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MONAI Label — Intelligent Medical Image Labeling

Active-learning annotation server for medical images: auto-segmentation, interactive refinement, OHIF/3D Slicer integration.

@ai-supply
التثبيتات23k
⟳ upstream 0.8.5 · updated 2y ago
↗ مستودع المصدر
← More HealthcareHealthcare leaderboard →How we grade security →Source ↗
! Grade B · 75/100 · ReviewSecurity assessment
✓No compromise signals41capabilities surfaced1known CVE7of 20 OWASP controls clear
External endpoints declaredExternal endpoints declaredSuspicious code patternsBroad capability surface
scanned 18d ago·osv · gitleaks · opengrep · picklescan + heuristics·full breakdown in the Security tab ↓

MONAI Label — Intelligent Medical Image Labeling

MONAI Label is an intelligent open-source medical image annotation tool (distinct from the MONAI training framework). It runs as a server, exposing REST APIs that OHIF Viewer, 3D Slicer, and QuPath call to get AI-generated segmentation suggestions — cutting labeling time by up to 75% through active learning.

Key features

  • Active learning loop: model learns from each correction, improves suggestions over time
  • Pre-built apps for radiology (CT organs, tumors), pathology (nuclei, tissue), and endoscopy
  • REST API makes it embeddable into any DICOM viewer or web app
  • Supports NVIDIA GPUs via CUDA; CPU fallback for inference
  • Ships with 10+ pre-trained MONAI segmentation models

Quick start

pip install monailabel
# Download a pre-built app
monailabel apps --download --name radiology --output apps/
# Download sample data and start the server
monailabel start_server --app apps/radiology --studies ./studies
# Open http://localhost:8000 in OHIF or 3D Slicer
npx ai-supply add monai-label-active-learning

Curated mirror of the open-source MONAI Label (Apache-2.0). Get it from the source.

Rating rank
#1
of 11 in Healthcare
Install rank
#9
of 11 in Healthcare
Security score
75/100 · B
review
Security rank
#10
of 11 in Healthcare
Installs
23k
cat avg 63k
This listing vs category average
Installs
this
cat avg
Security (of 100)
this
cat avg
Adoption trend
See the Healthcare leaderboard →
! Security: Review · 7575/100 · grade Bscanned 18d ago
✓ no compromise signals42 risk-surface · 8/20 OWASP controls flagged

Compromise signals — malicious or tampered code (leaked secrets, backdoors, a dropped executable) — reduce the score, and known dependency CVEs carry a bounded penalty (they warrant review but never QUARANTINE — update the dependency to clear). Other dangerous-by-capability traits are risk surface, expected for some capabilities. Every finding is mapped to its OWASP control below.

What this capability can do · med confidence (static)
⚑ filesystem⚑ shell⚑ network⚑ secrets
egress → www.apache.org, synopsys.atlassian.net, git.io, help.github.com, test.pypi.org, docs.readthedocs.io, keepachangelog.com, medicine.ai.uky.edu +32

Findings mapped to the OWASP Top 10 for LLM Applications (2025) and the OWASP Machine Learning Security Top 10. Expand any flagged control for the exact findings — compromise reduces the score; expected/risk-surface do not, except a known CVE, which carries a small bounded penalty (high/critical → Review).

