OHIF Medical Imaging Viewer

	Measurement Tracking	Demo
	Labelmap Segmentations	Demo
	Fusion and Custom Hanging protocols	Demo
	Volume Rendering	Demo
	PDF	Demo
	RT STRUCT	Demo
	4D	Demo
	Video	Demo
	Slide Microscopy	Demo
	ECG Waveform	Demo

The OHIF Viewer can retrieve and load images from most sources and formats, render sets in 2D, 3D, and reconstructed representations; allows for the manipulation, annotation, and serialization of observations; supports internationalization, OpenID Connect, offline use, hotkeys, and many more features.

Almost everything offers some degree of customization and configuration. If it doesn't support something you need, we accept pull requests and have an ever improving Extension System.

The OHIF Viewer is a collaborative effort that has served as the basis for many active, production, and FDA Cleared medical imaging viewers. It benefits from our extensive community's collective experience, and from the sponsored contributions of individuals, research groups, and commercial organizations.

After more than 8-years of integrating with many companies and organizations, The OHIF Viewer has been rebuilt from the ground up to better address the varying workflow and configuration needs of its many users. All of the Viewer's core features are built using its own extension system. The same extensibility that allows us to offer:

• 2D and 3D medical image viewing
• Multiplanar Reconstruction (MPR)
• Maximum Intensity Project (MIP)
• Whole slide microscopy viewing
• PDF and Dicom Structured Report rendering
• Segmentation rendering as labelmaps and contours
• User Access Control (UAC)
• Context specific toolbar and side panel content
• and many others

Can be leveraged by you to customize the viewer for your workflow, and to add any new functionality you may need (and wish to maintain privately without forking).

• Report a Bug 🐛
• Request a Feature 🚀
• Ask a Question 🤗
• Slack Channel

For commercial support, academic collaborations, and answers to common questions; please use Get Support to contact us.

• master - The latest dev release

This is typically where the latest development happens. Code that is in the master branch has passed code reviews and automated tests, but it may not be deemed ready for production. This branch usually contains the most recent changes and features being worked on by the development team. It's often the starting point for creating feature branches (where new features are developed) and hotfix branches (for urgent fixes).

Each package is tagged with beta version numbers, and published to npm such as @ohif/ui@3.6.0-beta.1

Once the master branch code reaches a stable, release-ready state, we conduct a comprehensive code review and QA testing. Upon approval, we create a new release branch from master. These branches represent the latest stable version considered ready for production.

For example, release/3.5 is the branch for version 3.5.0, and release/3.6 is for version 3.6.0. After each release, we wait a few days to ensure no critical bugs. If any are found, we fix them in the release branch and create a new release with a minor version bump, e.g., 3.5.1 in the release/3.5 branch.

Each package is tagged with version numbers and published to npm, such as @ohif/ui@3.5.0. Note that master is always ahead of the release branch. We publish docker builds for both beta and stable releases.

Here is a schematic representation of our development workflow:

• Yarn 1.20.0+
• Node 18+
• Yarn Workspaces should be enabled on your machine:
  • yarn config set workspaces-experimental true

1. Fork this repository
2. Clone your forked repository
   • git clone https://github.com/YOUR-USERNAME/Viewers.git
3. Navigate to the cloned project's directory
4. Add this repo as a remote named upstream
   • git remote add upstream https://github.com/OHIF/Viewers.git
5. yarn install --frozen-lockfile to restore dependencies and link projects

:::danger In general run yarn install with the --frozen-lockfile flag to help avoid supply chain attacks by enforcing reproducible dependencies. That is, if the yarn.lock file is clean and does NOT reference compromised packages, then no compromised packages should land on your machine by using this flag. :::

From this repository's root directory:

# Enable Yarn Workspaces
yarn config set workspaces-experimental true

# Restore dependencies
yarn install --frozen-lockfile

OHIF's Playwright end-to-end tests can run against a CS3D branch or a published CS3D version, allowing changes that span both repositories to be validated together before merging.

Add a CS3D_REF: line to the PR body. No label is involved — the line itself is the request.

