dimsechord

Pure-Python toolkit of composable building blocks for DICOM and DICOMweb services.

dimsechord wraps pydicom and pynetdicom behind a small, stable public API. It gives you the networking, caching, and conversion primitives needed to build PACS proxies, DICOMweb gateways, and imaging pipelines — and nothing else: there is no bundled HTTP framework and no opinionated request handlers, so you bring your own web layer.

Features

• DIMSE SCU — C-FIND, C-STORE, C-MOVE and C-GET, exposed through an async DicomClient.
• C-STORE SCP — receive incoming instances with StorageSCP, one listener per distinct port; multiple AETs may share a port. All transfer syntaxes are accepted by default, so compressed objects arrive verbatim.
• AssociationPool — manage multiple AE-Title identities with per-AET concurrency limits.
• Two-tier cache — in-memory + disk, backed by a SQLite instance index.
• Streaming pull-engine — move-to-self retrieval streamed instance by instance, with per-UID request coalescing.
• Streaming query-engine — raw C-FIND pass-through via QueryEngine, streamed response by response under independent per-AET find leases.
• DICOMweb conversion — DICOM ↔ DICOMweb JSON and multipart/related frame responses.

Runtime dependencies are just pydicom, pynetdicom, and cachetools.

Installation

pip install dimsechord

Requires Python 3.12+.

Quickstart

import asyncio

from dimsechord import (
    AssociationPool, DicomCache, DicomClient, DicomNode, PullEngine,
    SeriesQuery, StorageSCP, StudyQuery, convert_datasets_to_dicom_json,
)

PACS = DicomNode(aet="PACS", host="127.0.0.1", port=11112)


async def main() -> None:
    # 1. Find studies and series (C-FIND, QIDO-style).
    client = DicomClient(calling_aet="MYSCU")
    studies = await client.find_studies(StudyQuery(patient_id="12345"), PACS)
    series = await client.find_series(
        SeriesQuery(study_instance_uid=studies[0].study_instance_uid), PACS)

    # 2. Pull a series move-to-self and build DICOMweb JSON (WADO-style).
    pool = AssociationPool(aets=["MYDEST"])
    scp = StorageSCP()
    scp.start({"MYDEST": 11113})
    # Your PACS must route the AET "MYDEST" back to this SCP's host:port.
    cache = DicomCache(base_dir="./cache", index_path="./cache/index.db")
    engine = PullEngine(pool=pool, scp=scp, cache=cache, pacs=PACS)
    try:
        cached = await engine.ensure_series(
            studies[0].study_instance_uid, series[0].series_instance_uid)
        metadata = convert_datasets_to_dicom_json(
            list(cached.instances.values()), base_url="https://example.org/dicom-web")
        print(len(metadata), "instances")
    finally:
        scp.stop()
        cache.shutdown()


asyncio.run(main())

0.6.0 (breaking): DicomCache's memory tier is now sized by bytes, not entry count — memory_max_entries (default 50) is replaced by memory_max_size_gb (default 1.0).

0.5.1: StorageSCP accepts all transfer syntaxes by default and the new build_storage_scu_contexts() builds forwarding-SCU contexts, so compressed objects pass through verbatim. C-GET now negotiates a curated storage-class set (see CHANGELOG).

0.5.0: the disk cache now records per-series completeness; series cached by earlier versions re-pull once on first read after upgrade (the SQLite schema migrates automatically).

0.4.0 (breaking): StorageSCP.start now takes an {AET: port} mapping (was start(aets, port)), binding one listener per port.

Public API

The supported surface is exactly what dimsechord/__init__.py exports (from dimsechord import …); it is frozen by tests/unit/test_public_api.py.

Everything else lives in underscore-prefixed modules (dimsechord._scu, dimsechord._cache, …) and is private — importing from those modules is unsupported and may break without notice. If you need something that is not exported, extend the public surface rather than reaching into a private module.

Documentation

• Why dimsechord — what problems it solves.
• Typing — how the typed API works with mypy/pyright.
• Cookbook — one recipe per feature.
• Gateway tutorial — an end-to-end DICOMweb gateway.

License

MIT — see LICENSE.