# DICOMweb MCP Server (npm · dicomweb-mcp-server)

MCP server exposing a DICOMweb DICOM archive to AI assistants via QIDO-RS and WADO-RS.

- Trust score: 79/100 (medium)
- Change this week: +35
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-08-03

## Components

- npm · `dicomweb-mcp-server`: 79/100 (this document), [markdown](https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server.md), [page](https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server)

## Channel facts

- Registry: `npm`
- Package: `dicomweb-mcp-server`
- Version: `0.0.4`
- 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 2026-08-03.

- **Supply Chain Security**: 87/100
  - No malware found by supply-chain analysis.
  - Only part of the dependency tree could be resolved (120 of 124), so this covers what we could see, not the whole tree.
  - No install/post-install scripts declared.
  - Only part of the dependency tree could be resolved (120 of 124), so this covers what we could see, not the whole tree.
- **Provenance & Transparency**: 97/100
  - Source repository is publicly reachable at the declared URL.
  - Cryptographically verified build provenance (signed, bound to PantelisGeorgiadis/dicomweb-mcp-server).
  - Clear OSI-approved license (MIT).
  - Actively maintained (last published 78 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 71/100
  - AI-judged instruction clarity (excellent).
  - Context-footprint check failed: tool/resource definitions use about 1474 tokens (~163/item across 9 items; 9 tools + 0 resources), over budget; trim descriptions and params.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 27/100
  - Stability observed for 8 of 30 days with no destabilising changes; credit accrues until the full window elapses.
- **Tool Coverage**: 100/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 100% of tool parameters carry a description.
- **Capabilities**: 100/100
  - Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28.

## Install

### Claude

```bash
claude mcp add pantelisgeorgiadis-dicomweb-mcp-server -- npx -y dicomweb-mcp-server
```

### Codex

```bash
codex mcp add pantelisgeorgiadis-dicomweb-mcp-server -- npx -y dicomweb-mcp-server
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "pantelisgeorgiadis-dicomweb-mcp-server": {
      "type": "local",
      "command": [
        "npx",
        "-y",
        "dicomweb-mcp-server"
      ],
      "enabled": true
    }
  }
}
```

### OpenClaw

```bash
openclaw mcp add pantelisgeorgiadis-dicomweb-mcp-server --command npx --arg -y --arg dicomweb-mcp-server
```

### Hermes

```yaml
mcp_servers:
  pantelisgeorgiadis-dicomweb-mcp-server:
    command: "npx"
    args: ["-y", "dicomweb-mcp-server"]
```

### Other

```json
{
  "mcpServers": {
    "pantelisgeorgiadis-dicomweb-mcp-server": {
      "command": "npx",
      "args": [
        "-y",
        "dicomweb-mcp-server"
      ]
    }
  }
}
```

## 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.

### 2026-08-03 (score 79, +1)

No change was recorded against any check on this day. Stability & Change Management went from 23 to 27. That category is still filling its 30-day observation window: 7 days of observed history at the previous scan, 8 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-08-02 (score 78, +10)

- [security regression] Provenance: pass → unverified
- [security regression] Install scripts: pass → unverified
- [security improvement] Known CVEs: unverified → partial
- [security] Stability: Stability not yet verified: we do not have a sandbox capture of the MCP schema this version of the package serves yet.
- [security] The attested source repository moved: PantelisGeorgiadis/dicomweb-mcp-server
- [functional regression] Capabilities: pass → unverified
- [functional regression] Tool coverage: 100 → unverified
- [functional regression] License: pass → unverified
- [functional regression] Maintenance: pass → unverified
- [functional improvement] Dependency health: unverified → partial
- [functional improvement] Stability: unverified → 0.23
- [functional] Licence: MIT

### 2026-07-31 (score 68, +40)

- [functional] We updated how we score, so this day's move reflects our rubric, not a change to the server

### 2026-07-30 (score 28, −63)

- [security regression] Known CVEs: partial → unverified
- [security regression] Malware scan: pass → unverified
- [functional regression] Tool coverage: 100 → unverified
- [functional regression] Dependency health: partial → unverified
- [functional] First check of Schema quality: unverified

### 2026-07-29 (score 91, +47)

- [security improvement] Install scripts: unverified → pass
- [security improvement] Known CVEs: unverified → partial
- [security improvement] Provenance: unverified → pass
- [security] The attested source repository moved: PantelisGeorgiadis/dicomweb-mcp-server
- [functional improvement] Maintenance: unverified → pass
- [functional improvement] Dependency health: unverified → partial
- [functional improvement] License: unverified → pass
- [functional improvement] Schema quality: unverified → excellent
- [functional] Licence: MIT

### 2026-07-27 (score 44)

First indexed and scored.

## MCP tools (9)

### `find-studies` (~125 tokens)

Searches DICOM studies on the configured DICOMweb server. Returns studies sorted by study date, newest first. Does not retrieve series, instances, or image data.

Input parameters:

- `query` (string, required): Space-separated DICOM key=value search filters. Keys are DICOM keyword names or 8-digit hex tags (e.g., PatientName=Doe* StudyDate=20200101-20201231 ModalitiesInStudy=CT 00100020=12345). Special keys…

### `find-series` (~143 tokens)

Searches DICOM series within a single study. Returns series sorted by series date, newest first. Does not retrieve instances or image data. Requires a Study Instance UID from find-studies.

