Surgical control over every DICOM tag.
A native desktop workbench for editing metadata, anonymizing studies to HIPAA PS3.15, and inspecting volumes in 3D. Thousands of tags at 60 fps — and no PHI ever leaves your machine.
Everything you need to read, repair, and release imaging data.
Four core surfaces — the tag tree, the anonymizer, the viewer, and the audit trail — designed to handle real clinical and research workloads without compromise.
Thousands of tags. Zero dropped frames.
A fully virtualized tree renders the deepest nested sequences instantly. Filter by group, element, VR, or value — then bulk-edit across the entire selection and see exactly what changed.
- 60 fps virtualization — scroll 10,000-element datasets with no lag.
- Structured search — query
(0010,*), a keyword, or any value substring. - Bulk edit — apply a value or rule to every matching tag at once.
- Inline validation — VR conformance and type checks as you type.
Anonymize to the standard, not to a guess.
Apply DICOM PS3.15 Annex E confidentiality profiles with the exact option set your protocol requires. UIDs remap consistently across an entire cohort, and pixel-burned PHI and identifiable faces are removed.
- Annex E profiles — Basic, Clean Pixel Data, Clean Descriptors, Retain Longitudinal, and more.
- Consistent UID remapping — one patient stays one patient across every study.
- Face defacing — strip identifiable facial geometry from head MR/CT volumes.
- Private tag handling — keep, remove, or whitelist vendor blocks.
See the whole study, not one slice.
Reconstruct axial, sagittal, and coronal planes with synchronized crosshairs. Move a single reticle and all three planes follow. Window/level, zoom, and measure without ever leaving the app.
- Synchronized crosshairs — one click locates the same voxel in every plane.
- Window/level — right-drag to adjust W/L; left-drag to pan; scroll to zoom.
- Measurement tools — distance, angle, and ROI statistics.
A cryptographic record of every change.
Every edit, anonymization, and export is logged and chained with session hashes — so you can prove exactly what was done to a dataset, and that nothing else was. Export the trail for IRB and compliance review.
- Hash-chained log — tamper-evident session integrity.
- Full provenance — original → derived lineage for every file.
- Exportable — CSV / JSON trails for IRB and audit.
- Non-destructive — originals are never modified in place.
Pixel operations
Crop, resample, reorient, and rescale into derived copies — the original series is never touched.
Format conversion
DICOM → NIfTI, PNG/TIFF frame export, and clean de-identified DICOM resends.
Conformance validation
Check datasets against IOD requirements and surface actionable, tag-level errors.
CLI & automation Coming soon
Desktop-only scriptable CLI for headless DICOM operations and pipeline integration.
Batch & cohorts Coming soon
Run any workflow across thousands of studies with live progress and full rollback.
Local-first by design
Runs entirely on-device — native desktop or the web app. Nothing is ever uploaded.
Built for specific tasks, not a blank canvas.
Designed around real clinical and research tasks — each workflow below maps directly to features the app handles today. A sample across ten categories:
- De-identify multi-center trial export
- Strip private tags from vendor CT
- Deface T1 MPRAGE before release
- Correct Patient ID across a study
- Fix wrong Modality / Body Part
- Batch-set Institution Name
- Split fused series by orientation
- Merge multi-frame into one series
- Renumber instances sequentially
- Crop to ROI for model input
- Resample to isotropic 1 mm
- Reorient to RAS / LPS
- DICOM → NIfTI for analysis
- Export PNG frames for review
- De-identified DICOM resend
- IOD conformance check
- Detect missing required tags
- Verify UID consistency
- Headless batch in CI pipeline
- Route to PACS by rule
- CLI anonymize on ingest
- Enhanced MR multi-frame
- Whole-slide pathology (SM)
- RT structure sets & dose
- Build de-identified training corpus
- Normalize orientation across sites
- Export labels with provenance
- HIPAA Safe Harbor checklist
- GDPR pseudonymization
- IRB-ready audit export
Start free. Buy Pro once.
The viewer and core editor are free, forever, on web and desktop. Unlock production de-identification with a one-time license — no subscription.
- Web app + native desktop
- Virtualized tag tree, search & edit
- Single 2D viewer + window/level
- Basic anonymization (Annex E Basic)
- Batch & cohort processing
- 3D MPR + pixel ops
- Everything in Free
- Full Annex E profiles + UID remapping
- Face defacing for head MR/CT
- 3D MPR viewer + pixel ops
- Batch & cohort processing
- CLI & cryptographic audit export
Your PHI never has to touch the cloud.
Download dcmage and process studies entirely on your own machine — or open the web app and start in seconds.