Slide Score API allows programmatically creating studies, uploading slides and downloading results. It can only be enabled by site administrators.

A next version of API based on GraphQL with more control for all important entities is on the roadmap.

Note that this documentation is a work in progress.


You can either write a script that sends the requests directly or make use of C# or Python SDKs. If you use C# have a look at an example client in C# that includes SlideScoreClient class that will help you make the API calls.

For Python install the SDK module with pip install slidescore-sdk, initiate the client class:

from slidescore import *
client = APIClient(url, apitoken)

And you can start using it.

Creating Token

Login as Site Administrator and go to the Create Token page.

Fill in the name and expiration date of the token. Check below what methods you need to call and give the token only the rights that are needed.

Can upload

API token can upload slides and configuration files

Can create upload folders

API token can create folders on the server to create new studies

Can upload scores

API token can upload results and annotations to studies. This is useful for image analysis workflows - models can push their results to Slide Score.

Can download configuration files for studies

API token can request the current configuration of studies in the form of configuration files. This is useful if you want to synchronize external database with Slide Score configuration.

Can read raw tiles from slides and their metadata

API token can read image tiles. The API has 3 ways to access the pixels GetScreenshot (the most high level call - request a region and level of detail), GetTile (DeepZoom-like request), GetRawTile (request that's forwarded to the slide libraries - OpenSlide and others. You need to check the image metadata first - levels in the slide and so on).

With this right image analysis algorithm can request (and cache) the pixels of slides.

Can upload only in folders

This is a restriction.

Semicolon-separated list of folders on the server to which the token can upload. If you leave it empty API token can upload slides in any folder. If you set it API token won't be allowed to upload to any other folders.

Can read (get scores, images) only these studies

This is a restriction.

Semicolon-separated list of studies which the token can read - download scores (with Can get scores of any study), images, ... If you leave it empty API token can read any study. If you set it API token won't be allowed to read any other studies.

Can modify (upload images, delete, reimport) only these studies

This is a restriction.

Semicolon-separated list of studies which the token can modify - add slides, reimport, ... If you leave it empty API token can modify any study. If you set it API token won't be allowed to modify any other studies.

Can create studies

Unused at the moment

Can reimport studies

API token can (after uploading configuration files and slides) re-import a study.

This will read configuration files and apply changes to the study. Note that it can overwrite changes made manually in the administration interface - you can use GetConfigFiles to create up-to-date config files and change only those.

You always need to run reimport after you upload the slide(s) using the API otherwise they won't show up.

Can delete owned studies

Unused at the moment

Can get scores of owned studies

API token can retrieve (unless Can read blocks it) scores of studies that the token has created.

Can get scores of any study

API token can retrieve (unless Can read blocks it) scores of any study.


Before you can invoke any API method you need to obtain an API token (see above)

This API token needs to be supplied for all API calls in the Authorization HTTP Header like this:

Authorization: Bearer hblJlYWRPbmx5U....3R1ZGllcyI6IiIsIkNhbk1

When you no longer need it you can give it up by calling POST /Admin/GiveupToken with the token as POST parameter.

Get results

GET Api/Scores

Required rights: Can read the study, Can get scores of owned studies or at least Can get scores of any study if it was created by the API token


Name Type Required Explanation
studyId int yes Study which you want to download scores from

Returns tab separated file with all the scores from the study. The format is the same as when downloading results manually.

GET Api/GetStudiesUpdated

Required rights: Can read, Can get scores of owned studies or at least Can get scores of any study if it was created by the API token


Name Type Required Explanation
since string yes ISO 8601 date and time string with timezone

Returns JSON object with an array of integer IDs in StudyIDs - IDs of studies that had results submitted since the given date You can use this method if you are periodically checking for new results.

Get images

GET Api/Images

Required rights: Can read


Name Type Required Explanation
studyId : int : yes Study which you want to list images from


Calling GET Api/Images?studyId= with a study ID returns a JSON array of images with their ID and Name. Useful for creating reports with links to view the slide. You can construct an URL like https://server/Image/Details?imageId=1&studyId=2 that will open image with ID=1 in study with ID=2. For TMAs you can use additional GET parameters to select single or few cores:


Uploading a file has 3 steps:

  1. POST RequestUpload - Specify which folder on the server to upload to and under what filename, you will receive an uploadtoken. You can only upload to the root folder or one folder below - you can't create a folder inside a folder.
  2. Upload using Tus.io - Add uploadtoken and API token (as apitoken) as metadata, you will receive fileid
  3. POST FinishUpload - When Tus is done uploading you have to commit the upload using the uploadtoken and fileid

Study configuration

Studies are set up by uploading configuration files to the root folder and image files into a subfolder. If the subfolder has the same name as the study all image files there are automatically uploaded. Otherwise you need to reference them with an study.<studyname>.images file (see Slides for more).


