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Aperivue

Imaging Data skill

Use when preparing a medical-imaging dataset (DICOM/NIfTI) for modelling. Profiles spacing, orientation, intensity, label integrity, foreground fraction and target volume, gates them against the plan, then plans and audits preprocessing and augmentation for leakage.

$npx skills add Aperivue/medsci-skills --skill imaging-data
View this skill on GitHubAperivue/medsci-skills/skills/imaging-data/SKILL.md
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Updated
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Aperivue

Imaging Data

Install Imaging Data

Pick your agent. Every command is ready to paste.

$npx skills add Aperivue/medsci-skills --skill imaging-data

The open skills CLI detects your agents (Claude Code, Cursor, Codex and 70+ more) and installs to the right folder. Add -g to install globally.

01

Install it

Run the command above, or upload the folder in Claude.

02

Ask naturally

Describe the task. Your agent loads imaging-data when the request matches its description.

03

Name it if needed

If it does not trigger, say “use the imaging-data skill”. In Codex, type $imaging-data.

The skill itself

SKILL.md

FolderGitHub

Imaging-Data Skill

The dataset decides more of a study than the architecture does, and it decides it first. Phases 1–3 establish what the data is and what it will not support, while that is still cheap; Phases 4–7 design and audit the preparation pipeline so it is leakage-safe before /model-scaffold builds the repo. Describe-and-audit only: never modify, resample, reorient, split or write image data, never run preprocessing on real patient data, and wire MONAI / TorchIO transforms by reference rather than writing a new normalisation or resampling implementation.

Elsewhere: tabular/clinical variables → /generate-codebook, /clean-data; auditing the split table, held-out metrics, calibration, subgroup results → /model-assessment; choosing an architecture → /model-selection; building the repo → /model-scaffold.

Workflow

Phase 1 — Profile every case

python3 ${CLAUDE_SKILL_DIR}/scripts/profile_imaging_dataset.py \
    --split train:imagesTr:labelsTr \
    --split test:imagesTs \
    --dataset "MSD Task09 Spleen" \
    --declared-labels 0=background,1=spleen \
    --target-label 1 \
    --plan resample=true,reorient=false,loss=dice_ce,metrics=dice+hd95 \
    --out eda/profile.json

One record per case: grid, spacing, orientation, intensity percentiles, the label values actually present, foreground fraction, and target volume in mL. A --split given no label directory is recorded as unlabelled — itself a finding. Requires nibabel + numpy; the gate does not. Every profile figure comes from opening the files — never from a dataset's README, a similar dataset, or memory. A README can be wrong about its own label indices; the labels cannot.

--target-label on a multi-structure atlas. Foreground defaults to every non-zero index — the whole annotated anatomy. Measured on the AMOS22 CT cases, that pools to 3.2 % instead of the spleen's 0.20 %, so the pooled figure sits above the 1 % imbalance threshold while the target sits far below it and the imbalance verdicts go quiet exactly where the risk is. Naming the target also makes LABEL_EMPTY mean this case has no spleen. Pass --target-label all for a genuinely multi-class study; leave it out on a multi-structure atlas and the gate raises TARGET_LABEL_UNDECLARED.

Phase 2 — Gate the profile against the declared plan

python3 ${CLAUDE_SKILL_DIR}/scripts/check_dataset_profile.py --profile eda/profile.json \
    --out qc/dataset_profile.json --strict

Stdlib-only, so the audit re-runs anywhere the JSON travels. Never report a profile "pass" without running it.

Verdict Severity Fires when
LABEL_SHAPE_MISMATCH Major label grid ≠ image grid
LABEL_EMPTY Major a labelled case has zero foreground
LABEL_VALUE_UNEXPECTED Major label values outside the declared set
TEST_SET_UNLABELLED Major a split named test/held-out/external/eval carries no labels
ACCURACY_UNDER_IMBALANCE Major accuracy is planned while the target is a sliver of the volume
LABEL_MISSING Minor a case in a labelled split has no label file
SPACING_HETEROGENEOUS Minor spacing spans ≥ ratio on an axis and no resampling is declared
ORIENTATION_MIXED Minor >1 orientation code and no reorientation declared
INTENSITY_SCALE_INCONSISTENT Minor some cases on the HU scale, others not
EXTREME_IMBALANCE Minor median foreground below the threshold with no Dice-family loss
TARGET_LABEL_UNDECLARED Minor >1 structure declared, no target named, so foreground pools them all

