Skillintermediate

cuCIM Reference

cuCIM (CUDA Clara IMage) is NVIDIA's GPU-accelerated computer vision and image processing library within the RAPIDS ecosystem. Its `cucim.skimage` module is a near-drop-in GPU replacement for scikit-image, with 200+ GPU-accelerated functions. It also provides a high-performance whole-slide image (WSI) reader via `cucim.clara.CuImage` that is 5-6x faster than OpenSlide.

Claude Code Knowledge Pack7/10/2026

Overview

cuCIM Reference

cuCIM (CUDA Clara IMage) is NVIDIA's GPU-accelerated computer vision and image processing library within the RAPIDS ecosystem. Its cucim.skimage module is a near-drop-in GPU replacement for scikit-image, with 200+ GPU-accelerated functions. It also provides a high-performance whole-slide image (WSI) reader via cucim.clara.CuImage that is 5-6x faster than OpenSlide.

Full documentation: https://docs.rapids.ai/api/cucim/stable/ GitHub: https://github.com/rapidsai/cucim

Installation and Setup
Core Concept: CuPy Arrays
cucim.skimage — GPU scikit-image
Color Operations
Exposure and Histogram
Feature Detection
Filters
Measure and Region Properties
Morphology
Segmentation
Registration
Restoration
Transform
Metrics
Utility Functions
cucim.core.operations — NVIDIA-Specific
Whole-Slide Image Reading (cucim.clara)
Performance Characteristics
Interoperability
Known Limitations vs scikit-image
Common Migration Patterns

Installation and Setup

Always use uv add (never pip install or conda install) in all install instructions, docstrings, comments, and error messages.

uv add --extra-index-url=https://pypi.nvidia.com cucim-cu12    # For CUDA 12.x

Platform: Linux only (x86-64 and aarch64) — no Windows or macOS GPU support. Requires: NVIDIA GPU with CUDA 12.x, Python 3.9+, CuPy, NumPy, SciPy, scikit-image.

Verify:


print(cucim.__version__)

from cucim.skimage.filters import gaussian
img = cp.random.rand(512, 512).astype(cp.float32)
result = gaussian(img, sigma=3)
print(f"Filtered image shape: {result.shape}")  # Should work on GPU

Core Concept: CuPy Arrays

cuCIM operates natively on CuPy arrays. All cucim.skimage functions accept CuPy arrays as input and return CuPy arrays as output — zero-copy, all on GPU.


from cucim.skimage.filters import gaussian

# Transfer image to GPU once
image_gpu = cp.asarray(numpy_image)

# All processing stays on GPU — zero-copy between cuCIM calls
blurred = gaussian(image_gpu, sigma=3)
# ... more processing on GPU ...

# Transfer back to CPU only when needed (for display, save, etc.)
result_cpu = cp.asnumpy(blurred)

Best practice: Move data to GPU once at the start, chain all cuCIM operations on GPU, then transfer back to CPU only at the end.

cucim.skimage

The cucim.skimage module mirrors scikit-image's module structure. In most cases, replace from skimage with from cucim.skimage and pass CuPy arrays instead of NumPy arrays.

# Before (CPU — scikit-image)
from skimage.filters import gaussian

result = gaussian(numpy_image, sigma=3)

# After (GPU — cuCIM)
from cucim.skimage.filters import gaussian

result = gaussian(cp.asarray(numpy_image), sigma=3)

Color Operations

cucim.skimage.color — 42 GPU-accelerated color space conversion functions.

from cucim.skimage.color import rgb2gray, rgb2hsv, rgb2lab, label2rgb
from cucim.skimage.color import separate_stains, combine_stains

# Color space conversions
gray = rgb2gray(rgb_image_gpu)
hsv = rgb2hsv(rgb_image_gpu)
lab = rgb2lab(rgb_image_gpu)

# Stain separation (for H&E histology)
stains = separate_stains(rgb_image_gpu, stain_matrix)

Available conversions: rgb2gray, rgb2hsv, hsv2rgb, rgb2lab, lab2rgb, rgb2xyz, xyz2rgb, rgb2luv, luv2rgb, rgb2ycbcr, ycbcr2rgb, rgb2yuv, yuv2rgb, rgb2yiq, yiq2rgb, rgb2hed, hed2rgb, rgb2rgbcie, rgbcie2rgb, gray2rgb, gray2rgba, rgba2rgb, convert_colorspace, label2rgb