The line must sit at the top level of the body. A line inside a fenced code block, inside an indented code block (four spaces or more), or inside an HTML comment is an example rather than a request, so you can document this syntax in a PR without triggering it. The PR template is mostly HTML comments, so write the line outside them. The workflow prints a warning when it ignores a CS3D_REF: line for one of these reasons, and it fails when the block that hides the line is never closed.

CS3D_REF: feat/my-feature

The line takes one of three forms:

Three rules are worth knowing:

• The branch must live in cornerstonejs/cornerstone3D. The <owner>:<branch> form is no longer accepted: it let a PR point the clone at any GitHub account and run that account's install scripts on the shared self-hosted runner. Push your branch to the CS3D repository instead.
• There is no default. A PR with no CS3D_REF line runs the ordinary Playwright suite against the CS3D version this repo already pins. The same holds for a manual run with an empty cs3d_ref box.
• From a fork, an integration run needs approval. The run waits on the cs3d-integration environment until one of the named reviewers approves that specific run, because it builds and executes CS3D code on a shared machine. A PR from a branch in this repository proceeds unattended.

The workflow can also be triggered manually via workflow_dispatch with a cs3d_ref input, which accepts the same three forms.

The Playwright workflow runs three jobs:

A PR from a fork that changes a CI-defining file does not run Playwright on the self-hosted runner. It runs once the change is reviewed and merged. The affected paths are .github/, .scripts/, pnpm-lock.yaml, pnpm-workspace.yaml, preinstall.js, any root pnpmfile, and every package.json and .npmrc in the workspace, not only the ones in the root directory.

Those manifests are on the list deliberately: pnpm install runs the lifecycle scripts of each workspace project on the runner, so a postinstall added to extensions/<name>/package.json executes there before any test starts. The cost is that a fork PR which only adds a dependency to one extension waits for its merge before Playwright runs. A PR from a branch in this repository is not affected by either rule.

If a feature requires changes in both Cornerstone3D and OHIF:

1. Create your feature branch in the cornerstonejs/cornerstone3D repository and push it.
2. Create a matching branch in OHIF.
3. In the PR body, add: CS3D_REF: <your-cs3d-branch>.
4. Playwright tests build CS3D from source, link it, and run the full suite. The merge guard reports a red result for as long as the line names a branch, so you can see the test results and the preview deploy while you iterate.
5. Once the CS3D side is merged and published, change the line to the retiring form below.

Once the CS3D fix ships, change the line rather than deleting it:

CS3D_REF: feat/my-feature now 5.10.6

The version after now is a record, not a request. It never moves the pin backwards: on every run the workflow compares it against the version this repo pins and keeps whichever is newer. So a line still saying now 5.10.6 in a repo that has moved on to 5.11.0 tests 5.11.0, not 5.10.6.

That is what lets the line stay in place as history — the branch name remains visible as the reason the pinned version moved, and the line stops changing what the run does. Once the repo pins that version or something newer, no rewrite happens, no reinstall happens, and no preview is built or deployed. The version must be one concrete release, such as 5.10.6 or 5.11.0-beta.1, not a range.

A fork PR still asks for the cs3d-integration approval while the line is present, even after the line is spent, because the gate has no checkout and cannot tell which version the repo pins. Delete the line to stop the prompt.

When a CS3D_REF line changes the tree under test, the Playwright workflow also builds the OHIF viewer and deploys it to Netlify as a preview. This gives you a live URL to manually test the combined CS3D + OHIF changes without running anything locally. A spent retiring form tests the same tree as an ordinary run, so it does not produce a preview.

For details on linking CS3D locally for development, see the Cornerstone3D README.

These commands are available from the root directory. Each project directory also supports a number of commands that can be found in their respective README.md and package.json files.

* - For more information on different builds, check out our Deploy Docs

The dev server and the production build select a different default configuration file when APP_CONFIG is not set explicitly:

• config/dev.js is the full-featured local-development config: every data source is enabled, the ?customization= URL feature is turned on (via customizationUrlPrefixes), and it is kept at parity with the public demo (config/netlify.js) so customizations behave locally the same way they do on the demo.
• config/netlify.js is the public demo / Netlify deploy config (build:viewer:ci), with the same full data-source set and ?customization= enabled.
• config/default.js is a locked-down baseline and is now only the default for a plain production build (build with no APP_CONFIG): a single read-only demo data source and ?customization= off.

