Date: 2026-04-28

# cytoviewer - Interactive multi-channel image visualization in R

Lasse Meyer1,2* and Nils Eling1,2**

1Department for Quantitative Biomedicine, University of Zurich
2Institute for Molecular Health Sciences, ETH Zurich

*lasse.meyer@dqbm.uzh.ch
**nils.eling@dqbm.uzh.ch

#### 28 April 2026

#### Abstract

This R/Bioconductor package supports interactive visualization of multi-channel images and segmentation masks generated by imaging mass cytometry and other highly multiplexed imaging techniques using shiny. The cytoviewer interface is divided into image-level (Composite and Channels) and cell-level visualization (Masks). It allows users to overlay individual images with segmentation masks, integrates well with SingleCellExperiment and SpatialExperiment objects for metadata visualization and supports image downloads.

#### Package

cytoviewer 1.12.0

@lassedochreden
@nilseling

# 1 Introduction

This vignette introduces the `cytoviewer` package for interactive multi-channel image visualization. Images as well as corresponding segmentation masks generated by imaging mass cytometry (IMC) and other highly multiplexed imaging techniques can be interactively visualized and explored.

The `cytoviewer` package builds on top of the cytomapper Bioconductor package (Eling et al. 2020) and extends the static visualization strategies provided by `cytomapper` via an interactive Shiny application. The `cytoviewer` package leverages the image handling, analysis and visualization strategies provided by the EBImage Bioconductor package and offers interactive image visualization strategies in a similar fashion as iSEE for single-cell data. In addition, building up on SingleCellExperiment, SpatialExperiment and `cytomapper::CytoImageList` classes, the `cytoviewer` package integrates into the Bioconductor framework for single-cell and image analysis.

Read the pre-print here.

## 1.1 Highly multiplexed imaging

Highly multiplexed imaging allows simultaneous spatially and single-cell resolved detection of dozens of biological molecules (e.g. proteins) in their native tissue context. As a result, these technologies allow an in-depth analysis of complex systems and diseases such as the tumor microenvironment (Jackson et al. 2020) and type 1 diabetes progression (Damond et al. 2019).

Imaging-based spatial proteomics methods (Moffitt, Lundberg, and Heyn 2022) can be broadly divided into fluorescent cyclic approaches such as tissue-based cyclic immunofluorescence (t-CyCIF) (Lin et al. 2018) and one-step mass-tag based approaches such as multiplexed ion beam imaging (MIBI) (Angelo et al. 2014) and IMC (Giesen et al. 2014).

Of note, the instructions below will focus on the visualization and exploration of IMC data as an example. However, data from other technologies such as t-CyCIF or MIBI, which produce pixel-level intensities and (optionally) segmentation masks, can be interactively visualized with `cytoviewer` as long as they have the appropriate input format (see Section Data input format).

### 1.1.1 Imaging mass cytometry

IMC, an advancement of CyTOF, combines antibodies tagged with isotopically pure rare earth metals with laser ablation and mass-spectrometry-based detection to produce high-dimensional images (Giesen et al. 2014). It captures the spatial expression of over 40 proteins in parallel at a sub-cellular resolution of 1 μm. Thus, IMC is able to detect cytoplasmic and nuclear localization of proteins.

## 1.2 Highly multiplexed image analysis

To fully leverage the information contained in IMC and multiplexed imaging data in general, computational tools are of key importance.

The main analysis steps, irrespective of the biological question, include 1) Visual inspection of images for quality control, 2) Image pre-processing and segmentation and 3) Single-cell and spatial analysis (Windhager, Bodenmiller, and Eling 2021).

A comprehensive end-to-end workflow for multiplexed image processing and analysis with detailed information for every analysis step can be found here.

Importantly, the `cytoviewer` package can support, simplify and improve any of these analysis steps with its easy-to-use interactive visualization interface in R.

Below we will showcase an example workflow that highlights the different functionality and potential application fields of `cytoviewer`.

## 1.3 Application overview

The `cytoviewer` interface is broadly divided into image-level (Composite and Channels) and cell-level visualization (Masks). It allows users to overlay individual images with segmentation masks, integrates well with `SingleCellExperiment` and `SpatialExperiment` objects for metadata visualization and supports image downloads (Figure 2B).

