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I've come to recommend against in-place anonymization in most cases. By overwriting the original files, we run the risk of losing those files. This is obvious, and can be protected against by copying the originals before anonymizing. A more subtle problem is that anonymization of dates in dicognito is performed by shifting them slightly into the past. If the same files are anonymized in place repeatedly, we find that study dates, patient birth dates, and the like continue to shift backwards in time, which can cause problems when the data is used.
Thus, dicognito will eventually require explicit choice of --in-place mode or a designated --output-directory.