Any explicit APP_CONFIG overrides the default, e.g. APP_CONFIG=config/default.js pnpm run dev or APP_CONFIG=config/netlify.js pnpm run build.

The OHIF Medical Image Viewing Platform is maintained as a monorepo. This means that this repository, instead of containing a single project, contains many projects. If you explore our project structure, you'll see the following:

.
├── extensions               #
│   ├── _example             # Skeleton of example extension
│   ├── default              # basic set of useful functionalities (datasources, panels, etc)
│   ├── cornerstone       # image rendering and tools w/ Cornerstone3D
│   ├── cornerstone-dicom-sr # DICOM Structured Report rendering and export
│   ├── cornerstone-dicom-sr # DICOM Structured Report rendering and export
│   ├── cornerstone-dicom-seg # DICOM Segmentation rendering and export
│   ├── cornerstone-dicom-rt # DICOM RTSTRUCT rendering
│   ├── cornerstone-microscopy # Whole Slide Microscopy rendering
│   ├── dicom-pdf # PDF rendering
│   ├── dicom-video # DICOM RESTful Services
│   ├── measurement-tracking # Longitudinal measurement tracking
│   ├── tmtv # Total Metabolic Tumor Volume (TMTV) calculation
|

│
├── modes                    #
│   ├── _example             # Skeleton of example mode
│   ├── basic-dev-mode       # Basic development mode
│   ├── longitudinal         # Longitudinal mode (measurement tracking)
│   ├── tmtv       # Total Metabolic Tumor Volume (TMTV) calculation mode
│   └── microscopy          # Whole Slide Microscopy mode
│
├── platform                 #
│   ├── core                 # Business Logic
│   ├── i18n                 # Internationalization Support
│   ├── ui                   # React component library
│   ├── docs                 # Documentation
│   └── viewer               # Connects platform and extension projects
│
├── ...                      # misc. shared configuration
├── lerna.json               # MonoRepo (Lerna) settings
├── package.json             # Shared devDependencies and commands
└── README.md                # This file

To acknowledge the OHIF Viewer in an academic publication, please cite

Open Health Imaging Foundation Viewer: An Extensible Open-Source Framework for Building Web-Based Imaging Applications to Support Cancer Research

Erik Ziegler, Trinity Urban, Danny Brown, James Petts, Steve D. Pieper, Rob Lewis, Chris Hafey, and Gordon J. Harris

JCO Clinical Cancer Informatics, no. 4 (2020), 336-345, DOI: 10.1200/CCI.19.00131

Open-Access on Pubmed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259879/

or, for v1, please cite:

LesionTracker: Extensible Open-Source Zero-Footprint Web Viewer for Cancer Imaging Research and Clinical Trials

Trinity Urban, Erik Ziegler, Rob Lewis, Chris Hafey, Cheryl Sadow, Annick D. Van den Abbeele and Gordon J. Harris

Cancer Research, November 1 2017 (77) (21) e119-e122 DOI: 10.1158/0008-5472.CAN-17-0334

Note: If you use or find this repository helpful, please take the time to star this repository on GitHub. This is an easy way for us to assess adoption and it can help us obtain future funding for the project.

This work is supported primarily by the National Institutes of Health, National Cancer Institute, Informatics Technology for Cancer Research (ITCR) program, under a grant to Dr. Gordon Harris at Massachusetts General Hospital (U24 CA199460).

NCI Imaging Data Commons (IDC) project supported the development of new features and bug fixes marked with "IDC:priority", "IDC:candidate" or "IDC:collaboration". NCI Imaging Data Commons is supported by contract number 19X037Q from Leidos Biomedical Research under Task Order HHSN26100071 from NCI. IDC Viewer is a customized version of the OHIF Viewer.

This project is tested with BrowserStack. Thank you for supporting open-source!

MIT © OHIF