Figure 1: cytoviewer interface and functionality. (A) The supported functionality (right) of cytoviewer depends on the data inputs (left). To match information between the objects, cell (cell_id) and image (img_id) identifiers can be provided. SCE/SPE = SingleCellExperiment/SpatialExperiment. (B) The graphical user interface of cytoviewer is divided into a body, header, and sidebar. The body of cytoviewer includes the image viewer, which has three tabs: Composite (Image-level), Channels (Image-level), and Mask (Cell-level). Zooming is supported for Composite and Mask tabs. The package version, R session information, help page, and a drop-down menu for image downloads are located in the header. The sidebar menu has controls for sample selection, image visualization, mask visualization, and general settings. Scale bar: 150 µm (C) cytoviewer supports different viewing modes. Top: The “channels” tab of image-level visualization displays individual channels. Shown are Ecad (magenta), CD8a (cyan), and CD68 (yellow) marking tumor cells, CD8+ T cells, and myeloid cells, respectively. Center: The “composite” tab of image-level visualization visualizes image composites combining multiple channels. These composite images can be overlayed with cell outlines, which can be colored by cell-specific metadata. Shown here are cell outlines colored by cell area (continous value) and cell type (categorical value; tumor cells in white). Channel color settings are as follows for all markers: Contrast: 2,5; Brightness: 1; Gamma: 1.2. Bottom: The “mask” tab can be used to visualize segmentation masks that can be colored by cell-specific metadata. Shown here are segmentation masks colored by cell area (continuous) and cell type (categorical; tumor cells in magenta). Scale bars: 150 µm. (D) “Image appearance” controls can be used to add legends or titles and to change the scale bar length for image-level (top) and cell level (bottom) visualization. The cell-level mask plot depicts tumor (magenta), myeloid (yellow), and CD8+ T cells (cyan). Scale bars: 100 µm. Adapted from (Meyer, Eling, and Bodenmiller 2023)

### 1.3.1 Data input format

The `cytoviewer` package combines objects of SingleCellExperiment, SpatialExperiment and `cytomapper::CytoImageList` classes (from cytomapper) to visualize image- and cell-level information.

The `cytoviewer` function takes up to five arguments.

Firstly, `image` refers to a `CytoImageList` object containing one or multiple multi-channel images where each channel represents the pixel-intensities of one marker (proteins in IMC).

Secondly, `mask` refers to a `CytoImageList` object containing one or multiple segmentation masks. Segmentation masks are defined as one-channel images containing integer values, which represent the cell ids or background.

Thirdly, the `object` entry refers to a `SingleCellExperiment` or `SpatialExperiment` class object that contains cell-specific metadata in the `colData` slot.

Lastly, to match information between the `CytoImageList` objects and the `SingleCellExperiment`/`SpatialExperiment` object, two additional spots can be specified:

- `img_id`: a single character indicating the `colData` (of the `SingleCellExperiment`/`SpatialExperiment` object) and `elementMetadata` (of the `CytoImageList` object) entry that contains the image identifiers. These image ids have to match between the `SingleCellExperiment`/ `SpatialExperiment` object and the `CytoImageList` objects.

- `cell_id`: a single character indicating the `colData` entry that contains the cell identifiers. These should be integer values corresponding to pixel-values in the segmentation masks.

For more detailed information on the input objects, please refer to the respective documentation (e.g. the vignettes of the cytomapper or SingleCellExperiment/ SpatialExperiment packages).

In the Read in data section, we provide example code to directly read in images and masks (e.g. in .tiff format) into a `CytoImageList` object and create a `SingleCellExperiment` object from them, which we can then visualize with `cytoviewer`.

### 1.3.2 Data input variations

The functionality of `cytoviewer` depends on which input objects are user-provided. Below we describe the four use cases in respect to input objects and functionality.

1. Usage of cytoviewer with images, masks and object

The full functionality of cytoviewer can be leveraged when `image`, `mask` and `object` are provided, which is the main intended use case.

This allows image-level visualization (Composite and Channels), cell-level visualization, overlaying images with segmentation masks as well as metadata visualization.

