DICOM and NIfTI workflows

DICOM segmentation online, from upload to export

MedSeg accepts DICOM and NIfTI imaging, creates editable multi-label masks, and exports research-friendly files or DICOM-compatible bundles for review workflows.

DICOM upload NIfTI upload DICOM SEG export
MedSeg showing a DICOM-derived CT series and segmentation masks.
Segmentations can be reviewed in MedSeg before export, instead of treating model output as final.

Export options

Different tools expect different representations, so MedSeg exposes several outputs.

ExportUse whenNotes
NIfTI maskYou need simple research files for scripts, Python, or downstream ML.Compact, easy to version, and natural for nnU-Net workflows.
Grayscale DICOM seriesYou want broad PACS compatibility.One DICOM file per slice with mask values as integers.
RGB overlay DICOMYou want a visual overlay with fixed colors.Color is burned into the output at export time.
DICOM SEGYou want a standards-based segmentation object.MedSeg bundles a source image series so the overlay has a study to register to.
DICOM PDF reportYou need a quick volume or model report at the workstation.Available for volume reports and model reports where metadata exists.

Typical DICOM workflow

  1. Upload DICOM or a ZIP of DICOM files.
    MedSeg converts the imaging series into a project volume while preserving practical metadata for review.
  2. Create masks.
    Use pretrained AI, nnInteractive, VoxTell, manual tools, or custom trained models.
  3. Inspect and correct labels.
    Review all slices, lock finished labels, and measure volumes before export.
  4. Export the right format.
    Choose NIfTI for research pipelines or DICOM-compatible bundles for workstation review.

Why DICOM SEG matters

DICOM SEG is the DICOM segmentation object for pixel-based labels that reference source images. It is useful when a downstream system understands segmentation objects rather than only screenshots or burned overlays.

Why NIfTI still matters

Most research segmentation pipelines, including nnU-Net, are easiest to automate with NIfTI images and labelmaps. MedSeg supports both worlds because projects often need both.

Clinical caution

Export support does not make MedSeg a clinical product. DICOM outputs are for research and review workflows. Do not use MedSeg masks for patient diagnosis, treatment, screening, or prognosis.