Review
. 2002 Apr; 126(5):533-9.
doi: 10.5858/2002-126-0533-SADOPD.

Storage and distribution of pathology digital images using integrated web-based viewing systems

Alberto M Marchevsky 1 Ronda Dulbandzhyan  Kevin Seely  Steve Carey  Raymond G Duncan  
Affiliations
  • PMID: 11958657
  •     7 citations

Abstract

Context: Health care providers have expressed increasing interest in incorporating digital images of gross pathology specimens and photomicrographs in routine pathology reports.

Objective: To describe the multiple technical and logistical challenges involved in the integration of the various components needed for the development of a system for integrated Web-based viewing, storage, and distribution of digital images in a large health system.

Design: An Oracle version 8.1.6 database was developed to store, index, and deploy pathology digital photographs via our Intranet. The database allows for retrieval of images by patient demographics or by SNOMED code information.

Setting: The Intranet of a large health system accessible from multiple computers located within the medical center and at distant private physician offices.

Results: The images can be viewed using any of the workstations of the health system that have authorized access to our Intranet, using a standard browser or a browser configured with an external viewer or inexpensive plug-in software, such as Prizm 2.0. The images can be printed on paper or transferred to film using a digital film recorder. Digital images can also be displayed at pathology conferences by using wireless local area network (LAN) and secure remote technologies.

Conclusions: The standardization of technologies and the adoption of a Web interface for all our computer systems allows us to distribute digital images from a pathology database to a potentially large group of users distributed in multiple locations throughout a large medical center.

Enterprise imaging and multi-departmental PACS.
Björn Bergh.
Eur Radiol, 2006 Aug 17; 16(12). PMID: 16912852
Inter- and intra-observer concordance of cyberpathology in twenty-five cases.
Tommy R Tong, Kam-Cheong Lee, +6 authors, Jessica Pik-Man Lam.
Int J Biomed Sci, 2008 Mar 01; 4(1). PMID: 23675068    Free PMC article.
Cancer Digital Slide Archive: an informatics resource to support integrated in silico analysis of TCGA pathology data.
David A Gutman, Jake Cobb, +6 authors, Lee A D Cooper.
J Am Med Inform Assoc, 2013 Jul 31; 20(6). PMID: 23893318    Free PMC article.
Pathology imaging informatics for quantitative analysis of whole-slide images.
Sonal Kothari, John H Phan, Todd H Stokes, May D Wang.
J Am Med Inform Assoc, 2013 Aug 21; 20(6). PMID: 23959844    Free PMC article.
Highly Cited. Review.
Technical Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper.
David A Clunie, Don K Dennison, +3 authors, Henri Rik Primo.
J Digit Imaging, 2016 Sep 01; 29(5). PMID: 27576909    Free PMC article.
Review.
The Use of Screencasts with Embedded Whole-Slide Scans and Hyperlinks to Teach Anatomic Pathology in a Supervised Digital Environment.
Mary Wong, Joseph Frye, Stacey Kim, Alberto M Marchevsky.
J Pathol Inform, 2019 Jan 05; 9. PMID: 30607306    Free PMC article.
Digital media archive for gross pathology images based on open-source tools and Fast Healthcare Interoperability Resources (FHIR).
Emilio Madrigal, Long Phi Le.
Mod Pathol, 2021 May 27; 34(9). PMID: 34035438    Free PMC article.