OWASP Top 10 for LLM Applications
⚠LLM03Supply Chaincritical
Vulnerable/compromised dependencies, models or archives in the artifact.
•Dependency manifest — 14 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/docs/requirements.txtrisk surface
•Dependency manifest — 12 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohif/monai-label/package.jsonrisk surface
•Dependency manifest — 15 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/extensions/monai-label/package.jsonrisk surface
•Dependency manifest — 26 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/modes/monai-label/package.jsonrisk surface
•Dependency manifest — 38 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/requirements.txtrisk surface
•Non-registry dependency source — 1 requirement(s) from git/URL/editable · Project-MONAI-MONAILabel-6ed8f8c/requirements.txt (CWE-829)risk surface
•Dependency manifest — 4 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/sample-apps/vista2d/requirements.txtrisk surface
•Vulnerable dependencies — 136 known vulnerabilities in: filelock@3.20.1, pydicom@3.0.1, pyjwt@2.8.0, python-dotenv@1.0.1, python-multipart@0.0.18, requests@2.32.4, urllib3@2.6.0, diskcache@5.6.3 (CWE-1395)known CVE · -25 pts
⚠LLM05Improper Output Handlinghigh
Code that pipes model/user output into shell, eval, SQL or paths unsafely.
•Suspicious code patterns — destructive rm -rf / · Project-MONAI-MONAILabel-6ed8f8c/.github/workflows/docker-plugin.yml (CWE-78)risk surface
•Suspicious code patterns — OS command execution · Project-MONAI-MONAILabel-6ed8f8c/docs/source/conf.py (CWE-78)risk surface
•Suspicious code patterns — dynamic code execution · Project-MONAI-MONAILabel-6ed8f8c/docs/source/modules.rst (CWE-95)risk surface
⚠LLM06Excessive Agencyhigh
Over-broad tool/permission surface or unrestricted egress.
•External endpoints declared — 1 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/.dockerignorerisk surface
•External endpoints declared — 2 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/.github/workflows/blossom-ci.ymlrisk surface
•Broad capability surface — 3 high-impact capability categories referenced — verify least-privilege · Project-MONAI-MONAILabel-6ed8f8c/.github/workflows/docker.yml (CWE-272)risk surface
•External endpoints declared — 6 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/CHANGELOG.mdrisk surface
•External endpoints declared — 3 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/CITATION.cffrisk surface
•Egress to a private/loopback host — 127.0.0.1 · Project-MONAI-MONAILabel-6ed8f8c/README.md (CWE-918)risk surface
•External endpoints declared — 25 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/README.mdrisk surface
•External endpoints declared — 4 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/conf.pyrisk surface
•External endpoints declared — 5 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/index.rstrisk surface
•Egress to a private/loopback host — 127.0.0.1, 0.0.0.0 · Project-MONAI-MONAILabel-6ed8f8c/docs/source/installation.rst (CWE-918)risk surface
•External endpoints declared — 21 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/installation.rstrisk surface
•External endpoints declared — 10 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/quickstart.rstrisk surface
•Egress to a private/loopback host — 10.117.19.88 · Project-MONAI-MONAILabel-6ed8f8c/monailabel/datastore/cvat.py (CWE-918)risk surface
•Egress to a private/loopback host — 0.0.0.0 · Project-MONAI-MONAILabel-6ed8f8c/monailabel/datastore/dsa.py (CWE-918)risk surface
•Egress to a private/loopback host — 10.117.16.216 · Project-MONAI-MONAILabel-6ed8f8c/plugins/dsa/cli/MONAILabelAnnotation/MONAILabelAnnotation.py (CWE-918)risk surface
•Broad capability surface — 4 high-impact capability categories referenced — verify least-privilege · Project-MONAI-MONAILabel-6ed8f8c/plugins/slicer/MONAILabel/MONAILabel.py (CWE-272)risk surface
•External endpoints declared — 8 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/plugins/slicer/MONAILabel/MONAILabel.pyrisk surface
•External endpoints declared — 9 distinct host(s) · Project-MONAI-MONAILabel-6ed8f8c/sample-apps/pathology/README.mdrisk surface
⚠LLM07System Prompt Leakagemedium
Secrets, internal hosts or proprietary logic exposed in shipped prompts.
•Internal host / private infrastructure reference — shipped content references a private IP range or internal-only host · Project-MONAI-MONAILabel-6ed8f8c/monailabel/datastore/cvat.py (CWE-200)risk surface
•Low-confidence secret match — 1 possible: generic-api-key · Project-MONAI-MONAILabel-6ed8f8c/plugins/dsa/cli/MONAILabelAnnotation/MONAILabelAnnotation.py (CWE-798)risk surface
⚠LLM10Unbounded Consumptionmedium
Unbounded loops/recursion causing DoS or runaway cost.
Enforced at runtime by the gateway (rate limits + spend caps + size caps); static check flags unbounded loops.
