alterlab-pydicom

alterlab-pydicom is a skill for Claude Code from AlterLab-IEU/AlterLab-Academic-Skills. It costs 114 tokens per session (4,186 once invoked), scanned A, original, MIT.

A Python toolkit for DICOM files, the standard file format used for medical scans such as CT, MRI, X-ray, ultrasound, and PET. It can work with both image pixels and scan metadata.

In plain words
What is it for?
Read and edit DICOM data, extract pixels and metadata, anonymize scans, convert images, handle compressed files, rebuild multi-slice volumes, and work with structured reports.
Why use it?
It lets programs process medical-imaging files directly while preserving access to the information stored alongside the images.

Skill for Claude Code

Written for Claude Code: allowed-tools in frontmatter.

Part of the alterlab-clinical-research plugin — 7 skills shipped together

Good fit Read and edit DICOM data, extract pixels and metadata, anonymize scans, convert images, handle compressed files, rebuild multi-slice volumes, and work with structured reports.

Compare 6 skills from other repositories ↓
Install with agentmods
npx agentmods add skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom
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 AlterLab-IEU/AlterLab-Academic-Skills --skill alterlab-pydicom
Clone the repo
git clone --depth 1 https://github.com/AlterLab-IEU/AlterLab-Academic-Skills

Made for: Claude Code.

Or install alterlab-clinical-research, the plugin that ships this one along with the rest of its 7 skills.

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 alterlab-pydicom

README.md
[![agentmods](https://agentmods.dev/badge/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom/github.svg)](https://agentmods.dev/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom)
Your own site
<a href="https://agentmods.dev/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom"><img src="https://agentmods.dev/badge/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom/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 alterlab-pydicom

Your own site · 80×15
<a href="https://agentmods.dev/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom"><img src="https://agentmods.dev/badge/skills/alterlab-ieu/alterlab-academic-skills/alterlab-pydicom.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 114 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 4,186 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. Third-party audits
  • NVIDIA SkillSpector pass 7 Sept 2026
How audits are shown
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 $0.00114 $0.04186
Opus 5.5 $0.00046 $0.01674
Sonnet 5.5 $0.00023 $0.00837
Haiku 4.5 $0.00011 $0.00419

Measured 1mo ago against content hash 97f607d1bbf4, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

alterlab-pydicom 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 1mo ago.

The scan reads SKILL.md. This mod also ships 3 executable files (scripts/anonymize_dicom.py, scripts/dicom_to_image.py, scripts/extract_metadata.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

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/clinical-research/alterlab-pydicom/SKILL.md · 469 lines

How it starts

The opening of the file, as written. The whole thing — 469 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Pydicom

Overview

Pydicom is a pure Python package for working with DICOM files, the standard format for medical imaging data. This skill provides guidance on reading, writing, and manipulating DICOM files, including working with pixel data, metadata, and various compression formats.

When to Use This Skill

Use this skill when working with:

  • Medical imaging files (CT, MRI, X-ray, ultrasound, PET, etc.)
  • DICOM datasets requiring metadata extraction or modification
  • Pixel data extraction and image processing from medical scans
  • DICOM anonymization for research or data sharing
  • Converting DICOM files to standard image formats
  • Compressed DICOM data requiring decompression
  • DICOM sequences and structured reports
  • Multi-slice volume reconstruction
  • PACS (Picture Archiving and Communication System) integration

Does NOT Trigger

Scenario Use Instead
Finding and downloading public cancer imaging collections (NCI Imaging Data Commons) alterlab-imaging-data-commons
Tiling or preprocessing whole-slide pathology images (H&E WSI) alterlab-histolab
Training ML models on clinical imaging or EHR datasets alterlab-pyhealth
Processing ECG/EEG/EDA physiological waveforms alterlab-neurokit2

Installation

Targets pydicom 3.x (current release 3.0.2 as of 2026-09; Python >= 3.10). 3.0 reorganized the pixel APIs — see the version note below. Install pydicom and common dependencies:

uv pip install "pydicom>=3.0"
uv pip install pillow  # For image format conversion
uv pip install numpy   # For pixel array manipulation
uv pip install matplotlib  # For visualization

For handling compressed DICOM files, additional packages may be needed:

uv pip install pylibjpeg pylibjpeg-libjpeg pylibjpeg-openjpeg  # JPEG / JPEG 2000 decode; JPEG 2000 encode
uv pip install pylibjpeg-rle  # faster RLE encode/decode (pydicom's own RLE codec also works)
uv pip install python-gdcm  # Alternative decoder for most compressed syntaxes
uv pip install pyjpegls     # JPEG-LS encode/decode

Read the full file on GitHub · 469 lines

Files

What ships with it

6 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. 1mo ago Changed · +22 lines 97f607d1bbf4
  2. 1mo ago First seen · 447 lines · 114 tokens per session scan A 75c5dd233d2a

Subscribe to this mod's changes

alterlab-pydicom is a skill published in the GitHub repository AlterLab-IEU/AlterLab-Academic-Skills (78 stars, last pushed 4d ago), licensed MIT. It adds 114 tokens to every session and 4,186 once invoked, about $0.0005 per session on Opus 5.5. 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 2026-08-30.

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