2. Usage of cytoviewer with images only

If only the `image` object is specified, image-level visualization (Composite and Channels) is possible.

3. Usage of cytoviewer with images and masks

Image-level visualization (Composite and Channels), overlaying of images with segmentation masks and cell-level visualization is feasible when `image` and `mask` objects are provided.

4. Usage of cytoviewer with masks and object

If `mask` and `object` are specified, cell-level visualization as well as metadata visualization is possible.

# 2 Example workflow

## 2.1 Installation

The `cytoviewer` package can be installed from `Bioconductor` via:

    if (!requireNamespace("BiocManager", quietly = TRUE))
        install.packages("BiocManager")

    BiocManager::install("cytoviewer")

The development version of `cytoviewer` can be installed from Github via:

    if (!requireNamespace("remotes", quietly = TRUE))
        install.packages("remotes")

    remotes::install_github("BodenmillerGroup/cytoviewer")

To load the package in your R session, type the following:

    library(cytoviewer)

## 2.2 Example dataset

For visualization purposes, we will use a toy dataset provided by the cytomapper package.

The dataset contains 3 images of \(100\mu{m}\) x \(100\mu{m}\) dimensions with 362 segmented cells and pixel-intensities for 5 proteins: H3, CD99, PIN, CD8a, and CDH. It is a small subset from a Type 1 Diabetes dataset (Damond et al. 2019).

Pixel-level intensities for all 5 markers (5 channels) are stored in the `pancreasImages` object.

The corresponding segmentation masks are stored in the `pancreasMasks` object.

All cell-specific metadata are stored in the `colData` slot of the corresponding `SingleCellExperiment` object: `pancreasSCE`.

For more detailed information on the dataset, please refer to the respective documentation (e.g. via `?pancreasImages` or the vignette of the cytomapper package).

We also provide example code to directly read in images and masks (e.g. in .tiff format) into a `CytoImageList` object and create a `SingleCellExperiment` object from them in the Read in data section.

    # Load example datasets
    library(cytomapper)
    data("pancreasImages")
    data("pancreasMasks")
    data("pancreasSCE")

    pancreasImages

    ## CytoImageList containing 3 image(s)
    ## names(3): E34_imc G01_imc J02_imc
    ## Each image contains 5 channel(s)
    ## channelNames(5): H3 CD99 PIN CD8a CDH

    pancreasMasks

    ## CytoImageList containing 3 image(s)
    ## names(3): E34_mask G01_mask J02_mask
    ## Each image contains 1 channel

    pancreasSCE

    ## class: SingleCellExperiment
    ## dim: 5 362
    ## metadata(0):
    ## assays(2): counts exprs
    ## rownames(5): H3 CD99 PIN CD8a CDH
    ## rowData names(4): MetalTag Target clean_Target frame
    ## colnames(362): E34_824 E34_835 ... J02_4190 J02_4209
    ## colData names(9): ImageName Pos_X ... MaskName Pattern
    ## reducedDimNames(0):
    ## mainExpName: NULL
    ## altExpNames(0):

## 2.3 Function call

Here as an example, we call `cytoviewer` with `image`, `mask` and `object` data to leverage all provided functionality.

This setting allows image-level visualization (Composite and Channels), cell-level visualization, overlaying images with segmentation masks as well as metadata visualization.

For further details, please refer to the `?cytoviewer` manual or the `Help page` within the shiny application.

    # Use cytoviewer with images, masks and object
    app <- cytoviewer(image = pancreasImages,
                      mask = pancreasMasks,
                      object = pancreasSCE,
                      img_id = "ImageNb",
                      cell_id = "CellNb")

    if (interactive()) {

      shiny::runApp(app, launch.browser = TRUE)

      }

## 2.4 Interface

The `cytoviewer` interface is divided into a Header, Sidebar and Body section (see Figure below).

The Header includes package version information, access to session information and the help page as well as a dropdown-menu for image downloads.

The Body features a Tabset-Panel layout allowing the user to switch between three image modes: Image-level (Composite and Channels) and Cell-level (Mask). Furthermore, the Composite and Mask tabs have zoom controls.

The Sidebar panel is subdivided into four sections: Sample selection, Image-level, Cell-level and General controls.