•Potentially unbounded loop — an infinite loop (while True / while(1) / for(;;)) may cause runaway consumption · Project-MONAI-MONAILabel-6ed8f8c/monailabel/datastore/local.py (CWE-835)risk surface
⚠LLM02Sensitive Information Disclosurelow
Secrets, credentials or PII shipped inside the artifact.
•Low-confidence secret match — 1 possible: generic-api-key · Project-MONAI-MONAILabel-6ed8f8c/plugins/dsa/cli/MONAILabelAnnotation/MONAILabelAnnotation.py (CWE-798)risk surface
§LLM09MisinformationGovernance
Artifacts designed to produce false/deceptive output.
Detectable only by runtime behavioral evaluation; addressed via responsible-use attestation.
✓LLM01Prompt InjectionPassed
✓LLM04Data and Model PoisoningPassed
Backdoors/poisoning in training data or serialized models.
Behavioral poisoning needs model execution; static check covers unsafe serialization + dataset skew only.
✓LLM08Vector and Embedding WeaknessesPassed
PII or plaintext source leakage in embedding/vector exports.
Embedding inversion/poisoning is largely runtime; static check covers PII in vector exports.
OWASP Machine Learning Security Top 10
⚠ML06AI Supply Chaincritical
Compromised PyPI/npm packages, typosquats, unsafe serialized models.
•Dependency manifest — 14 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/docs/requirements.txtrisk surface
•Dependency manifest — 12 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohif/monai-label/package.jsonrisk surface
•Dependency manifest — 15 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/extensions/monai-label/package.jsonrisk surface
•Dependency manifest — 26 npm dependencies declared · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/modes/monai-label/package.jsonrisk surface
•Dependency manifest — 38 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/requirements.txtrisk surface
•Non-registry dependency source — 1 requirement(s) from git/URL/editable · Project-MONAI-MONAILabel-6ed8f8c/requirements.txt (CWE-829)risk surface
•Dependency manifest — 4 pip requirements declared · Project-MONAI-MONAILabel-6ed8f8c/sample-apps/vista2d/requirements.txtrisk surface
•Vulnerable dependencies — 136 known vulnerabilities in: filelock@3.20.1, pydicom@3.0.1, pyjwt@2.8.0, python-dotenv@1.0.1, python-multipart@0.0.18, requests@2.32.4, urllib3@2.6.0, diskcache@5.6.3 (CWE-1395)known CVE · -25 pts
⚠ML09Output Integrityhigh
Middleware tampering with model outputs in transit.
Gateway enforces TLS + response integrity; static check flags output-rewriting code.
•Suspicious code patterns — destructive rm -rf / · Project-MONAI-MONAILabel-6ed8f8c/.github/workflows/docker-plugin.yml (CWE-78)risk surface
•Suspicious code patterns — OS command execution · Project-MONAI-MONAILabel-6ed8f8c/docs/source/conf.py (CWE-78)risk surface
•Suspicious code patterns — dynamic code execution · Project-MONAI-MONAILabel-6ed8f8c/docs/source/modules.rst (CWE-95)risk surface
§ML01Input Manipulation (Adversarial)Governance
Models vulnerable to adversarial perturbations.
Requires runtime robustness evaluation; addressed via publisher robustness attestation.
§ML03Model InversionGovernance
Training data reconstructable from a model's outputs.
Runtime/evaluation property; addressed via model-card data-provenance + DP attestation.
§ML04Membership InferenceGovernance
Determining whether a record was in the training set.
Runtime/evaluation property; addressed via overfitting disclosure + DP attestation.
§ML08Model SkewingGovernance
Models trained on skewed data producing biased output.
Requires fairness evaluation; addressed via model-card bias/limitations disclosure.
✓ML02Data PoisoningPassed
Poisoned training datasets with triggers or anomalous distributions.
Static check covers trigger phrasing, PII and label skew; full poisoning detection is runtime.
✓ML05Model TheftPassed
Unlicensed re-distribution / license-incompatible derivatives.
Static check verifies license declaration; extraction throttling is runtime.
✓ML07Transfer Learning AttackPassed
Backdoored base models / LoRA adapters propagating to derivatives.
Backdoor detection needs behavioral probing; static check covers unsafe serialization + provenance.
✓ML10Model Poisoning (Weights)Passed
Tampered model weight files; integrity must be verifiable.
Static check enforces safe formats + records a content hash for downstream verification.
Other findings (33) · hygiene / uncategorized
•Unrecognized file type — '.dockerignore' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/.dockerignorerisk surface
•Unrecognized file type — '.gitignore' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/.gitignorerisk surface
•Unrecognized file type — '.cff' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/CITATION.cffrisk surface
•Unrecognized file type — '.?' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/Dockerfilerisk surface
•Unrecognized file type — '.in' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/MANIFEST.inrisk surface
•Suspicious network references — raw IP URL (83 URLs) · Project-MONAI-MONAILabel-6ed8f8c/README.mdrisk surface
