# DICOM Agent (pypi · dicom-agent-mcp)

Search, retrieve, store, view, measure and de-identify DICOM images over DIMSE and DICOMweb.

- Trust score: 55/100 (low)
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-11-06

## Components

- pypi · `dicom-agent-mcp`: 55/100 (this document), [markdown](https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp.md), [page](https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp)

## Channel facts

- Registry: `pypi`
- Package: `dicom-agent-mcp`
- Version: `0.1.0`
- Transport: `stdio`

## Trust breakdown

How this component scores in each security and reliability category. Every signal is checked automatically from public evidence about the published package, including repeated runs of it in an isolated sandbox, and we only credit what we can confirm. Scores are 0–100 per category. Scoring method: https://verifymcp.io/docs/scoring (what has changed: https://verifymcp.io/docs/scoring/changelog)

Scored 2026-11-06.

- **Supply Chain Security**: 50/100
  - Malware scan not yet available for this package.
  - No known CVEs affecting this package version or its production dependencies.
  - Runs hatchling.build at install time, a recognised build step with no custom scripting around it.
  - 0 of 33 dependencies flagged as unhealthy.
- **Provenance & Transparency**: 45/100
  - Source repository is publicly reachable at the declared URL.
  - Provenance check failed: no build-provenance attestation is published.
  - Clear OSI-approved license (Apache-2.0).
  - Actively maintained (last published 3 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 70/100
  - AI-judged instruction clarity (good).
  - Context-footprint check failed: tool/resource definitions use about 1763 tokens (~110/item across 16 items; 16 tools + 0 resources), over budget; trim descriptions and params.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 0/100
  - Stability not yet verified: not enough scan history yet (needs a 30-day window).
- **Tool Coverage**: 100/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 98% of tool parameters carry a description.
  - Structured output schemas are declared (88% of tools); any adoption earns full credit.
- **Tool Safety**: 100/100
  - No prompt-injection markers were found in the server instructions, tool names or descriptions we captured.
  - All 2 tool(s) whose name or description implies an irreversible operation declare an MCP destructiveHint annotation.
  - An AI judge read all 17 captured unit(s) of tool text and found none that tries to manipulate the model reading it.
- **Capabilities**: 100/100
  - Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28.

**Unverified: 1 category.** A category scored 0 because we could not verify it: a data source with nothing on this package, evidence we could not reach, or a check we could not run. We only credit what we can confirm.

## Install

### How do I install the DICOM Agent MCP server?

DICOM Agent runs locally as a PyPI package, launched with uvx dicom-agent-mcp. Ready-made configuration for Claude, Cursor, VS Code, Codex and 5 more is on this page, copied from each client's own documentation.

### Claude

```bash
claude mcp add arunmk-ms-dicom-agent-mcp -- uvx dicom-agent-mcp
```

### Cursor

```json
{
  "mcpServers": {
    "arunmk-ms-dicom-agent-mcp": {
      "command": "uvx",
      "args": [
        "dicom-agent-mcp"
      ]
    }
  }
}
```

### VS Code

```json
{
  "servers": {
    "arunmk-ms-dicom-agent-mcp": {
      "command": "uvx",
      "args": [
        "dicom-agent-mcp"
      ]
    }
  }
}
```

### Codex

```bash
codex mcp add arunmk-ms-dicom-agent-mcp -- uvx dicom-agent-mcp
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "arunmk-ms-dicom-agent-mcp": {
      "type": "local",
      "command": [
        "uvx",
        "dicom-agent-mcp"
      ],
      "enabled": true
    }
  }
}
```

### OpenClaw

```bash
openclaw mcp add arunmk-ms-dicom-agent-mcp --command uvx --arg dicom-agent-mcp
```

### Hermes

```yaml
mcp_servers:
  arunmk-ms-dicom-agent-mcp:
    command: "uvx"
    args: ["dicom-agent-mcp"]
```

### Netclaw

```json
{
  "McpServers": {
    "arunmk-ms-dicom-agent-mcp": {
      "Transport": "stdio",
      "Command": "uvx",
      "Arguments": [
        "dicom-agent-mcp"
      ]
    }
  }
}
```

### Vellum

```bash
assistant mcp add arunmk-ms-dicom-agent-mcp -t stdio -c uvx -a dicom-agent-mcp
```

### Other

```json
{
  "mcpServers": {
    "arunmk-ms-dicom-agent-mcp": {
      "command": "uvx",
      "args": [
        "dicom-agent-mcp"
      ]
    }
  }
}
```

## Changelog

Every change recorded for this component, newest first. Days that predate change tracking, or that we cannot explain, say so: "we were watching and nothing happened" and "we were not watching" are different claims.

