Avandra Engages Paraxial.io for Medical Imaging Intelligence Penetration Testing

Paraxial.io, 2026-10-07

Every year billions of medical images are produced: CT scans, X-rays, MRIs, echocardiograms. Once the image is created, the goal is to effectively use it to treat the patient correctly, yet this data often goes completely dark the day after it is read. It sits in hospital archives, expensive to store, impossible to search, and invisible to researchers and doctors working to cure diseases and treat patients.

Avandra Imaging is solving this problem by powering the future of Imaging Intelligence. Its image exchange products run inside IDNs, community hospitals, specialty clinics, and outpatient imaging centers nationwide — and that same on-site footprint powers a data platform that indexes existing PACS and VNA archives and de-identifies studies before they leave the health system, turning data that used to go dark into curated, privacy-protected imaging data for research and modern artificial intelligence.

Paraxial.io was honored to be selected by Avandra for a penetration test of its information systems. Avandra uses Elixir, a language Paraxial.io has extensive security experience with, to ensure highly reliable uptime and system access for customers. For example, Paraxial.io open-sourced the first runtime application self-protection (RASP) library for Elixir, to prevent remote code execution (RCE) vulnerabilities in critical systems.


“Paraxial.io performed a thorough test of our systems and gave us much more confidence in our security, which is absolutely critical for Avandra’s mission and every patient whose records we are entrusted with.”

Dave Shah, Head of Engineering, Avandra Imaging


Avandra’s work requires absolute security and trust. Testing at this level takes more than automated tools. Paraxial.io pairs frontier AI models with a security professional who understands the system and finds the issues other assessments miss. Through this engagement Avandra is now more secure than ever and prepared to continue its important mission.


Paraxial.io is the only security platform built specifically for Elixir and Phoenix, helping developers and agents ship secure applications. Contact us today to get started.

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