Color difference: deltaE_cie76, deltaE_ciede94, deltaE_ciede2000, deltaE_cmc

Exposure and Histogram

cucim.skimage.exposure — histogram equalization, contrast adjustment.

from cucim.skimage.exposure import (
    equalize_hist, equalize_adapthist,
    rescale_intensity, adjust_gamma, adjust_log, adjust_sigmoid,
    histogram, match_histograms, is_low_contrast
)

# CLAHE (Contrast Limited Adaptive Histogram Equalization)
enhanced = equalize_adapthist(image_gpu, clip_limit=0.03)

# Gamma correction
brightened = adjust_gamma(image_gpu, gamma=0.5)

# Rescale intensity to [0, 1]
normalized = rescale_intensity(image_gpu)

# Histogram matching between two images
matched = match_histograms(source_gpu, reference_gpu)

Feature Detection

cucim.skimage.feature — edge, corner, and blob detection.

from cucim.skimage.feature import (
    canny, corner_harris, corner_peaks,
    blob_dog, blob_doh, blob_log,
    structure_tensor, hessian_matrix, hessian_matrix_det,
    match_template, peak_local_max, daisy, multiscale_basic_features
)

# Canny edge detection
edges = canny(gray_image_gpu, sigma=2.0)

# Harris corner detection
corners = corner_harris(gray_image_gpu)
corner_coords = corner_peaks(corners, min_distance=5)

# Blob detection (Difference of Gaussian)
blobs = blob_dog(gray_image_gpu, max_sigma=30, threshold=0.1)

# Template matching
result = match_template(image_gpu, template_gpu)

Filters

cucim.skimage.filters — 47 GPU-accelerated filter functions. This is one of the most commonly used modules.

from cucim.skimage.filters import (
    gaussian, median, sobel, laplace, unsharp_mask,
    frangi, hessian, meijering, sato,
    threshold_otsu, threshold_multiotsu, threshold_sauvola,
    gabor, difference_of_gaussians, butterworth
)

# Gaussian blur
blurred = gaussian(image_gpu, sigma=3)

# Sobel edge detection
edges = sobel(gray_image_gpu)

# Unsharp mask (sharpening)
sharpened = unsharp_mask(image_gpu, radius=5, amount=2.0)

# Vessel/ridge detection (for medical imaging)
vessels = frangi(gray_image_gpu, sigmas=range(1, 10))

# Otsu thresholding
threshold = threshold_otsu(gray_image_gpu)
binary = gray_image_gpu > threshold

# Multi-level Otsu
thresholds = threshold_multiotsu(gray_image_gpu, classes=3)

Edge detection: sobel, scharr, prewitt, roberts, farid, laplace (plus _h/_v variants)

Smoothing: gaussian, median, unsharp_mask

Ridge/vessel detection: frangi, hessian, meijering, sato

Thresholding (10 methods): threshold_otsu, threshold_isodata, threshold_li, threshold_mean, threshold_minimum, threshold_multiotsu, threshold_niblack, threshold_sauvola, threshold_triangle, threshold_yen

Frequency domain: butterworth, wiener

Measure and Region Properties

cucim.skimage.measure — labeling, region properties, and shape metrics.

from cucim.skimage.measure import label, regionprops, regionprops_table
from cucim.skimage.measure import moments, moments_central, moments_hu
from cucim.skimage.measure import block_reduce, shannon_entropy

# Connected component labeling
labels = label(binary_image_gpu)

# Region properties (area, centroid, bounding box, etc.)
props = regionprops(labels)
table = regionprops_table(labels, intensity_image=gray_gpu,
                          properties=['area', 'centroid', 'mean_intensity'])