Input parameters:

- `query` (string, required): Space-separated DICOM key=value search filters. Keys are DICOM keyword names or 8-digit hex tags (e.g., Modality=MR SeriesDescription=CHEST). Special keys: limit=N, offset=N. Pass an empty string to…
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

### `find-instances` (~194 tokens)

Searches DICOM instances within a single series, sorted by Instance Number ascending. Requires Study and Series Instance UIDs from find-studies and find-series.

Input parameters:

- `query` (string, required): Space-separated DICOM key=value search filters. Keys are DICOM keyword names or 8-digit hex tags (e.g., SOPClassUID=1.2.840.10008.5.1.4.1.1.2). Special keys: limit=N, offset=N. Pass an empty string t…
- `seriesInstanceUid` (string, required): DICOM Series Instance UID (e.g., 1.2.840.113619.2.55.3.604688123). Obtain from find-series.
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

### `find-structured-reports` (~89 tokens)

Finds all Structured Report (SR) DICOM instances in a study by searching for SR-modality series and filtering by SR SOP Class UIDs. Requires a Study Instance UID from find-studies.

Input parameters:

- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

### `find-encapsulated-pdf-reports` (~92 tokens)

Finds all Encapsulated PDF DICOM instances in a study by searching for DOC-modality series and filtering by EP SOP Class UIDs. Requires a Study Instance UID from find-studies.

Input parameters:

- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

### `get-structured-report-text` (~200 tokens)

Retrieves and converts a Structured Report (SR) instance to human-readable text. Requires Study, Series, and SOP Instance UIDs from find-structured-reports. Does not retrieve image data.

Input parameters:

- `seriesInstanceUid` (string, required): DICOM Series Instance UID (e.g., 1.2.840.113619.2.55.3.604688123). Obtain from find-series or find-structured-reports.
- `sopInstanceUid` (string, required): DICOM SOP Instance UID (e.g., 1.2.840.113619.2.55.3.604688123.123.1591781234.469). Obtain from find-instances or find-structured-reports.
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies or find-structured-reports.

### `get-encapsulated-pdf-report-text` (~219 tokens)

Retrieves and converts an Encapsulated PDF instance to human-readable text. Requires Study, Series, and SOP Instance UIDs from find-encapsulated-pdf-reports. Does not retrieve image data.

Input parameters:

- `seriesInstanceUid` (string, required): DICOM Series Instance UID (e.g., 1.2.840.113619.2.55.3.604688123). Obtain from find-series or find-encapsulated-pdf-reports.
- `sopInstanceUid` (string, required): DICOM SOP Instance UID (e.g., 1.2.840.113619.2.55.3.604688123.123.1591781234.469). Obtain from find-instances or find-encapsulated-pdf-reports.
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies or find-encapsulated-pdf-reports.

### `get-instance-metadata` (~176 tokens)

Retrieves and converts a DICOM instance to human-readable text. Requires Study, Series, and SOP Instance UIDs from find-instances. Does not retrieve image data.

Input parameters:

- `seriesInstanceUid` (string, required): DICOM Series Instance UID (e.g., 1.2.840.113619.2.55.3.604688123). Obtain from find-series.
- `sopInstanceUid` (string, required): DICOM SOP Instance UID (e.g., 1.2.840.113619.2.55.3.604688123.123.1591781234.469). Obtain from find-instances.
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

### `render-instance-frame` (~236 tokens)

Renders a specific frame from a DICOM instance to an image format. Requires Study, Series, and SOP Instance UIDs from find-instances, and a frame number. Returns the rendered image as a base64-encoded string.

Input parameters:

- `frame` (integer): 1-based index of the frame to render (e.g., 1 for the first frame)
- `outputFormat` (string): Desired MIME type for the rendered output (e.g., image/jpeg)
- `seriesInstanceUid` (string, required): DICOM Series Instance UID (e.g., 1.2.840.113619.2.55.3.604688123). Obtain from find-series.
- `sopInstanceUid` (string, required): DICOM SOP Instance UID (e.g., 1.2.840.113619.2.55.3.604688123.123.1591781234.469). Obtain from find-instances.
- `studyInstanceUid` (string, required): DICOM Study Instance UID (e.g., 1.2.840.113619.2.55.3). Obtain from find-studies.

## Diagnostics

Captured diagnostic sections: Provenance, Dependencies. The full working is on the page: https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server#diagnostics

## Score history

- 2026-08-03: 79
- 2026-08-02: 78
- 2026-08-01: 68
- 2026-07-31: 68
- 2026-07-30: 28
- 2026-07-29: 91
- 2026-07-28: 44
- 2026-07-27: 44

## Links

- npm package: https://www.npmjs.com/package/dicomweb-mcp-server
- Socket report: https://socket.dev/npm/package/dicomweb-mcp-server
- Repository: https://github.com/PantelisGeorgiadis/dicomweb-mcp-server
- Changelog RSS feed: https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server/changelog.xml
- Changelog JSON feed: https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server/changelog.json
- HTML version of this page: https://verifymcp.io/servers/pantelisgeorgiadis-dicomweb-mcp-server/dicomweb-mcp-server
