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/dicom-series-to-volume

Used for converting one CT DICOM series folder to a HU NIfTI volume with affine evidence. Not for multi-frame DICOM or clinical use.

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$ npx -y skills add NVIDIA/skills --skill dicom-series-to-volume --agent claude-code

SKILL.md

dicom-series-to-volume.SKILL.md
name: dicom-series-to-volume
description: Used for converting one CT DICOM series folder to a HU NIfTI volume with affine evidence. Not for multi-frame DICOM or clinical use.
license: Apache-2.0
allowed-tools: Bash
metadata:
  author: 'NVIDIA MedTech Team'
  tags:
    - MedTech
    - DICOM
    - NIfTI

dicom_series_to_volume

Purpose

  • Used for converting one CT DICOM series folder to a HU NIfTI volume with affine evidence. Not for multi-frame DICOM or clinical use.
  • Use the wrapper exactly as documented; do not replace the upstream entrypoint with a handwritten implementation.
  • Manifest I/O: inputs are `dicom_dir`; outputs are `nifti_volume` and `result_json`.

Instructions

  • Read `skill_manifest.yaml` before changing arguments, side effects, or validation gates.
  • Run `scripts/series_to_volume.py` through the documented command below; keep outputs under a caller-provided run directory.
  • If a host agent exposes `run_script`, use `run_script("scripts/series_to_volume.py", args=[...])`; otherwise run the Bash/Python command shown below.
  • Check the emitted JSON and the paired `dicom_volume_quality_v1` verifier before treating the run as evidence.

Available Scripts

| Script | Purpose | Arguments | |---|---|---| | `scripts/series_to_volume.py` | Primary entrypoint declared by skill_manifest.yaml. | `PATH_TO_DICOM_DIR [--output OUT.nii.gz]` |

Prerequisites

  • Runtime requirements: Python packages listed in `runtime.side_effects.pip_packages`.
  • NiBabel 5.4 or newer is required so extreme-oblique axes remain labeled consistently across reorientation.
  • Run commands from the repository root unless an existing section below says otherwise.

Limitations

  • Single-series only; multi-series input is rejected at preflight.
  • Multi-frame DICOM (NumberOfFrames > 1 per file) not supported.
  • Compressed transfer syntaxes (JPEG / JPEG2000 / RLE) not supported.
  • No voxel reorientation. The affine is derived from DICOM headers and represented in NIfTI/RAS coordinates; a downstream gate (e.g. expected_axcodes) is expected to assert orientation before this volume is fed to a segmentation model.
  • Not for clinical deployment, autonomous diagnosis, regulatory submission, production inference (use a vetted converter such as dcm2niix for that).

Troubleshooting

| Error | Cause | Fix | |---|---|---| | Missing dependency or import error | Runtime package drift from `skill_manifest.yaml`. | Install the packages declared in the manifest or use the documented setup command. | | Empty or schema-invalid output | Wrong input path, unsupported modality, or upstream failure. | Re-run with a known fixture and inspect the wrapper JSON plus stderr. | | Validation gate failure | Output violated a declared engineering invariant. | Keep the failed evidence pack and use the gate message to repair inputs or wrapper code. |

Reads one DICOM series, sorts slices by `ImagePositionPatient`, applies `RescaleSlope` and `RescaleIntercept`, builds an affine from orientation and spacing tags, and writes a `.nii.gz` plus JSON summary.

python scripts/series_to_volume.py PATH_TO_DICOM_DIR --output PATH_TO_OUT.nii.gz

For a trusted run with the paired verifier:

python -m eval_engine.run_trusted skills/dicom-series-to-volume \
  --fixture PATH_TO_DICOM_DIR \
  --out runs/dicom_series_to_volume_trusted

Key output fields: `n_slices`, `series_instance_uid`, `output.path`, `output.shape`, `output.spacing`, `output.axcodes`, `output.affine`, `hu_range`, and `runtime.conversion_seconds`.

Scope limits: single-series CT only; no multi-frame DICOM, compressed transfer syntax handling, RT structure sets, auto-reorientation, or clinical use.

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dicom-series-to-volume installs in Claude Code, Codex, Cursor, Gemini CLI, GitHub Copilot, OpenCode and Windsurf with the skills CLI, using each agent's flag shown on this page. Flowy's auto-invocation, which fires a skill when your prompt matches, runs in Claude Code only.