# Block reduce (downsampling)
downsampled = block_reduce(image_gpu, block_size=(2, 2), func=cp.mean)

Colocalization metrics (for microscopy): manders_coloc_coeff, manders_overlap_coeff, pearson_corr_coeff, intersection_coeff

Morphology

cucim.skimage.morphology — 30 GPU-accelerated morphological operations.

from cucim.skimage.morphology import (
    binary_erosion, binary_dilation, binary_opening, binary_closing,
    erosion, dilation, opening, closing,
    white_tophat, black_tophat,
    disk, diamond, ball, star,
    remove_small_objects, remove_small_holes,
    reconstruction, medial_axis, thin
)

# Create structuring element
selem = disk(5)

# Binary morphological operations
cleaned = binary_opening(binary_image_gpu, footprint=selem)
cleaned = binary_closing(cleaned, footprint=selem)

# Remove small objects/holes
cleaned = remove_small_objects(labels_gpu, min_size=100)
filled = remove_small_holes(binary_gpu, area_threshold=50)

# Grayscale morphology
tophat = white_tophat(gray_image_gpu, footprint=disk(10))

Structuring elements: disk, diamond, ball, octagon, octahedron, star, ellipse, footprint_rectangle

Isotropic operations: isotropic_erosion, isotropic_dilation, isotropic_opening, isotropic_closing

Segmentation

cucim.skimage.segmentation — level-set methods, boundary detection, label operations.

from cucim.skimage.segmentation import (
    chan_vese, morphological_chan_vese, morphological_geodesic_active_contour,
    find_boundaries, mark_boundaries, clear_border,
    expand_labels, relabel_sequential, random_walker
)

# Chan-Vese segmentation
segmented = chan_vese(gray_image_gpu, mu=0.25, max_num_iter=200)

# Active contours (geodesic)
gimage = inverse_gaussian_gradient(gray_image_gpu)
init_ls = checkerboard_level_set(gray_image_gpu.shape)
seg = morphological_geodesic_active_contour(gimage, num_iter=200, init_level_set=init_ls)

# Find and mark boundaries
boundaries = find_boundaries(labels_gpu, mode='thick')

Registration

cucim.skimage.registration — image alignment.

from cucim.skimage.registration import (
    phase_cross_correlation,
    optical_flow_tvl1,
    optical_flow_ilk
)

# Subpixel image registration
shift, error, diffphase = phase_cross_correlation(reference_gpu, moving_gpu)

# Optical flow
flow = optical_flow_tvl1(frame1_gpu, frame2_gpu)

Restoration

cucim.skimage.restoration — denoising and deconvolution.

from cucim.skimage.restoration import (
    denoise_tv_chambolle,
    richardson_lucy,
    wiener, unsupervised_wiener
)

# Total variation denoising
denoised = denoise_tv_chambolle(noisy_image_gpu, weight=0.1)

# Richardson-Lucy deconvolution
restored = richardson_lucy(blurred_image_gpu, psf_gpu, num_iter=30)

Transform

cucim.skimage.transform — geometric transforms, resizing, pyramids.

from cucim.skimage.transform import (
    resize, rescale, rotate, warp, swirl, warp_polar,
    pyramid_gaussian, pyramid_laplacian,
    downscale_local_mean, integral_image,
    AffineTransform, EuclideanTransform, SimilarityTransform
)

# Resize
resized = resize(image_gpu, (256, 256))

# Rescale
half = rescale(image_gpu, 0.5)

# Rotate
rotated = rotate(image_gpu, angle=45, resize=True)

# Gaussian pyramid
pyramid = list(pyramid_gaussian(image_gpu, max_layer=4, downscale=2))

# Affine transform
tform = AffineTransform(rotation=0.3, translation=(50, 50))
warped = warp(image_gpu, tform.inverse)

Metrics

cucim.skimage.metrics — image quality assessment.

from cucim.skimage.metrics import (
    mean_squared_error,
    peak_signal_noise_ratio,
    structural_similarity,
    normalized_root_mse
)

mse = mean_squared_error(original_gpu, processed_gpu)
psnr = peak_signal_noise_ratio(original_gpu, processed_gpu)
ssim = structural_similarity(original_gpu, processed_gpu)

Utility Functions

cucim.skimage.util — type conversion, array manipulation.

from cucim.skimage.util import (
    img_as_float, img_as_float32, img_as_ubyte,
    invert, crop, random_noise, montage
)

# Convert to float32 [0, 1]
float_img = img_as_float32(uint8_image_gpu)

# Add noise for testing
noisy = random_noise(image_gpu, mode='gaussian', var=0.01)

cucim.core.operations

NVIDIA-specific operations not found in scikit-image. Especially useful for digital pathology.