The gate flags an undeclared decision, not variability: 5× spacing spread and two orientation codes pass once resampling and reorientation are declared (the clean challenge fixture proves this). --spacing-ratio (default 2.0) and --imbalance-frac (default 0.01) are screening defaults, not published cut-points — never present them as such; the values applied are printed in the output and belong in the Methods. A split the profile shows unlabelled is never a held-out test set, however the directory is named.

Phase 3 — Turn the profile into research decisions

Write these decision notes into the study record, so /design-study, the preparation phases below, and /write-paper inherit them instead of re-deriving them:

  1. Resampling target — from the spacing distribution, not a tutorial default (carried into Phase 5).
  2. Loss and metric family — from the foreground fraction. Segmentation reports Dice and a boundary metric per structure (/model-assessment); accuracy is not on the list.
  3. Pre-specified subgroups — from the clinical spread the profile shows (target volume, slice thickness, modality). Pre-specifying them here is what separates a subgroup finding from a post-hoc one.
  4. Where the held-out set comes from — especially when the shipped "test" directory is unlabelled.
  5. What the cohort cannot support — n, single-source acquisition, absent subgroups: the seed of the Limitations paragraph, written before results can bias it.

Phase 4 — Inventory the preparation steps and fix fit scope

Collect the modality, the data manifest (one row per image/slice with a patient_id), the resample spacing, the intensity transform (fixed HU window vs a fitted z-score / min-max / histogram match), and the augmentation plan. Read ${CLAUDE_SKILL_DIR}/references/preprocessing_guide.md for the modality-aware normalisation, physiology-preserving vs -breaking augmentation, and MONAI / TorchIO wiring.

  • Fit dataset-level normalisation on the training split only — never all/full/test.
  • Run any data-fitted transform after the split; before it there is no train/test distinction.
  • Prefer per-image (per-sample) normalisation where clinically appropriate — leakage-free even before the split.
  • Keep augmentation train-only; augmenting val/test folds undisclosed test-time augmentation into the metric.
  • Split at the patient level, then map slices to their patient's split.

Phase 5 — Emit the preprocessing manifest

Write preprocessing_manifest.json, which /model-scaffold consumes and the gate checks. Every value comes from the real data manifest and the declared pipeline — never invented patient IDs or split assignments.

{
  "split_seed": 42,
  "transforms": [
    {"name": "hu_window", "type": "clip", "fit_scope": "none", "stage": "before_split"},
    {"name": "train_zscore", "type": "standardize", "fit_scope": "train", "stage": "after_split"},
    {"name": "flip_rotate", "type": "augmentation", "stage": "after_split", "applies_to": ["train"]}
  ],
  "split_assignment": [
    {"patient_id": "P001", "unit_id": "P001_s1", "split": "train"}
  ]
}

fit_scope: train (OK) · all/full/dataset/test (leak) · sample/per_image/none/fixed (not data-fitted). stage: before_split / after_split. The fields must describe what the code actually does — never tag a dataset-fitted transform per-sample to clear the gate; that hides the leak. A declared dataset-level fit_scope is judged whatever the type is, so a library class name (HistogramStandardization, NormalizeIntensityd) fit on all is a leak like standardize would be.

Declare the fit scope of resampling too. A target spacing chosen in advance is fit_scope: fixed and never leaks. A target derived from the cohort does: nnU-Net sets its target spacing from a percentile of the dataset fingerprint, so a resample fitted over every case carries held-out geometry into the training grid exactly as an intensity statistic would. The fingerprint's scope decides which you have, not the word "resample".

