729daea3e608c8fd2f14a2358b582453d2a3695a45824f6cb0266bc24
Get-FileHash .\AcurixGatewaySetup.exe -Algorithm SHA256

Versioned copy: https://www.acurixdx.com/downloads/gateway/v1.3.1/AcurixGatewaySetup.exe

Not a Windows site?

Virtual appliance

A pre-built VM for VMware (.ova), Hyper-V (.vhdx) or KVM (.qcow2). Import, power on, answer three prompts (network, console password, provisioning code).

https://get.acurix.app/gateway/appliance/latest/

Linux host with Docker

ACURIX_PROVISIONING_CODE=ACX-XXXX-XXXX-XXXX bash <(curl -fsSL https://get.acurix.app/gateway/latest/install.sh)

Questions during installation? Email info@acurixdx.com with the newest install-*.log from C:\ProgramData\AcurixGateway\logs. Uninstall from Apps & features; queued studies and the audit trail are kept unless you remove them.