NCI Imaging Data Commons (idc-index)
Overview
NCI Imaging Data Commons (IDC) is the largest public collection of cancer imaging data, hosting 175+ DICOM collections (CT, MR, PET, slide microscopy, segmentations, structured reports). The idc-index Python client ships the entire IDC metadata catalog as a parquet file bundled inside the pip wheel; IDCClient() loads it into DuckDB, so sql_query() runs locally with zero network calls.
Image downloads stream from public AWS S3 (default) or Google Cloud Storage buckets via the bundled s5cmd executable. No GCP/AWS credentials, no BigQuery billing, no service account JSON.
When to Use
- Searching publicly available cancer imaging datasets by modality, cancer type, anatomical site, or DICOM tag
- Building reproducible ML cohorts (segmentation, classification, multimodal) from versioned IDC releases
- Querying DICOM metadata at scale using SQL across all 175+ collections without any downloads
- Downloading specific DICOM series for local processing or model training
- Generating OHIF/Slim viewer URLs to share or inspect series interactively in a browser
- Use pydicom-medical-imaging instead when you only need to read, edit, or anonymize DICOM files that you already have locally
- For whole-slide pathology preprocessing (tiling, stain normalization) after download, use histolab instead
Prerequisites
- Python packages:
idc-index(>=0.12),pandas,pydicom(for reading DICOM files after download) - Data requirements: none for querying. For downloads, free disk space matching
series_size_MB - Environment: no authentication required. All data is publicly accessible. The wheel bundles both the parquet index and the
s5cmdexecutable used for high-speed S3 transfers - Rate limits: none for local SQL queries (DuckDB on local parquet). Bulk downloads are limited by network bandwidth, not by API quotas
# Skip when already provisioned in a pixi or conda env
pip install idc-index pydicom
Quick Start
from idc_index import IDCClient
client = IDCClient()
print('IDC version:', client.get_idc_version())
print('Collections:', len(client.get_collections()))
print('First 5:', client.get_collections()[:5])
df = client.sql_query("""
SELECT collection_id, COUNT(DISTINCT SeriesInstanceUID) AS n_series
FROM index
WHERE Modality = 'CT'
GROUP BY collection_id
ORDER BY n_series DESC LIMIT 5
""")
print(df)
Core API
Module 1: Client Initialization and Collections
IDCClient() is the single entry point. It loads the parquet index, registers it as the DuckDB table named index, and validates the bundled s5cmd. get_collections() returns a plain Python list of lowercase collection IDs such as nsclc_radiomics, lidc_idri, and tcga_gbm.
from idc_index import IDCClient
client = IDCClient()
collections = client.get_collections()
print("total:", len(collections), "type:", type(collections).__name__)
print("lung-related:", [c for c in collections if "lung" in c or "nsclc" in c][:5])
Module 2: sql_query (DuckDB Over the Local Index)
The recommended cohort-selection API. The table name is index; additional tables (prior_versions_index and optional sm_index, clinical_index) are auto-registered when installed. Returns a pandas DataFrame. Use this for any filter involving Modality, BodyPartExamined, series_size_MB, or arbitrary DICOM tags. The legacy get_series(collection_id=..., modality=...) signature no longer exists in idc-index.
# Cohort: small CT series in NSCLC Radiomics, sorted by size for cheap testing
df = client.sql_query("""
SELECT SeriesInstanceUID, StudyInstanceUID, PatientID, Modality, series_size_MB
FROM index
WHERE collection_id = 'nsclc_radiomics'
AND Modality = 'CT'
ORDER BY series_size_MB ASC
LIMIT 5
""")
print(df[["PatientID", "Modality", "series_size_MB"]])
# Cross-collection lung CT count, using DuckDB ILIKE for case-insensitive matching
df = client.sql_query("""
SELECT collection_id, COUNT(DISTINCT SeriesInstanceUID) AS n
FROM index
WHERE Modality = 'CT' AND BodyPartExamined ILIKE '%LUNG%'
GROUP BY collection_id
ORDER BY n DESC LIMIT 5
""")
print(df)
Module 3: Hierarchical Browsing (Patients, Studies, Series)
For DICOM-hierarchy navigation (Collection -> Patient -> Study -> Series), use the typed helpers. Each accepts an outputFormat of dict (default), df, or list. Note: get_dicom_series() takes a studyInstanceUID (not collection_id). Use sql_query() if you want to filter series by collection or modality.
