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wsi-dicom-annotations

wsi-dicom-annotations provides UI-independent Rust models, readers, writers, and conversion boundaries for DICOM Whole Slide Microscopy derived objects:

  • Microscopy Bulk Simple Annotations (ANN)
  • Segmentation (SEG)
  • Comprehensive 3D Structured Reports (SR)
  • Parametric Maps (PM)
  • explicitly profiled pathology and QuPath GeoJSON conversion

The default parametric-map feature includes profiled TIFF, NPY, Zarr, and tiled-raster PM conversion. Applications that only need ANN/SEG/SR and GeoJSON conversion can disable default features to avoid those raster dependencies.

Applications provide an existing DICOM VL Whole Slide Microscopy instance as the source context. The crate preserves Study and Frame of Reference identity while assigning new Series and SOP Instance identities to derived objects. For 2D ANN in the VOLUME pixel-origin interpretation, the writer preserves the exact referenced source SOP Class and Instance UIDs and copies a valid source Frame of Reference UID and Container Identifier when present. It omits either optional identity when the source omits it; these copied attributes aid viewer association and do not replace the normative 2D image reference.

Checked editing and derived-object identity

Invariant-bearing ANN collections are edited atomically. Replace point or polygon geometry with AnnotationGroup::replace_points or AnnotationGroup::replace_polygons, and replace document groups with AnnotationDocument::replace_group or AnnotationDocument::replace_groups. An invalid replacement returns an error and leaves the original value intact.

New ANN, SEG, SR, and PM objects use a neutral library producer by default. Applications should identify themselves explicitly when publishing derived objects:

use wsi_dicom_annotations::{DerivedObjectProducer, Result};

# fn main() -> Result<()> {
let producer = DerivedObjectProducer::new(
    71,
    "Example Pathology",
    "Example Workstation",
    "WORKSTATION-1",
    "3.0",
)?
.with_series_description("Reviewed annotations")?;
// Apply the same value with `document.with_producer(producer)` to ANN, SEG,
// SR, or feature-gated PM documents before writing.
# let _ = producer;
# Ok(())
# }

PathologyDicomDocuments::with_producers applies distinct caller-owned ANN, SEG, and SR series metadata to a companion-document set before publication.

SEG-to-ANN conversion is an explicit editing projection. Call vectorized_annotations(SegToAnnConversionPolicy::RejectLoss) to block nonrepresentable identity or applicability semantics. Use AllowLoss only when the caller will inspect and surface VectorizedAnnotations::diagnostics. The removed vectorized_annotation_groups API has no silent compatibility wrapper.

GeoJSON to DICOM

QuPath classification labels are never guessed as clinical terminology. A bounded mapping profile must explicitly connect every label, measurement, and qualitative value to its DICOM coded meaning.

use std::fs;
use wsi_dicom_annotations::{
    DicomAnnotationContext, PathologyAnnotationSet, PathologyCoordinateSpace,
};

# fn main() -> Result<(), Box<dyn std::error::Error>> {
let source = DicomAnnotationContext::from_source("level-0-wsi.dcm")?;
let geojson = fs::read("qupath.geojson")?;
let mapping = fs::read("pathology-mapping-v1.json")?;
let annotations = PathologyAnnotationSet::from_json(
    &geojson,
    &mapping,
    &source,
    &source,
    PathologyCoordinateSpace::Level0Pixels,
    false,
)?;
annotations.to_ann()?.write_ann("annotations.dcm")?;
# Ok(())
# }

Polygon holes and mask-style regions belong in SEG rather than ANN. Numeric measurements and coded evaluations can be retained in SR, including SR that references the exact SEG generated from the same profiled feature set.

Scope

This crate owns DICOM interchange, terminology primitives, annotation schemes, tracking identity, and profiled external-data conversion. It deliberately does not contain a viewer, renderer, editing history, workspace persistence, PACS or DICOMweb transport, clinical workflow claims, or collaborative review state.

dicom-viewer consumes this library for import and export. The separate wsi-annotation-interop project remains an independent file-level conformance harness and does not share the production implementation.

Dependency security note

Local Zarr support currently resolves lru 0.16.4 through zarrs 0.23.14. RUSTSEC-2026-0253 requires a key with a panicking Drop implementation and unwind recovery; this dependency path uses only StoreKey(String) and ChunkIndices(Vec<u64>), whose drops cannot panic. The repository records this reachability decision explicitly, and dicom-viewer additionally applies the upstream source-level backport. Remove the exception when a compatible zarrs release permits lru >= 0.18.2.

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DICOM WSI ANN, SEG, SR, and Parametric Map interoperability

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