CVE Catalog

CVE-2026-48705

CriticalCVSS 9.3
Published: Updated: Translated: NVD NIST

Summary

Prior to 1.6.1, MONAI's PydicomReader._get_affine() trusts non-finite values in DICOM PixelSpacing, ImagePositionPatient, and ImageOrientationPatient fields and composes them into an affine matrix without validation. An unauthenticated attacker who can upload a crafted DICOM to a default MONAILabel deployment can propagate NaN or infinity values, causing inference failures, persistent datastore poisoning, or geometrically corrupted results.

Risk Assessment

AI model inference failures, persistent data poisoning, and corrupted imaging results are possible, undermining trust in the diagnostic system.

Recommendation

Update MONAI to version 1.6.1 or later, which validates non-finite values in DICOM fields.

Other vulnerabilities in MONAI

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Original NVD description (English source)

MONAI (Medical Open Network for AI) is an AI toolkit for health care imaging. Prior to 1.6.1, PydicomReader._get_affine() trusts non-finite values in the DICOM PixelSpacing, ImagePositionPatient, and ImageOrientationPatient fields and composes them into an affine matrix without validation. An unauthenticated attacker who can upload a crafted DICOM to a default MONAILabel deployment can propagate NaN or infinity values through LoadImaged, Spacingd, model inference, and output writing, causing inference failures, persistent datastore poisoning, or geometrically corrupted results. This issue is fixed in version 1.6.1.

Vulnerability data from NVD (NIST) · CISA KEV · EPSS