## 2.5 Image-level visualization

Image visualization control is split into basic and advanced controls.

Basic controls supports the selection of up to six markers/channels for `image` display. Each marker has color control settings that allow the user to set contrast, brightness, gamma and select a channel color.

Figure 2: Image-level visualization - Basic controls. The graphical user interface of cytoviewer for image-level-composite with basic controls. For image-level visualization, Ecad (magenta), CD8a (cyan) and CD68 (yellow) marking tumor cells, CD8+ T cells and myeloid cells, respectively, are shown and channel color settings are as follows for all markers: Contrast: 2,5; Brightness: 1; Gamma: 1.2. Note that the Composite tab is zoomable. Scale bars: 150 µm. Adapted from (Meyer, Eling, and Bodenmiller 2023)

In the advanced controls part, the user can choose to overlay the displayed images with provided segmentation `masks`. Outline color and mask thickness can be adjusted by the user. Moreover, the masks can be outlined by cell-specific metadata provided in `colData` slot of the `object`.

Of note, for categorical and continuous metadata entries the user can choose between discrete colors and continuous color palettes (viridis, inferno, plasma), respectively.

Figure 3: Image-level visualization - Advanced controls. The graphical user interface of cytoviewer for image-level-composite with advanced controls. For image-level visualization, Ecad (magenta), CD8a (cyan) and CD68 (yellow) marking tumor cells, CD8+ T cells and myeloid cells, respectively, are shown and channel color settings are as follows for all markers: Contrast: 2,5; Brightness: 1; Gamma: 1.2. Note that the Composite tab is zoomable. Scale bars: 150 µm. Adapted from (Meyer, Eling, and Bodenmiller 2023)

## 2.6 Cell-level visualization

Cell visualization has basic controls.

Here, the user can choose to display the provided segmentation `masks`. If an `object` is provided, the masks can be colored by cell-specific metadata.

Please note again that for categorical and continuous metadata entries the user can choose between discrete colors and continuous color palettes (viridis, inferno, plasma), respectively.

Figure 4: Cell-level visualization - Basic controls. The graphical user interface of cytoviewer for cell-level-mask with basic controls. For cell-level visualization, tumor cells (magenta) are highlighted. Note that the Mask tab is zoomable. Adapted from (Meyer, Eling, and Bodenmiller 2023)

## 2.7 General controls

General controls is subdivided into an Image appearance and Image filters part.

In the Image appearance section, the user can adjust the scale bar length and include legend/image titles, while the Image filters section allows to control pixel-wise interpolation (default) and apply a Gaussian filter.

## 2.8 Image download

The `cytoviewer` package supports fast and uncomplicated image downloads.

Download controls are part of the Header (see Section Interface).

The user can specify a file name, select the image of interest (Composite, Channels, Mask) and the file format (pdf, png). Upon clicking the download button, a pop-window should appear where the user can specify the download location.

# 3 Additional Information

## 3.1 Read in data

To conveniently read in images and segmentation masks into a `CytoImageList` object and then visualize these using `cytoviewer`, the `cytomapper` package provides the `loadImages` function.

The `loadImages` function returns a `CytoImageList` object containing the multi-channel images or segmentation masks. Refer to the `?loadImages` function to see the full functionality.

As an example, we will read in multi-channel images and segmentation masks provided by the `cytomapper` package.

To correctly scale pixel values of the segmentation masks when reading them in, we will need to set `as.is = TRUE`. Users needs to take care that pixel values are scaled correctly in more complex cases.

    library(cytomapper)

    # Data directory that stores images and masks in tiff format
    data_path <- system.file("extdata", package = "cytomapper")

    # Read in images
    cur_images <- loadImages(data_path, pattern = "_imc.tiff")
    cur_images

    ## CytoImageList containing 3 image(s)
    ## names(3): E34_imc G01_imc J02_imc
    ## Each image contains 5 channel(s)

    # Read in masks
    cur_masks <- loadImages(data_path, pattern = "_mask.tiff", as.is = TRUE)
    cur_masks

    ## CytoImageList containing 3 image(s)
    ## names(3): E34_mask G01_mask J02_mask
    ## Each image contains 1 channel

### 3.1.1 Add metadata

To link images between the two `CytoImageList` objects and the corresponding `SingleCellExperiment` object, the image ids need to be added to the `elementMetadata` slot of the `CytoImageList` objects.