•Suspicious network references — raw IP URL (3 URLs) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/appdeployment.rstrisk surface
•Suspicious network references — raw IP URL (42 URLs) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/installation.rstrisk surface
•Suspicious network references — raw IP URL (37 URLs) · Project-MONAI-MONAILabel-6ed8f8c/docs/source/quickstart.rstrisk surface
•Suspicious network references — raw IP URL (2 URLs) · Project-MONAI-MONAILabel-6ed8f8c/monailabel/client/client.pyrisk surface
•Suspicious network references — raw IP URL (4 URLs) · Project-MONAI-MONAILabel-6ed8f8c/monailabel/datastore/xnat.pyrisk surface
•Disallowed file type — '.bat' executables are not permitted · Project-MONAI-MONAILabel-6ed8f8c/monailabel/scripts/monailabel.bat (CWE-434)risk surface
•Suspicious network references — URL shortener (2 URLs) · Project-MONAI-MONAILabel-6ed8f8c/monailabel/utils/others/planner.pyrisk surface
•Suspicious network references — raw IP URL (5 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/cellprofiler/runvista2d.pyrisk surface
•Suspicious network references — raw IP URL (1 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/cellprofiler/test_runvista2d.pyrisk surface
•Suspicious network references — raw IP URL (9 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/cvat/README.mdrisk surface
•Suspicious network references — raw IP URL (10 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/dsa/README.mdrisk surface
•Suspicious network references — raw IP URL (11 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohif/README.mdrisk surface
•Unrecognized file type — '.styl' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohif/monai-label/src/components/ModelSelector.stylrisk surface
•Unrecognized file type — '.types' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/config/mime.typesrisk surface
•Unrecognized file type — '.conf' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/config/nginx.confrisk surface
•Unrecognized file type — '.patch' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/extensions.patchrisk surface
•Unrecognized file type — '.prettierrc' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/ohifv3/extensions/monai-label/.prettierrcrisk surface
•Unrecognized file type — '.gradle' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/qupath/build.gradlerisk surface
•Unrecognized file type — '.bkp' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/qupath/src/main/java/qupath/module-info.java.bkprisk surface
•Unrecognized file type — '.qupathextension' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/qupath/src/main/resources/META-INF/services/qupath.lib.gui.extensions.QuPathExtensionrisk surface
•Unrecognized file type — '.ui' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/plugins/slicer/MONAILabel/Resources/UI/LoginDialog.uirisk surface
•Suspicious network references — raw IP URL (6 URLs) · Project-MONAI-MONAILabel-6ed8f8c/plugins/slicer/MONAILabelReviewer/MONAILabelReviewer.pyrisk surface
•Suspicious network references — suspicious TLD (19 URLs) · Project-MONAI-MONAILabel-6ed8f8c/sample-apps/monaibundle/README.mdrisk surface
•Suspicious network references — raw IP URL (13 URLs) · Project-MONAI-MONAILabel-6ed8f8c/sample-apps/pathology/README.mdrisk surface
•Unrecognized file type — '.cfg' is not on the allowlist · Project-MONAI-MONAILabel-6ed8f8c/setup.cfgrisk surface
•Suspicious network references — suspicious TLD (6 URLs) · Project-MONAI-MONAILabel-6ed8f8c/tests/setup.pyrisk surface
•Suspicious network references — raw IP URL (14 URLs) · Project-MONAI-MONAILabel-6ed8f8c/tests/unit/client/test_client.pyrisk surface
✔ verified source · pinned Project-MONAI-MONAILabel-6ed8f8c
Check against a policy

The same gate an agent runs before installing (POST /api/v1/trust/monai-label-active-learning/check). Click a policy:

Consume MONAI Label — Intelligent Medical Image Labeling programmatically. Authenticate with an API key or session — see Authorize an agent.

# Agents: CHECK BEFORE YOU INSTALL (no auth) — score, grade, level, capability manifest
curl https://ai-supply.store/api/v1/trust/monai-label-active-learning

# Gate against your org policy (returns { pass, violations })
curl -X POST https://ai-supply.store/api/v1/trust/monai-label-active-learning/check \
  -H "Content-Type: application/json" \
  -d '{"minGrade":"B","denyPermissions":["shell"],"denyUnknownEgress":true}'

# CLI
npx ai-supply add monai-label-active-learning

# REST (install → download)
curl -X POST https://ai-supply.store/api/v1/listings/monai-label-active-learning/install \
  -H "Authorization: Bearer $AIM_KEY"

# MCP tool
install_listing({ "slug": "monai-label-active-learning" })
OpenAPI spec →
vlatest
! Security: Review · 751mo ago

Curated mirror — latest upstream source. See the repository for tagged releases.

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