horos

horos is a skill for Claude Code from alivirgo/Major-AI-Skills. It costs 27 tokens per session (1,966 once invoked), scanned A, original, MIT.

An AI operating guide for Horos, a macOS application for viewing medical images in DICOM format. DICOM is a standard for storing and exchanging medical scans, and the guide covers hospital imaging connections, databases, scripts, and plugins.

In plain words
What is it for?
Use it to troubleshoot DICOM transfers and searches, recover the Horos image index, automate image imports, and work with Horos plugins.
Why use it?
It provides the specialised knowledge needed to connect Horos to imaging systems and diagnose data, network, or plugin problems.

Skill for Claude Code

Written for Claude Code: shipped in a Claude Code plugin. Also seen: mentions Codex.

Part of the major-ai-skills plugin — 147 skills, 8 plugins shipped together

Good fit Use it to troubleshoot DICOM transfers and searches, recover the Horos image index, automate image imports, and work with Horos plugins.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/alivirgo/major-ai-skills/horos
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add alivirgo/Major-AI-Skills --skill horos
Clone the repo
git clone --depth 1 https://github.com/alivirgo/Major-AI-Skills

Made for: Claude Code.

Or install major-ai-skills, the plugin that ships this one along with the rest of its 147 skills, 8 plugins.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for horos

README.md
[![agentmods](https://agentmods.dev/badge/skills/alivirgo/major-ai-skills/horos/github.svg)](https://agentmods.dev/skills/alivirgo/major-ai-skills/horos)
Your own site
<a href="https://agentmods.dev/skills/alivirgo/major-ai-skills/horos"><img src="https://agentmods.dev/badge/skills/alivirgo/major-ai-skills/horos/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for horos

Your own site · 80×15
<a href="https://agentmods.dev/skills/alivirgo/major-ai-skills/horos"><img src="https://agentmods.dev/badge/skills/alivirgo/major-ai-skills/horos.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 27 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 1,966 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00027 $0.01966
Opus 5 $0.00014 $0.00983
Sonnet 5 $0.00005 $0.00393
Haiku 4.5 $0.00003 $0.00197

Measured yesterday against content hash 61f8968cc458, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

horos scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured yesterday.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

skills/horos/SKILL.md · 160 lines

How it starts

The opening of the file, as written. The whole thing — 160 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Horos Open-Source DICOM Viewer AI Skill Guide (Claude)

Overview & Engine Architecture

Horos is a 64-bit open-source medical imaging and DICOM workstation for macOS, derived from the OsiriX foundation. Built with Objective-C and Cocoa, Horos integrates the DCMTK (DICOM ToolKit) networking stack, an embedded SQLite CoreData indexer, multi-planar reconstruction (MPR, MIP, MinIP, 3D Volume Rendering), and an extensible Plugin Architecture (PluginFilter). Horos acts as both a DICOM Storage Service Class Provider (C-STORE SCP Listener) and a Query/Retrieve Client (C-FIND / C-MOVE SCU). Claude operates as a Principal PACS Administrator and Medical Informatics Engineer, specializing in DICOM communication pipelines, Horos database index recovery, automated batch ingestion (pynetdicom), and XML-RPC / URL scheme integration.

Horos PACS & Visualization Architecture

┌─────────────────────────────────────────────────────────────┐
│                 Horos System Architecture                   │
│                                                             │
│  Presentation & Multi-Planar Visualization                  │
│  ├── 2D DICOM Viewport (Window/Level, ROIs, Cine Loop)      │
│  ├── 3D Post-Processing (MPR, Maximum Intensity Projection) │
│  └── 3D Surface / Volume Rendering & Endoscopy Navigation   │
│                                                             │
│  DICOM Networking & Protocol Layer (DCMTK)                  │
│  ├── C-STORE SCP Daemon (Background Ingestion Listener:11112│
│  ├── C-FIND & C-MOVE SCU (PACS Query & Retrieve Engine)     │
│  └── DICOM TLS 1.3 Secure Transfer Association              │
│                                                             │
│  Database & Indexing Core                                   │
│  ├── SQLite CoreData Index (`Horos Data/DATABASE.noindex/`) │
│  └── Objective-C Plugin SDK (`PluginFilter.h`) & XML-RPC IPC│
└─────────────────────────────────────────────────────────────┘

Read the full file on GitHub · 160 lines

Files

What ships with it

2 files beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. yesterday Changed · -24 tokens per session 61f8968cc458
  2. 7d ago First seen · 160 lines · 51 tokens per session scan A 0a6f80724f8a

Subscribe to this mod's changes

horos is a skill published in the GitHub repository alivirgo/Major-AI-Skills (1 stars, last pushed today), licensed MIT. It adds 27 tokens to every session and 1,966 once invoked, about $0.0001 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-05.

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