    names(cur_images)

    ## [1] "E34_imc" "G01_imc" "J02_imc"

    names(cur_masks)

    ## [1] "E34_mask" "G01_mask" "J02_mask"

    mcols(cur_masks)$ImageNb <- mcols(cur_images)$ImageNb <- c("E34", "G01", "J02")

### 3.1.2 Add channel names

To access the correct images in the multi-channel `CytoImageList` object, the user needs to set the correct channel names. For this, the `cytomapper` package provides the `?channelNames` getter and setter function:

    channelNames(cur_images) <- c("H3", "CD99", "PIN", "CD8a", "CDH")

### 3.1.3 Generating the object

Based on the processed segmentation masks and multi-channel images, `cytomapper` can be used to measure cell-specific intensities and morphological features. Here, these features are stored in form of a `SingleCellExperiment` object.

    cur_sce <- measureObjects(image = cur_images,
                              mask = cur_masks,
                              img_id = "ImageNb")
    cur_sce

    ## class: SingleCellExperiment
    ## dim: 5 362
    ## metadata(0):
    ## assays(1): counts
    ## rownames(5): H3 CD99 PIN CD8a CDH
    ## rowData names(0):
    ## colnames: NULL
    ## colData names(8): ImageNb object_id ... m.majoraxis m.eccentricity
    ## reducedDimNames(0):
    ## mainExpName: NULL
    ## altExpNames(0):

### 3.1.4 Run cytoviewer

Next, we can again call `cytoviewer` with the generated `image`, `mask` and `object` data and leverage all provided functionality.

    # Use cytoviewer with images, masks and object
    app_1 <- cytoviewer(image = cur_images,
                      mask = cur_masks,
                      object = cur_sce,
                      img_id = "ImageNb",
                      cell_id = "object_id")

    if (interactive()) {

      shiny::runApp(app_1, launch.browser = TRUE)

      }

For more detailed information on the input objects, please refer to the respective documentation (the vignettes of the cytomapper or SingleCellExperiment/ SpatialExperiment packages).