Phase 6 — Gate the manifest

python3 ${CLAUDE_SKILL_DIR}/scripts/check_preprocessing_leakage.py --manifest preprocessing_manifest.json \
    --out qc/preprocessing_leakage.json --strict

Verdicts: PREPROCESS_BEFORE_SPLIT, NORMALIZATION_LEAKAGE, PATIENT_CROSS_SPLIT (Major); AUGMENTATION_ON_EVAL, UNSPECIFIED_FIT_SCOPE, MISSING_SEED (Minor), reproduced by set arithmetic and rule on the manifest. A green gate is the precondition for handing the manifest to /model-scaffold; its split_assignment is the same patient-level split /model-assessment later re-verifies. Never report a pass without running it.

Phase 7 — Before inference on a new cohort: check the normaliser's domain

Phase 6 asks whether a transform was fit on the right scope. Before running a trained model on a cohort it was not trained on, ask whether that cohort sits in the intensity domain the trained normaliser assumes:

python3 ${CLAUDE_SKILL_DIR}/scripts/check_normalizer_domain.py \
    --profile eda/<cohort>_profile.json \
    --contract work/nnUNet_results/.../plans.json \
    --splits external_mri --out qc/normalizer_domain.json --strict

Its challenge card holds a cohort in the contract's own domain that must come back clean, an arbitrary-unit cohort that must raise a Major, and an unreadable contract that must refuse rather than pass.

Outputs and hand-off

  • eda/profile.json (Phase 1), qc/dataset_profile.json (Phase 2), and the decision notes (Phase 3).
  • preprocessing_manifest.json with the augmentation-appropriateness and normalisation fit-scope notes (Phases 4–5), qc/preprocessing_leakage.json (Phase 6), qc/normalizer_domain.json (Phase 7).

The manifest feeds /model-scaffold, which also reads the qc/ reports: keep them in qc/ beside the manifest (or ../qc/), or pass them with --imaging-qc. An unresolved Major there refuses the scaffold until it is fixed and re-gated or acknowledged with a stated reason (--ack-qc); Minor and Flag claims are carried into the repo's IMAGING_QC.md, and a missing report is recorded as not assessed. Re-run a gate after fixing its finding — a stale report still blocks. The manifest documents the CLAIM 2024 / TRIPOD+AI data-preprocessing items for /check-reporting; /self-review's model_development probe looks for exactly this pipeline in a finished manuscript. Regression: bash ${CLAUDE_SKILL_DIR}/scripts/check_dataset_profile_challenge/verify.sh, bash ${CLAUDE_SKILL_DIR}/scripts/check_preprocessing_leakage_challenge/verify.sh, bash ${CLAUDE_SKILL_DIR}/scripts/check_normalizer_domain_challenge/verify.sh, bash ${CLAUDE_SKILL_DIR}/tests/test_dataset_profile.sh, bash ${CLAUDE_SKILL_DIR}/tests/test_preprocessing_leakage.sh.

Tips for Imaging Data

  • • Start a fresh session after installing so your agent picks up the new skill.
  • • This skill ships scripts. Read them before the first run, and run it in a project without secrets first.
  • • It bundles reference files. The agent reads them only when needed, so they cost no context until then.
  • • It is part of a pack with 30 skills. Install only the ones you need with --skill to keep triggers precise.
  • • If two skills overlap, mention the one you want by name.

Questions about Imaging Data

What does the Imaging Data skill do?

Use when preparing a medical-imaging dataset (DICOM/NIfTI) for modelling. Profiles spacing, orientation, intensity, label integrity, foreground fraction and target volume, gates them against the plan, then plans and audits preprocessing and augmentation for leakage.

How do I install Imaging Data?

Run "npx skills add Aperivue/medsci-skills --skill imaging-data" in your project. The skills CLI installs it for Claude Code, Cursor, Codex and 70+ other agents. In Claude on the web, upload the skill folder as a ZIP under Customize > Skills.

Does Imaging Data work in Cursor and Codex?

Yes. Imaging Data uses the open SKILL.md format, so it works in Claude Code, Claude, Cursor, OpenAI Codex, Gemini CLI, GitHub Copilot and other agents that support agent skills.

Is Imaging Data free?

Imaging Data is open source on GitHub under the MIT license. It is free to install; check the license before commercial use.

Who made Imaging Data?

Imaging Data is published by Aperivue in the Aperivue/medsci-skills repository, together with 29 other skills.

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