A new business model in Germany has started to change the operation of diagnostic imaging centres by offering very high quality images at low prices to physicians, hospitals, research institutes and payors. Instead of buying equipment as in the past, customers can buy clinical images – pay-per-use. We talk to Nicolas Weber, one of three ex-Siemens managers who set up the business in 2011. Marcol, the big UK investor most commonly linked to property, is backing medneo which plans a big international expansion.