Pathology-Specific

from cucim.core.operations.color import (
    color_jitter,
    image_to_absorbance,
    stain_extraction_pca,
    normalize_colors_pca
)

# H&E stain normalization (digital pathology)
normalized = normalize_colors_pca(he_image_gpu)

# Color augmentation
augmented = color_jitter(image_gpu, brightness=0.2, contrast=0.2, saturation=0.2, hue=0.1)

Intensity Operations

from cucim.core.operations.intensity import normalize_data, scale_intensity_range, zoom

normalized = normalize_data(image_gpu)
scaled = scale_intensity_range(image_gpu, a_min=0, a_max=255, b_min=0.0, b_max=1.0)

Spatial Augmentation

from cucim.core.operations.spatial import image_flip, image_rotate_90, rand_image_flip

flipped = image_flip(image_gpu, spatial_axis=1)
rotated = image_rotate_90(image_gpu, k=1)  # 90 degrees
randomly_flipped = rand_image_flip(image_gpu, prob=0.5)

Distance Transform

from cucim.core.operations.morphology import distance_transform_edt

# Exact Euclidean distance transform (faster than scipy.ndimage on GPU)
distances = distance_transform_edt(binary_image_gpu)

Whole-Slide Image Reading

cucim.clara.CuImage — high-performance WSI reader, compatible with OpenSlide API, 5-6x faster.

from cucim import CuImage

# Open a whole-slide image
img = CuImage("slide.svs")

# Inspect metadata
print(f"Dimensions: {img.shape}")
print(f"Resolution levels: {img.resolutions}")
print(f"Spacing: {img.spacing}")

# Read a region (returns a CuImage object)
region = img.read_region(location=(1000, 2000), size=(256, 256), level=0)

# Convert to CuPy array for processing

tile_gpu = cp.asarray(region)

# Process with cucim.skimage
from cucim.skimage.color import rgb2gray
gray_tile = rgb2gray(tile_gpu)

Supported formats: Aperio SVS, Philips TIFF, generic tiled multi-resolution RGB TIFF (JPEG, JPEG2000, LZW, Deflate compression).

Tile Caching

from cucim.clara.cache import ImageCache

# Configure tile cache for repeated access patterns
cache = ImageCache(memory_capacity=2 * 1024**3)  # 2 GB cache

GPUDirect Storage

For large files (2GB+), GPUDirect Storage bypasses CPU memory for 25%+ additional speedup:

from cucim.clara.filesystem import CuFileDriver

# Read directly into GPU memory, bypassing CPU
driver = CuFileDriver(path, flags)
driver.pread(gpu_buffer, size, offset)

Performance Characteristics

Headline numbers:

Up to 1245x faster than scikit-image for certain operations on large images
5-6x faster than OpenSlide for WSI multi-threaded patch reading
25%+ additional speedup with GPUDirect Storage on 2GB+ files

Scaling behavior:

4K resolution and above: GPU parallelism fully utilized, maximum speedups
~1000x1000: Moderate but measurable speedup

cuCIM Reference

Overview

cuCIM Reference

Table of Contents

Installation and Setup

Core Concept: CuPy Arrays

cucim.skimage

Color Operations

Exposure and Histogram

Feature Detection

Filters

Measure and Region Properties

Morphology

Segmentation

Registration

Restoration

Transform

Metrics

Utility Functions

cucim.core.operations

Pathology-Specific

Intensity Operations

Spatial Augmentation

Distance Transform

Whole-Slide Image Reading

Tile Caching

GPUDirect Storage

Performance Characteristics