Medical imaging technology montage showing CT, MRI, and X-ray scans

Medical Imaging Annotation at Scale

Every modality. Every subspecialty. Physician-grade accuracy from radiology to pathology. DICOM-native workflows that integrate directly into your ML pipeline.

Imaging Modalities

CT Scans

Multi-slice annotation for lung nodule detection, liver lesion segmentation, brain hemorrhage classification, and abdominal organ delineation across axial, coronal, and sagittal planes.

MRI

Brain structure segmentation, cardiac function analysis, musculoskeletal injury grading, and tumor volumetry across T1, T2, FLAIR, and contrast-enhanced sequences.

X-ray

Chest pathology classification, fracture detection and grading, dental panoramic annotation, foreign body localization, and line/tube placement verification.

Ultrasound

Obstetric biometry, cardiac echocardiography measurements, abdominal organ assessment, and thyroid nodule characterization with TI-RADS scoring.

PET/SPECT

Oncology staging with SUV quantification, metabolic activity mapping, neurological tracer distribution, and fusion annotation with co-registered CT or MRI.

Mammography

Mass detection and characterization, calcification classification, breast density assessment, and BI-RADS category assignment by fellowship-trained breast imagers.

Digital Pathology

Whole slide image (WSI) annotation, cytology cell classification, immunohistochemistry (IHC) scoring, tumor grading, and mitotic figure detection at 40x magnification.

Fundoscopy

Retinal vessel segmentation, diabetic retinopathy grading, glaucoma optic disc analysis, age-related macular degeneration (AMD) classification, and drusen quantification.

Annotation Types

  • 2D bounding boxes, polygons, and polylines
  • Semantic and instance segmentation
  • 3D volumetric annotation across slices
  • Keypoint and landmark detection
  • Classification and grading labels
  • Temporal annotation for video and cine sequences

Data Formats

Input

DICOM, NIfTI, SVS, NDPI, PNG, JPEG, TIFF

Output

COCO, Pascal VOC, YOLO, custom JSON/XML

Integration

RESTful API, S3 bucket sync, webhook notifications

Why LabelCore for Medical Imaging

Subspecialty Matching

Every imaging study is annotated by a physician who reads that modality professionally. Neuroradiologists for brain MRI. Breast imagers for mammography. Pathologists for WSI. Clinical judgment is the annotation.

DICOM-Native

We work with DICOM files directly: no lossy PNG conversion, no metadata loss, no windowing errors. Our platform preserves the full bit depth, window/level settings, and spatial metadata your models need.

Regulatory-Ready

Gold Standard annotations meet the evidentiary requirements for FDA 510(k) and De Novo submissions. Full audit trails, annotator credentials on record, and inter-annotator agreement metrics included with every delivery.

Scale Without Compromise

From 1,000 images to 10 million. Our parallel annotation teams maintain quality at volume, with each team calibrated against the same gold-standard reference set with continuous inter-rater reliability monitoring.

Quality Tiers

TierAccuracyMethodBest For
Gold Standard99%+Physician-only, dual reviewFDA submissions, clinical validation, peer-reviewed research
Hybrid Intelligence93%+AI pre-annotation + physician reviewProduction models, large-scale segmentation, detection pipelines
Ready Datasets85%+Pre-labeled, physician-sampled QAPrototyping, feasibility studies, model benchmarking

Explore by Specialty

Frequently Asked Questions

What medical imaging formats do you support?+
We support all major medical imaging formats: DICOM (.dcm), NIfTI (.nii, .nii.gz), whole slide imaging formats (SVS, NDPI, MRXS, SCN), and standard image formats (PNG, JPEG, TIFF). Our platform handles multi-frame DICOM, compressed transfer syntaxes, and proprietary scanner formats from all major manufacturers.
How are annotators matched to imaging modalities?+
We use subspecialty matching to ensure clinical accuracy. Neuroradiologists annotate brain imaging, fellowship-trained breast imagers handle mammography, pathologists annotate whole slide images, and ophthalmologists handle retinal imaging. This ensures every annotation carries the clinical judgment of a specialist who reads these studies professionally.
What's the maximum dataset size?+
There is no maximum. We scale from 1,000 images to 10 million+ with the same SLA and quality guarantees. Our annotation infrastructure is designed for throughput. We maintain parallel annotation teams that can be spun up within 48 hours of onboarding. Enterprise clients routinely process datasets exceeding 500,000 studies per quarter.
Do you support 3D volumetric annotation?+
Yes. We perform slice-by-slice annotation across CT and MRI volumes with interpolation tools, 3D rendering for verification, and multi-planar reconstruction (MPR) views. Annotators can segment structures in axial, coronal, and sagittal planes simultaneously, with automatic contour propagation and physician review of every fifth slice at minimum.
What's the typical turnaround?+
Onboarding takes 48 hours, including schema review, annotator training, and pilot batch calibration. First deliverables arrive within 2 weeks. For the Hybrid Intelligence tier with AI pre-annotation, throughput is up to 10x faster than manual-only workflows. Enterprise SLAs with guaranteed weekly delivery cadence are available.

Start Your Medical Imaging Project

Share your imaging modality, dataset size, and annotation requirements. We'll assign subspecialty-matched physicians and deliver a pilot batch within two weeks.