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ct/chest

Chest CT read: nodules with Fleischner or Lung-RADS, PE with RV strain, lungs, pleura and ribs.

BetaCTChestRadiologyEmergencyv1.0.0 · $0.15 / request

About

The full read of the chest CT study: the CT pulmonary angiography series is analysed and the result contains all sections the study supports.

Endpoint ct/chest/interpret · version 1.0.0 · $0.15 per request · the bare id ct/chest is an alias.

1. Calling the API#

Set up your API key#

Create a key in Settings → API Keys and set it as MEDRUN_KEY in your runtime.

export MEDRUN_KEY="YOUR_API_KEY"

Submit a request#

Every call is asynchronous: submitting returns a request with its id and status, and you follow it until the result is ready.

response=$(curl --request POST \
  --url https://api.medrun.ai/v1/run/ct/chest/interpret \
  --header "Authorization: Bearer $MEDRUN_KEY" \
  --header "Content-Type: application/json" \
  --data '{
  "input": {
    "files": [
      "file_01K7CTCHEST000000000000000"
    ],
    "options": {
      "report": false
    }
  }
}')
REQUEST_ID=$(echo "$response" | jq -r .id)

Request status

The submit call returns the request, not the result. Use the queue calls below to check its status and fetch the result, or subscribe to a webhook.

Stream progress#

Stages stream as server-sent events (received, queued, preprocessing, inference, report, completed). Critical findings are flagged first, before the full result.

curl --no-buffer \
  --url https://api.medrun.ai/v1/requests/$REQUEST_ID/events \
  --header "Authorization: Bearer $MEDRUN_KEY" \
  --header "Accept: text/event-stream"

2. Authentication#

The API uses API keys. Send Authorization: Bearer $MEDRUN_KEY with every call. Test keys (mr_test_…) run against the mock backend for free.

API key#

Protect your API key

Never ship a key in browser or mobile code. Call MedRun from your server, or use a server-side proxy.

3. Queue#

Long-running requests

Whole studies can take a minute or more. Rely on the event stream or webhooks instead of blocking while you wait.

Fetch request status#

Statuses run queued → preparing → running and end in succeeded, failed, canceled, rejected or expired.

curl --request GET \
  --url https://api.medrun.ai/v1/requests/$REQUEST_ID \
  --header "Authorization: Bearer $MEDRUN_KEY"

Get the result#

When the request has succeeded, output holds the result envelope. See the result format.

curl --request GET \
  --url https://api.medrun.ai/v1/requests/$REQUEST_ID \
  --header "Authorization: Bearer $MEDRUN_KEY" | jq .output

4. Files#

files is a flat list: DICOM files, folders, CD exports (DICOMDIR) and zip/tar archives. The platform groups them into series and runs.

Uploading files#

# 1. Create the upload (one PUT up to 100 MB; larger files get multipart part URLs)
upload=$(curl --request POST --url https://api.medrun.ai/v1/uploads \
  --header "Authorization: Bearer $MEDRUN_KEY" --header "Content-Type: application/json" \
  --data '{"filename": "study.zip", "bytes": 214000000, "media_type": "application/zip"}')
# 2. PUT the bytes to upload.url (with upload.headers)
curl --request PUT --upload-file study.zip "$(echo "$upload" | jq -r .upload.url)"
# 3. Complete it, then pass file.id in input.files
curl --request POST --url "$(echo "$upload" | jq -r .complete_url)" --header "Authorization: Bearer $MEDRUN_KEY"
FILE_ID=$(echo "$upload" | jq -r .file.id)

Hosted files (URL)#

You can also pass https URLs, for example signed S3 or GCS links. MedRun fetches them when the request starts.

5. Webhooks#

Add a webhook to the submit body. MedRun POSTs the request object, signed with Standard Webhooks headers, when the request ends. Configure secrets and see deliveries in Settings → Webhooks.

{
  "input": {
    "files": [
      "file_…"
    ]
  },
  "webhook": {
    "url": "https://example.org/medrun/webhook",
    "events": [
      "request.succeeded",
      "request.failed"
    ]
  }
}

6. Schema#

Input#

  • fileslist<string>* required

    The chest CT study: DICOM files, a folder, a CD export or a zip (all series are fine). `file_…` ids from /v1/uploads or https URLs.

  • clinical_contextobject

    Optional. Used for guidance only; never names, IDs or dates.

    • age_yearsinteger

      Range: 0 … 130

    • sexenum

      Possible values: female, male, other, unknown

    • indicationstring

      For example "suspected pulmonary embolism, D-dimer raised" or "dyspnoea after surgery".

  • optionsobject
    • reportbooleanadd-on

      Adds a draft chest CT report written from the structured result (English). +$0.02 per run.

      Default value: false

    • report_languageenum

      Default value: "en"

      Possible values: en

    • returnlist<enum>

      JSON is always returned. DICOM objects reference your original UIDs.

      Default value: ["json","dicom-sr","dicom-seg"]

      Possible values: json, dicom-sr, dicom-seg

Example input:

{
  "files": [
    "file_01K7CTCHEST000000000000000"
  ],
  "options": {
    "report": false
  }
}

Output#

The output is the MedRun result envelope: sections[] with a status per section, then findings, measurements, scores, classifications, guidance, the optional report and artifacts (DICOM SR/SEG, overlays, PDF, FHIR).

  • pulmonary-embolism Pulmonary embolism: Pulmonary arterial opacification checked first (not assessable without it); pulmonary embolism present or absent; every clot outlined in 3D with its lobe, side and volume; the most proximal level (central or peripheral), the total clot burden, and the RV/LV ratio of 1.0 or more flag with the ESC 2019 risk-class guidance.
  • rv-lv-ratio RV/LV ratio: Right and left ventricular diameters, the RV/LV ratio and the main pulmonary artery diameter.
  • lung-nodules Lung nodules: Nodule detection, 3D outline, diameter and volume, type and the Fleischner 2017 management.
  • triage Emergency triage: Fast flags for pulmonary embolism, pneumothorax, aortic dissection or large aneurysm, and large effusions.
  • lung-rads Lung-RADS: Screening LDCT category, nodule growth against the prior and the S modifier.
  • cancer-risk Lung-cancer risk: 1–6-year lung-cancer risk from a screening LDCT.
  • emphysema Emphysema: Lobe-wise low-attenuation area (LAA-950) and distribution.
  • ild Interstitial lung disease: ILD features, extent and the UIP-pattern category on HRCT.
  • infection Infection extent: Consolidation and ground-glass outlines with involvement per lobe.
  • airways Airways: Airway tree, wall thickness and broncho-arterial ratio for bronchiectasis and wall thickening.
  • pleural-effusion Pleural and pericardial effusion: Effusion outline, side, volume and density.
  • pneumothorax Pneumothorax: Pneumothorax detection, side, volume and tension signs.
  • rib-fractures Rib fractures: Rib fracture detection with rib numbering, type and flail segment.
  • coronary-calcium Coronary calcium: Agatston-equivalent coronary calcium score and category on non-gated chest CT.
  • segment-lungs Lung, lobe and vessel segmentation: Lungs, five lobes, pulmonary arteries, veins and airways as masks with volumes.
  • report Draft report: Opt-in draft report (findings, impression, limitations) written from the structured result; every number is validated against it.

OpenAPI document: https://api.medrun.ai/v1/models/ct/chest/interpret/openapi.json