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Presidio image redactor package

Project description

Presidio Image Redactor

Please notice, this package is still in alpha and not production ready.


The Presidio Image Redactor is a Python based module for detecting and redacting PII text entities in images.

Deploy Presidio image redactor to Azure

Use the following button to deploy presidio image redactor to your Azure subscription.

Deploy to Azure

Process for standard images:

Image Redactor Design

Process for DICOM files:

DICOM image Redactor Design



  • Install Tesseract OCR by following the instructions on how to install it for your operating system.

    For best performance, please use the most up-to-date version of Tesseract OCR. Presidio was tested with v5.2.0.

As package

To get started with Presidio-image-redactor, run the following:

pip install presidio-image-redactor

Once Installed, run the following command to download the default spacy model needed for Presidio Analyzer:

python -m spacy download en_core_web_lg

Getting started (standard image types)

The engine will receive 2 parameters:

  1. Image to redact.
  2. Color fill to redact with, by default color fill will be black. Can either be an int or tuple (0,0,0)
from PIL import Image
from presidio_image_redactor import ImageRedactorEngine

# Get the image to redact using PIL lib (pillow)
image ="presidio-image-redactor/tests/integration/resources/ocr_test.png")

# Initialize the engine
engine = ImageRedactorEngine()

# Redact the image with pink color
redacted_image = engine.redact(image, (255, 192, 203))

# save the redacted image"new_image.png")
# uncomment to open the image for viewing

As docker service

In folder presidio/presidio-image-redactor run:

docker-compose up -d



Receives an image and color fill (optional, default is black). Redact the image PII text and returns a new redacted image.

POST /redact


Sent as multipart-form. Contains image file and data of the required color fill.

  "data": "{'color_fill':'0,0,0'}"


200 OK

curl example:

# use ocr_test.png as the image to redact, and 255 as the color fill. 
# out.png is the new redacted image received from the server.
curl -XPOST "http://localhost:3000/redact" -H "content-type: multipart/form-data" -F "image=@ocr_test.png" -F "data=\"{'color_fill':'255'}\"" > out.png

Python script example can be found under: /presidio/e2e-tests/tests/

Getting started (DICOM images)

This module only redacts pixel data and does not scrub text PHI which may exist in the DICOM metadata.

We highly recommend using the DICOM image redactor engine to redact text from images before scrubbing metadata PHI. To redact sensitive information from metadata, consider using another package such as the Tools for Health Data Anonymization.

To redact burnt-in text PHI in DICOM images, see the below sample code:

import pydicom
from presidio_image_redactor import DicomImageRedactorEngine

# Set input and output paths
input_path = "path/to/your/dicom/file.dcm"
output_dir = "./output"

# Initialize the engine
engine = DicomImageRedactorEngine()

# Option 1: Redact from a loaded DICOM image
dicom_image = pydicom.dcmread(input_path)
redacted_dicom_image = engine.redact(dicom_image, fill="contrast")

# Option 2: Redact from DICOM file
engine.redact_from_file(input_path, output_dir, padding_width=25, fill="contrast")

# Option 3: Redact from directory
ocr_kwargs = {"ocr_threshold": 50}
engine.redact_from_directory("path/to/your/dicom", output_dir, fill="background", ocr_kwargs=ocr_kwargs)

See the example notebook for more details and visual confirmation of the output: docs/samples/python/example_dicom_image_redactor.ipynb.

Side note for Windows

If you are using a Windows machine, you may run into issues if file paths are too long. Unfortunatley, this is not rare when working with DICOM images that are often nested in directories with descriptive names.

To avoid errors where the code may not recognize a path as existing due to the length of the characters in the file path, please enable long paths on your system.

DICOM Data Citation

The DICOM data used for unit and integration testing for DicomImageRedactorEngine are stored in this repository with permission from the original dataset owners. Please see the dataset information as follows:

Rutherford, M., Mun, S.K., Levine, B., Bennett, W.C., Smith, K., Farmer, P., Jarosz, J., Wagner, U., Farahani, K., Prior, F. (2021). A DICOM dataset for evaluation of medical image de-identification (Pseudo-PHI-DICOM-Data) [Data set]. The Cancer Imaging Archive. DOI:

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