# Copyright (c) 2026 Guy's and St Thomas' NHS Foundation Trust & King's College London # Licensed under the Apache License, Version 2.0 (the "License"); # you may not use this file except in compliance with the License. # You may obtain a copy of the License at # http://www.apache.org/licenses/LICENSE-2.0 # Unless required by applicable law or agreed to in writing, software # distributed under the License is distributed on an "AS IS" BASIS, # WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. # See the License for the specific language governing permissions and # limitations under the License. """MONAI transforms for chest-X-ray inputs.""" import json from pathlib import Path import monai.transforms as mt def load_spatial_shape() -> list[int]: """Read ``spatial_shape`` from the ``config.json`` next to this file.""" with open(Path(__file__).parent / "config.json", "r") as f: return list(json.load(f)["spatial_shape"]) SPATIAL_SHAPE = load_spatial_shape() def to_grayscale(image): """Average an ``(H, W, 3)`` RGB-stored radiograph to ``(H, W)``; grayscale passes through.""" if image.ndim == 3 and image.shape[-1] == 3: return image.float().mean(dim=-1) return image def get_xray_transforms(is_validation: bool = False) -> mt.Compose: """Return the MONAI transforms used for chest-X-ray training/validation. Args: is_validation (bool): When True, skip random augmentation. Returns: mt.Compose: Composed transform pipeline keyed on "image". """ transforms = [ # A pinned reader: auto-detection picks ITKReader whenever itk is installed, which changes the # axis order, and MONAI's default swap_ij=True transposes the radiograph, which no rotation or # flip undoes (a "fix" mirrors it, silently swapping left and right). swap_ij=False keeps # DICOM's (row, column) order; fl-tutorials/tests/ pins this for every app on this path. mt.LoadImaged(keys=["image"], reader="PydicomReader", swap_ij=False), mt.Lambdad(keys=["image"], func=to_grayscale), mt.EnsureChannelFirstd(keys=["image"], channel_dim="no_channel"), mt.Resized(keys=["image"], spatial_size=SPATIAL_SHAPE), mt.ScaleIntensityd(keys=["image"]), ] if not is_validation: transforms.append(mt.RandAffined(keys=["image"], rotate_range=[-0.05, 0.05], scale_range=[0.01, 0.05])) return mt.Compose(transforms)