### 2026-11-05 (score 55, −15)

- [security regression] Malware scan: pass → unverified

### 2026-11-03 (score 70, +15)

- [security improvement] Malware scan: unverified → pass

### 2026-11-02 (score 55)

First indexed and scored.

## MCP tools (16)

### `list_nodes` (~30 tokens)

List the configured DICOM nodes (PACS, VNA, DICOMweb services) and their protocols.

Output parameters:

- `result` (array)

### `echo` (~50 tokens)

Check connectivity to a node (C-ECHO for DIMSE, a minimal QIDO-RS request for DICOMweb).

Input parameters:

- `node` (string, required): Name of a configured DICOM node (see list_nodes).

### `search` (~131 tokens)

Search for patients, studies, series or instances (C-FIND or QIDO-RS).

Input parameters:

- `filters`: Matching keys, e.g. {"PatientID": "123", "Modality": "CT", "StudyDate": "20240101-20241231"}.
- `level` (string): Query/retrieve level.
- `limit` (integer): Maximum results to return.
- `node` (string, required): Name of a configured DICOM node (see list_nodes).
- `offset` (integer): Results to skip, for paging.
- `return_fields`: Extra attributes to return besides the level defaults.

### `get_metadata` (~109 tokens)

Read instance-level metadata without downloading pixel data (WADO-RS metadata or C-FIND).

Input parameters:

- `fields`: Limit or extend the returned attributes.
- `limit` (integer): Maximum instances to return.
- `node` (string, required): Name of a configured DICOM node (see list_nodes).
- `series_uid`: SeriesInstanceUID to narrow the request.
- `sop_instance_uid`: SOPInstanceUID to narrow the request (requires series_uid).
- `study_uid` (string, required): StudyInstanceUID.

### `retrieve` (~92 tokens)

Download a study, series or instance into the local cache (C-GET or WADO-RS). Returns file paths.

Input parameters:

- `node` (string, required): Name of a configured DICOM node (see list_nodes).
- `series_uid`: SeriesInstanceUID to narrow the request.
- `sop_instance_uid`: SOPInstanceUID to narrow the request (requires series_uid).
- `study_uid` (string, required): StudyInstanceUID.

### `move` (~104 tokens)

Ask a DIMSE archive to send data to another DICOM node (C-MOVE).

Input parameters:

- `destination` (string, required): Destination node name or an AE title known to the source archive.
- `node` (string, required): Name of a configured DICOM node (see list_nodes).
- `series_uid`: SeriesInstanceUID to narrow the request.
- `sop_instance_uid`: SOPInstanceUID to narrow the request (requires series_uid).
- `study_uid` (string, required): StudyInstanceUID.

### `store` (~60 tokens)

Send local DICOM files to a node (C-STORE or STOW-RS).

Input parameters:

- `node` (string, required): Name of a configured DICOM node (see list_nodes).
- `paths` (array, required): Local DICOM files or directories inside the allowed paths.

### `transfer` (~91 tokens)

Copy data between any two nodes, including DIMSE to DICOMweb, through the local cache.

Input parameters:

- `destination` (string, required): Node to write to.
- `series_uid`: SeriesInstanceUID to narrow the request.
- `sop_instance_uid`: SOPInstanceUID to narrow the request (requires series_uid).
- `source` (string, required): Node to read from.
- `study_uid` (string, required): StudyInstanceUID.

### `list_local_files` (~37 tokens)

List DICOM files in the local cache.

Input parameters:

- `limit` (integer)
- `study_uid`: Only list files for this study.

### `read_local_metadata` (~57 tokens)

Read the full header of a local DICOM file. Pixel data is not loaded.

Input parameters:

- `max_depth` (integer): How deep to expand sequences.
- `path` (string, required): Path to a local DICOM file inside the allowed paths.

### `render_image` (~196 tokens)

Render one frame of a local DICOM image as a PNG you can look at.

Applies the modality rescale (e.g. HU) and a display window, corrects non-square pixels, and
reports which patient direction each image edge faces. Also returns the input fingerprint.

Input parameters:

- `frame` (integer): 0-based frame index for multi-frame images.
- `max_size` (integer): Longest edge of the PNG in pixels.
- `path` (string, required): Path to a local DICOM file inside the allowed paths (e.g. from retrieve).
- `window` (string): Display window: auto (file window or percentiles), minmax, or a CT preset: lung, mediastinum, soft_tissue, abdomen, liver, bone, brain, subdural, stroke.
- `window_center`: Explicit window center (overrides window).
- `window_width`: Explicit window width (overrides window).

### `pixel_statistics` (~89 tokens)

Pixel value statistics in modality units (HU for CT): mean, std, min, max, percentiles and area in mm2.

Input parameters:

- `frame` (integer): 0-based frame index for multi-frame images.
- `path` (string, required): Path to a local DICOM file inside the allowed paths (e.g. from retrieve).
- `roi`: Region of interest; omit for the whole frame.