Users are configured in a file study.<studyname>.emails. This file contains one user of the study per line.

By default they get only CanScore right. You can specify viewonly or additional rights (cangetresults, canscore, canedit) separated by comma if you want to change that. Note that you can't remove rights from a user this way, they are only added. To remove user's rights, use the administration interface.

For example:



By default all slides in a folder that has the same name as the study are imported. Additionally, this folder can contain *.images file that references images, one image per line. You can also specify TMA map, rotation to use with the image and potential new name, like this:

../otherfolder/011938r082.tif;;Nice Image

Note that TMA map, rotation or new name can be left out or empty and they will be ignored.

TMA Maps

You can import a TMA Map in two ways - either reference it in an .images file in study's folder or create a map file with the name study.<studyname>.map<additional identifier> in the root folder. The map file can be divided into a header and the actual map.

Header contains properties and their values separated by a colon (:). Header properties can be:

The header is terminated by an empty line. The map starts under it. Each line in a map is a row of TMA core IDs, columns are separated by TAB character. If a line doesn't have the same number of columns as the longest row it will be padded by empty cores.

Here is an example of a simple map:

tmas: 1.svs
controls: ctrl
ignore: 0, empty
force: true

1   1   1   ctrl    ctrl    ctrl
2   2   2   3   3   3
0   0   0   4   4   4
5   5   5   empty   empty   empty

The imported map applies to 1.svs and looks like this

Example TMA map

Study Settings

Study settings are configured in the study.<studyname>.config file.

It contains properties of the study, in the format property name: value (or value1,value2)

Recognized properties:



The questions that form study's scoring sheet are listed in study.<studyname>.scores. The format is a bit complicated, it's best to create the scoring sheet in the Question editor, click the Share button and copy the value of the f URL parameter to the questions file. In principle it has one line per question - name of the question followed by a semicolon (;), question type (FreeText, DropDown, Percentage, Checkbox, ...), followed by another semicolon and optionally other configuration for the question (options for a DropDown for example).


After uploading all important files call the POST Api/Reimport method with studyName as POST parameter which will create the study based on the config files and return a log of how did it go. If you need to change an existing study you can upload modified config files and run Reimport again. Note that nothing gets removed, only added. Furthermore, if you've removed an image or users using the administration interface it will be added again if it is in the config files. You can add ignoreImageErrors=true parameter to treat unrecognized or inaccessible images as warnings and proceed with import.

Note that you can't delete files on the server only overwrite them.


All users with CanEdit right can enter the administration interface and make changes to the study. Often it's needed to rotate some images, adjust a TMA map or reorder questions. However, when you call Reimport next time these changes can be overwritten. To prevent this from happening use GET Api/GetConfig method with study ID as a parameter. It will return the complete configuration of a study as an object graph (for details see the API client).

Clone a study

You can easily clone a study as it is by requesting the configuration files of an existing study using Get Api/GetConfigFiles method with study ID as a parameter. This will return JSON object with content of all the configuration files. Note that they are dynamically generated from the database - these are not necessarily the same files that were used to create the study.

Uploading Results

It's possible to upload scoring results to Slide Score - this is useful if you have some legacy slides that you want to review or you are moving all the data to a single repository - Slide Score.

First you need to setup the questions so that they correspond to the results.

Then you can use POST Api/UploadResults with studyId and results as POST parameters. The results should have the same format as when you download them from Slide Score - ImageID(tab)Name(tab)By(tab)(optionally: TMA Row(tab)TMA Col(tab)TMA Sample(tab))Question(tab)Answer

ASAP interoperability

Slide Score supports exchanging annotations with ASAP. Since both programs use slightly different way to organize the annotations you might want to specify how to map colors in ASAP to questions in Slide Score.

You can export Slide Score annotations in ASAP format using GET Api/ExportASAPAnnotations?imageid=1&user=user@example.com&question=Mitosis. This will return a single XML file containing annotations for image 1 created by user "user@example.com" for the question (it has to be of type AnnoShapes or AnnoPoints) that can be loaded straight to ASAP. Note that question parameter is optional, you can get all annotations at once.

Importing ASAP annotations to Slide Score is possible using POST Api/UploadASAPAnnotations.

Slide Score expects these parameters imageid, user, asapAnnotation - contents of the ASAP XML file containing annotations.

You can specify two optional parameters: annotationName - (optional) how this import should be labelled in the database, questionsMap - (optional) defines mapping between colors used in the annotation file and questions defined in the study in Slide Score. Each mapping is on a new line and consists of color hex code, semicolon (;) and the name of the question. Example mapping file:

#ff0000;Tumor area

If this parameter is not supplied Slide Score generates new question for each color in the annotation file.


You can programmatically download areas of the slide including selected annotations using the GetScreenshot method. It has the following parameters:

The method returns a JPEG file.