# Session info

    ## R version 4.6.0 Patched (2026-04-24 r89963)
    ## Platform: aarch64-apple-darwin23
    ## Running under: macOS Tahoe 26.3.1
    ##
    ## Matrix products: default
    ## BLAS:   /Library/Frameworks/R.framework/Versions/4.6/Resources/lib/libRblas.0.dylib
    ## LAPACK: /Library/Frameworks/R.framework/Versions/4.6/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.1
    ##
    ## locale:
    ## [1] C/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8
    ##
    ## time zone: America/New_York
    ## tzcode source: internal
    ##
    ## attached base packages:
    ## [1] stats4    stats     graphics  grDevices utils     datasets  methods
    ## [8] base
    ##
    ## other attached packages:
    ##  [1] cytomapper_1.24.0           SingleCellExperiment_1.34.0
    ##  [3] SummarizedExperiment_1.42.0 Biobase_2.72.0
    ##  [5] GenomicRanges_1.64.0        Seqinfo_1.2.0
    ##  [7] IRanges_2.46.0              S4Vectors_0.50.0
    ##  [9] BiocGenerics_0.58.0         generics_0.1.4
    ## [11] MatrixGenerics_1.24.0       matrixStats_1.5.0
    ## [13] EBImage_4.54.0              cytoviewer_1.12.0
    ## [15] BiocStyle_2.40.0
    ##
    ## loaded via a namespace (and not attached):
    ##  [1] bitops_1.0-9             gridExtra_2.3            rlang_1.2.0
    ##  [4] magrittr_2.0.5           svgPanZoom_0.3.4         shinydashboard_0.7.3
    ##  [7] otel_0.2.0               compiler_4.6.0           png_0.1-9
    ## [10] systemfonts_1.3.2        fftwtools_0.9-11         vctrs_0.7.3
    ## [13] pkgconfig_2.0.3          SpatialExperiment_1.22.0 fastmap_1.2.0
    ## [16] magick_2.9.1             XVector_0.52.0           fontawesome_0.5.3
    ## [19] promises_1.5.0           rmarkdown_2.31           ggbeeswarm_0.7.3
    ## [22] xfun_0.57                cachem_1.1.0             jsonlite_2.0.0
    ## [25] later_1.4.8              rhdf5filters_1.24.0      DelayedArray_0.38.0
    ## [28] Rhdf5lib_2.0.0           BiocParallel_1.46.0      jpeg_0.1-11
    ## [31] tiff_0.1-12              terra_1.9-11             parallel_4.6.0
    ## [34] R6_2.6.1                 bslib_0.10.0             RColorBrewer_1.1-3
    ## [37] jquerylib_0.1.4          Rcpp_1.1.1-1.1           bookdown_0.46
    ## [40] knitr_1.51               httpuv_1.6.17            Matrix_1.7-5
    ## [43] nnls_1.6                 tidyselect_1.2.1         dichromat_2.0-0.1
    ## [46] abind_1.4-8              yaml_2.3.12              viridis_0.6.5
    ## [49] codetools_0.2-20         miniUI_0.1.2             lattice_0.22-9
    ## [52] tibble_3.3.1             shiny_1.13.0             S7_0.2.2
    ## [55] evaluate_1.0.5           archive_1.1.13           shinycssloaders_1.1.0
    ## [58] pillar_1.11.1            BiocManager_1.30.27      sp_2.2-1
    ## [61] RCurl_1.98-1.18          ggplot2_4.0.3            scales_1.4.0
    ## [64] xtable_1.8-8             glue_1.8.1               tools_4.6.0
    ## [67] colourpicker_1.3.0       locfit_1.5-9.12          rhdf5_2.56.0
    ## [70] grid_4.6.0               raster_3.6-32            beeswarm_0.4.0
    ## [73] HDF5Array_1.40.0         vipor_0.4.7              cli_3.6.6
    ## [76] textshaping_1.0.5        viridisLite_0.4.3        S4Arrays_1.12.0
    ## [79] svglite_2.2.2            dplyr_1.2.1              gtable_0.3.6
    ## [82] sass_0.4.10              digest_0.6.39            SparseArray_1.12.0
    ## [85] rjson_0.2.23             htmlwidgets_1.6.4        farver_2.1.2
    ## [88] memoise_2.0.1            htmltools_0.5.9          lifecycle_1.0.5
    ## [91] h5mread_1.4.0            mime_0.13

# References

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Damond, Nicolas, Stefanie Engler, Vito R. T. Zanotelli, Denis Schapiro, Clive H. Wasserfall, Irina Kusmartseva, Harry S. Nick, et al. 2019. “A Map of Human Type 1 Diabetes Progression by Imaging Mass Cytometry.” Cell Metabolism 29 (3): 755–768.e5.
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Giesen, Charlotte, Hao A. O. Wang, Denis Schapiro, Nevena Zivanovic, Andrea Jacobs, Bodo Hattendorf, Peter J. Schüffler, et al. 2014. “Highly Multiplexed Imaging of Tumor Tissues with Subcellular Resolution by Mass Cytometry.” Nature Methods 11 (4): 417–22.
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Lin, Jia-Ren, Benjamin Izar, Shu Wang, Clarence Yapp, Shaolin Mei, Parin M. Shah, Sandro Santagata, and Peter K. Sorger. 2018. “Highly Multiplexed Immunofluorescence Imaging of Human Tissues and Tumors Using t-CyCIF and Conventional Optical Microscopes.” eLife 7: 1–46.
Meyer, Lasse, Nils Eling, and Bernd Bodenmiller. 2023. “Cytoviewer: An r/Bioconductor Package for Interactive Visualization and Exploration of Highly Multiplexed Imaging Data.” https://doi.org/10.1101/2023.05.24.542115.
Moffitt, Jeffrey R., Emma Lundberg, and Holger Heyn. 2022. “The Emerging Landscape of Spatial Profiling Technologies.” Nature Reviews Genetics 23: 741–59.
Windhager, Jonas, Bernd Bodenmiller, and Nils Eling. 2021. “An End-to-End Workflow for Multiplexed Image Processing and Analysis.” https://doi.org/10.1101/2021.11.12.468357.