Profile-Imaging Skill

SkillDatabases & data

Profile a medical-imaging dataset before any modelling decision is made — the acquisition grid, voxel spacing and orientation spread, the intensity domain, which label values are actually present, how much of the volume the target occupies, and how large the target is in millilitres — then gate that profile against the researcher's declared plan. Catches, at the point where it is still cheap, the dataset facts that otherwise surface after a training run: a "test set" that carries no ground truth, labels whose grid does not match their image, a stray label index, a target occupying a fraction of a percent while accuracy is planned as a metric, and acquisition heterogeneity nobody declared a resampling decision for. Emits a dataset-profile JSON and a deterministic gate that reads it (stdlib-only, so an audit travels with the JSON). It describes the data and audits the plan against it; it does not preprocess, split, or train.

Available today. Use it from your connected AI after setup.

Connect ahel once, and every AI you use reads what you have installed.

Then ask your AI: use the Profile-Imaging Skill skill

What this skill tells your AI

The instructions your AI receives, as published by aperivue/medsci-skills in skills/profile-imaging/SKILL.md and read by ahel’s review.

Purpose

A dataset decides more of a study than the architecture does, and it decides it first. Before anything is preprocessed, split, or trained, a handful of facts are already true about the data, and each one closes off or opens up a research plan:

  • If the target occupies 0.4 % of the volume, accuracy is not a metric — predicting background everywhere scores 99.6 %.
  • If through-plane spacing runs 1.5–8 mm inside a single institution, resampling is not a default to accept quietly; it is the most consequential preprocessing choice in the study, and it is also the axis along which an external dataset will differ.
  • If the directory named imagesTs has no labels, it is not a test set, and the held-out set has to come from somewhere else — better known before training than after.
  • If the organ volume spans 56–502 mL when normal is roughly 100–250, the cohort contains disease that a subgroup analysis should be pre-specified for, rather than discovered post hoc.

None of that requires a model, a GPU, or an engineer. It requires reading every file once and writing down what is there. This skill does that, and then audits the plan against it.

It is the front door of the model-engineering lane: profile-imaging (describe)/design-study + /architecture-zoo (decide) → /preprocess-imaging (plan the pipeline) → /model-scaffold (build) → /model-validation/model-evaluation.

When to use

  • You have a dataset and a task, and need to know what the data will and will not support before committing to a plan.
  • You inherited a dataset and need its integrity established (labels intact, splits labelled, label values as declared) before anyone trains on it.
  • You are about to write a Methods section that describes the cohort and its acquisition.

When NOT to use

  • Tabular / clinical variables → /generate-codebook (data dictionary) and /clean-data.
  • Designing the preprocessing pipeline and auditing it for data-stage leakage → /preprocess-imaging (it consumes what this skill describes).
  • Auditing the train/val/test split table → /model-validation.
  • Choosing an architecture → /architecture-zoo. Building the repo → /model-scaffold.
  • Held-out metrics, calibration, subgroup results → /model-evaluation then /analyze-stats.

Workflow

Step 1 — profile every case

python3 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 — which is itself a finding.

--target-label on a multi-structure atlas. Foreground defaults to every non-zero index, which is the whole annotated anatomy. Run a single-organ study against a 15-organ atlas and the reported fraction describes the upper abdomen, not the target — measured on AMOS22 that is 3.2 % rather than the spleen's 0.2 %, so the pooled number sits above the 1 % imbalance threshold while the real 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, which a multi-organ label file otherwise hides behind the other organs. 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.

Requires nibabel + numpy (it has to open images). The gate below does not.

Step 2 — gate the profile against the declared plan

python3 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. Verdicts:

VerdictSeverityFires when
LABEL_SHAPE_MISMATCHMajorlabel grid ≠ image grid
LABEL_EMPTYMajora labelled case has zero foreground
LABEL_VALUE_UNEXPECTEDMajorlabel values outside the declared set
TEST_SET_UNLABELLEDMajora split whose name contains test/held-out/external/eval carries no labels
ACCURACY_UNDER_IMBALANCEMajoraccuracy is planned while the target is a sliver of the volume
LABEL_MISSINGMinora case in a labelled split has no label file
SPACING_HETEROGENEOUSMinorspacing spans ≥ ratio on an axis and no resampling is declared
ORIENTATION_MIXEDMinor>1 orientation code and no reorientation declared
INTENSITY_SCALE_INCONSISTENTMinorsome cases sit on the HU scale and others do not
EXTREME_IMBALANCEMinormedian foreground below the threshold with no Dice-family loss
TARGET_LABEL_UNDECLAREDMinor>1 structure declared but no target named, so foreground pools them all

The gate flags an undeclared decision, not variability itself. A dataset with 5× spacing spread and two orientation codes passes cleanly once resampling and reorientation are declared — heterogeneity that has been dealt with is not a defect. That distinction is what the challenge card's clean fixture exists to prove.

--spacing-ratio (default 2.0) and --imbalance-frac (default 0.01) are screening defaults, not published cut-points: 2× through-plane spacing changes what a fixed-size patch sees, and 1 % foreground is roughly where plain accuracy stops carrying information. Both are adjustable and both are printed in the output, so a reader knows what was applied.

Step 3 — turn the profile into research decisions

The profile is evidence; the decisions are yours, and the ones worth writing down are:

  1. Resampling target — from the spacing distribution, not from a tutorial default. Carry it into /preprocess-imaging as a declared transform.
  2. Loss and metric family — from the foreground fraction. Segmentation reports Dice and a boundary metric per structure (/model-evaluation); accuracy is not on the list.
  3. Pre-specified subgroups — from the clinical spread the profile reveals (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. This is the honest seed of the Limitations paragraph, written before the results can bias it.

Record these in the study record so /design-study, /preprocess-imaging, and eventually /write-paper inherit them rather than re-deriving them.

Outputs

  • eda/profile.json — per-case dataset profile (the artifact downstream skills read).
  • qc/dataset_profile.json — deterministic audit with verdicts.
  • Decision notes for the study record (resampling target, loss/metric family, pre-specified subgroups, held-out provenance, cohort limitations).

Forbidden

  • Reporting a profile figure that was not computed from the files (no remembered spacings, no assumed label indices — open the labels and look).
  • Declaring an audit pass without running the gate.
  • Using a split's images as a held-out test set when the profile says it has no labels.
  • Reading --spacing-ratio / --imbalance-frac defaults as published thresholds.

Anti-Hallucination

  • Never report a profile figure that was not computed from the files. Spacings, label indices, foreground fractions and organ volumes come from opening every image and label — not from a dataset's documentation, not from what a similar dataset looked like, and not from memory. A dataset's README can be wrong about its own label indices; the labels cannot.
  • Never report a profile audit "pass" without running check_dataset_profile.py. The verdicts are re-derived from the profile JSON by rule and arithmetic; a prose claim that the data "looks fine" is not the audit.
  • Never treat an unlabelled split as a test set. If the profile says a split has no labels, no held-out metric can come from it, however the directory is named.
  • Never present --spacing-ratio / --imbalance-frac as published cut-points. They are screening defaults; the values applied are printed in the output and belong in the Methods.

Validation

python3 scripts/check_dataset_profile.py --profile <profile.json> --strict
bash scripts/check_dataset_profile_challenge/verify.sh   # deterministic, network-free
bash tests/test_dataset_profile.sh

Signals

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Sep 2026
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profile-imaging
Source
github.com/aperivue/medsci-skills