patients = client.get_patients('nsclc_radiomics', outputFormat='df')
print("patients:", patients.shape, list(patients.columns)[:5])
# Walk down the hierarchy from one patient
pid = patients["PatientID"].iloc[0]
studies = client.get_dicom_studies(pid, outputFormat='df')
print("studies for", pid, ":", studies.shape)
study_uid = studies["StudyInstanceUID"].iloc[0]
series = client.get_dicom_series(study_uid, outputFormat='df')
print("series in study:", series.shape, "modalities:", series["Modality"].unique().tolist())
Module 4: download_from_selection (Modern Download Path)
The preferred download method. Accepts any combination of collection_id, patientId, studyInstanceUID, seriesInstanceUID, sopInstanceUID, or crdc_series_uuid (each a string or list). Filters apply in sequence. Use dry_run=True to size the cohort before pulling bytes. Files land under dirTemplate (default: %collection_id/%PatientID/%StudyInstanceUID/%Modality_%SeriesInstanceUID).
import tempfile, glob, os
# Pick the smallest CT series for a fast smoke test (about 40 MB)
df = client.sql_query("""
SELECT SeriesInstanceUID FROM index
WHERE collection_id = 'nsclc_radiomics' AND Modality = 'CT'
ORDER BY series_size_MB ASC LIMIT 1
""")
uid = df["SeriesInstanceUID"].iloc[0]
out = tempfile.mkdtemp(prefix='idc_dl_')
client.download_from_selection(
downloadDir=out,
seriesInstanceUID=[uid],
quiet=True,
show_progress_bar=False,
source_bucket_location='aws', # 'aws' (default) or 'gcs'
)
files = glob.glob(os.path.join(out, "**/*.dcm"), recursive=True)
print(f"downloaded {len(files)} DICOM files to {out}")
# Size a cohort before downloading
client.download_from_selection(
downloadDir='./preview',
collection_id='nsclc_radiomics',
dry_run=True,
)
Module 5: download_dicom_series (Convenience Wrapper)
Single-series download. Internally calls download_from_selection(seriesInstanceUID=...). Accepts a string or list of UIDs.
import tempfile, glob, os
out = tempfile.mkdtemp(prefix='idc_dl_')
client.download_dicom_series(
seriesInstanceUID=uid, # string or list
downloadDir=out,
quiet=True,
show_progress_bar=False,
)
print("files:", len(glob.glob(os.path.join(out, "**/*.dcm"), recursive=True)))
Module 6: get_viewer_URL (Browser Visualization)
Returns a shareable URL to the IDC OHIF (radiology) or Slim (slide microscopy) viewer. Auto-selects the viewer based on modality if viewer_selector is omitted.
url = client.get_viewer_URL(seriesInstanceUID=uid)
print("Open in browser:", url)
# Force a specific viewer
url_v2 = client.get_viewer_URL(seriesInstanceUID=uid, viewer_selector='ohif_v2')
print(url_v2)
Module 7: Inspecting Downloaded DICOM with pydicom
After download, files are organized under dirTemplate. Use pydicom for header and pixel inspection.
import pydicom, glob, os
dcm_files = sorted(glob.glob(os.path.join(out, "**/*.dcm"), recursive=True))
ds = pydicom.dcmread(dcm_files[0])
print("PatientID:", ds.PatientID)
print("Modality :", ds.Modality)
print("Rows x Cols:", ds.Rows, "x", ds.Columns)
print("Pixel array:", ds.pixel_array.shape)
Key Concepts
Local-First, Auth-Free Architecture
The IDC client is unusual: client = IDCClient() is fully offline for queries. The parque