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dcmjs: DS/IS VALUE REPRESENTATION INPUT VALIDATION BYPASS

Collected exploitation and prediction evidence

Risk source coverage

CISA KEV is observed exploitation evidence. FIRST EPSS is a dated prediction of exploitation in the next 30 days. Missing scores are unknown. This collector requests predictions only for explicit CVE aliases in the public NuGet archive; Microsoft release views retain their existing prediction scope.

No collected risk observation for these identifiers. This does not establish absence of exploitation or a zero probability.

osv · GHSA-px68-xx5g-48q5

Published

dcmjs, a JavaScript library for DICOM manipulation used in web-based medical imaging viewers, contains an input validation bypass in its handling of DS (Decimal String) and IS (Integer String) value representations. The DecimalString and IntegerString classes in ValueRepresentation.js use a regex sanitizer followed by JavaScript's Number() constructor. While the regex strips direct NaN/Infinity strings, it preserves scientific notation (including the 'e' character), enabling: 1. Infinity injection via scientific notation overflow (1e999999) 2. NaN injection via sign-only remnants from stripped inf strings ("-inf" -> "-") 3. IS accepting scientific notation in violation of PS3.5 AFFECTED PRODUCT ================ Product: dcmjs (JavaScript DICOM manipulation library) Repository: https://github.com/dcmjs-org/dcmjs npm: https://www.npmjs.com/package/dcmjs Affected Versions: < 0.52.0 (patched in 0.52.0, released 2026-05-19) CVE: CVE-2026-46350 (assigned by GitHub 2026-05-13) CWE: CWE-20 (Improper Input Validation) CVSS Score: 7.5 (HIGH) CVSS Vector: CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:H Maintainer note: The CVSS score above is the reporter's assessment; dcmjs rates this low, because malformed input produces NaN/Infinity in values the caller must range-check in any case (both are reachable by other means, and no trust boundary enforced by dcmjs is crossed). DOWNSTREAM IMPACT ================= dcmjs is a foundational library used by: - OHIF Viewer (Open Health Imaging Foundation) - Cornerstone.js ecosystem - DICOMweb client/server implementations - Research and clinical web-based PACS viewers - Any Node.js or browser application parsing DICOM via dcmjs ROOT CAUSE ========== In src/ValueRepresentation.js, both DecimalString and IntegerString use: let returnVal = numberStr.trim().replace(/[^0-9.\\\-+e]/gi, ""); return returnVal === "" ? null : Number(returnVal); The regex /[^0-9.\\\-+e]/gi strips characters NOT in the set {0-9, ., \, -, +, e, E}. This provides partial defense: direct "NaN" and "Infinity" strings are stripped to empty/null. However: (a) Scientific notation is fully preserved because 'e', digits, '+', '-', '.' all pass the regex. "1e999999" passes intact, and Number("1e999999") returns JavaScript Infinity. (b) The string "-inf" is stripped to just "-" (only the minus passes the regex). Number("-") returns JavaScript NaN. (c) IntegerString uses the SAME regex/logic as DecimalString, meaning IS accepts scientific notation ("1e5" -> 100000) in violation of PS3.5 Section 6.2, which restricts IS to characters 0-9, +, -. (d) No range validation exists for IS values (PS3.5 requires [-2^31, 2^31-1]) or DS values (16-character max, fixed/floating-point only). VULNERABILITY DETAILS ===================== Attack Vector 1: Infinity via Scientific Notation Overflow ---------------------------------------------------------- Input: DS or IS field containing "1e999999" Regex: Passes (all chars in allowed set) Result: Number("1e999999") -> Infinity Impact: Infinity propagates through all downstream arithmetic Attack Vector 2: Negative Infinity via Scientific Notation ---------------------------------------------------------- Input: DS or IS field containing "-1e999999" Regex: Passes Result: Number("-1e999999") -> -Infinity Impact: Negative Infinity in spatial/dosimetric calculations Attack Vector 3: NaN via Sign-Only Remnant ------------------------------------------ Input: DS or IS field containing "-inf" Regex: Strips to "-" Result: Number("-") -> NaN Impact: NaN propagates silently through arithmetic (IEEE 754) Attack Vector 4: NaN via Plus-Only Remnant ------------------------------------------ Input: DS or IS field containing "+inf" Regex: Strips to "+" Result: Number("+") -> NaN Impact: Same as above Attack Vector 5: IS Scientific Notation Bypass ----------------------------------------------- Input: IS field containing "1e5" Regex: Passes Result: Number("1e5") -> 100000 Impact: Integer fields accept non-integer representation, violating PS3.5 Attack Vector 6: IS Extreme Overflow ------------------------------------- Input: IS field containing "1e18" Regex: Passes Result: Number("1e18") -> 1000000000000000000 Impact: Far exceeds IS range [-2^31, 2^31-1], no bounds check CLINICAL IMPACT =============== dcmjs is used in web-based DICOM viewers and processing pipelines. Corrupted values affect: - PixelSpacing / ImagePositionPatient: Spatial geometry corruption prevents accurate measurement and registration in web viewers - WindowCenter / WindowWidth: Display pipeline corruption makes images unreadable (all black or all white) - DoseGridScaling / NumberOfFrames: Radiation therapy dose display errors and denial of service via frame count overflow - RescaleSlope / RescaleIntercept: Hounsfield unit conversion produces invalid values, corrupting quantitative analysis - SliceThickness: Volume reconstruction fails in multiplanar reformats

Source published
27 Oct 2026 13:29:57 UTC
Source modified
27 Oct 2026 13:45:03 UTC
Observed here
27 Oct 2026 14:09:44 UTC
Source terms
GitHub Advisory Database · CC-BY-4.0

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This view projects the publisher's source fields for reading; the original JSON retains additional fields and CVE enrichment containers. Attribution: osv · GitHub Advisory Database · CC-BY-4.0. Source text is retained; field grouping and change labels are provided by ChangeIntel.

Publisher rating · LOW

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Sources read 30 Oct 15:55 UTC · 272 of 272 readable · 271 fully read · documentation 469/469 current