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Currently this is very slow because some binary wheels are missing for 3.13 (numcodecs being notable) and they need to be compiled before testing begins. Additionally, currently wsidicom requires numpy<2, partly because dicomweb-client isn't numpy 2.x compatible (yet). Since numpy < 2 doesn't have wheels for 3.13, this is part of the slowness. To avoid having CI timeout, this increases tox verbosity.
A few optional packages don't have 3.13 support (scikit-learn, pillow-jxl-plugin, rawpy), so those are not included in install_requires options.