### `measure_distance` (~91 tokens)

Measure a distance in mm between two pixel positions and give their patient coordinates.

Input parameters:

- `end` (array, required): [row, column] in pixels.
- `frame` (integer): 0-based frame index for multi-frame images.
- `path` (string, required): Path to a local DICOM file inside the allowed paths (e.g. from retrieve).
- `start` (array, required): [row, column] in pixels.

### `check_geometry` (~69 tokens)

Check series geometry before measuring or reconstructing.

Reports orientation, spacing and extent per series, and flags missing or duplicate slices, mixed
orientations, non-uniform spacing, gantry tilt and multiple frames of reference.

Input parameters:

- `paths` (array, required): Local DICOM files or directories inside the allowed paths.

### `render_mpr` (~190 tokens)

Reconstruct an axial, coronal or sagittal view from a stack of slices and render it as a PNG.

Refuses series that fail check_geometry (missing slices, mixed orientations, and so on).

Input parameters:

- `index`: Slice index in the reconstructed plane; default is the middle.
- `max_size` (integer): Longest edge of the PNG in pixels.
- `paths` (array, required): Local DICOM files or directories inside the allowed paths.
- `plane` (string): Plane to reconstruct.
- `series_uid`: Series to use when the paths contain several.
- `window` (string): Display window: auto (file window or percentiles), minmax, or a CT preset: lung, mediastinum, soft_tissue, abdomen, liver, bone, brain, subdural, stroke.
- `window_center`: Explicit window center.
- `window_width`: Explicit window width.

### `deidentify` (~115 tokens)

Write de-identified copies of local DICOM files (basic confidentiality profile subset) to the cache.

UIDs are remapped consistently, names and IDs are pseudonymised, and pixel data is not changed.

Input parameters:

- `date_mode` (string): Shift dates by a per-patient offset, or keep them.
- `keep_descriptions` (boolean): Keep study/series descriptions and protocol names.
- `keep_private` (boolean): Keep private tags.
- `paths` (array, required): Local DICOM files or directories inside the allowed paths.

## Diagnostics

Captured diagnostic sections: Provenance, Install scripts, Dependencies. The full working is on the page: https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp#diagnostics

## Score history

- 2026-11-06: 55
- 2026-11-05: 55
- 2026-11-04: 70
- 2026-11-03: 70
- 2026-11-02: 55

## Common questions

### What is the DICOM Agent MCP server?

DICOM Agent is an MCP server listed in the public MCP registry as io.github.arunmk-ms/dicom-agent-mcp. Search, retrieve, store, view, measure and de-identify DICOM images over DIMSE and DICOMweb. This page covers its PyPI package (dicom-agent-mcp).

### Is the DICOM Agent MCP server safe to use?

DICOM Agent scores 55 out of 100 on VerifyMCP. We found no known CVEs affecting it as of 6 November 2026. That is a record of what we were able to check automatically, not an endorsement. The category breakdown on this page shows every signal behind the number, including the ones we could not confirm.

### What tools does the DICOM Agent MCP server expose?

DICOM Agent exposes 16 tools: list_nodes, echo, search, get_metadata, retrieve, and 11 more. Their descriptions and schemas cost roughly 1,511 tokens of context every time the server is loaded.

### Is the DICOM Agent MCP server still maintained?

DICOM Agent is still listed as active in the MCP registry. We last reached this channel on 6 November 2026. Those dates come from our own scans of the registry and the channel itself, not from anything the publisher announced.

### What licence is the DICOM Agent MCP server under?

DICOM Agent declares the Apache-2.0 licence, which is OSI-approved. That covers the source only, and says nothing about the cost of any service it calls.

### What did VerifyMCP test on the DICOM Agent MCP server?

VerifyMCP ran 14 checks on DICOM Agent, covering Known CVEs, Install scripts, Dependency health, Source repository and 10 more. 2 items could not be completed, a gap on our side rather than a finding about DICOM Agent: Malware scan and Stability. One category scores 0 for that reason, because we only credit what we can confirm. Endpoint Security and Transport & Reachability do not apply to a PyPI package, so they were not tested. The score does not measure everything, and the scoring documentation lists what it leaves out.

## Links

- PyPI project: https://pypi.org/project/dicom-agent-mcp/
- Socket report: https://socket.dev/pypi/package/dicom-agent-mcp
- Repository: https://github.com/arunmk-ms/dicom-agent-mcp
- Changelog RSS feed: https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp.xml
- Changelog JSON feed: https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp/changelog.json
- Trust report (JSON): https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp.json
- HTML version of this page: https://verifymcp.io/servers/arunmk-ms-dicom-agent-mcp/dicom-agent-mcp