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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Published on: July 11, 2025

Development of a teledermatopathology consultation system using virtual slides.

Ikunori Nakayama¹, Tsubasa Matsumura, Akihisa Kamataki

¹Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Diagnostic Pathology

|December 15, 2012

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This study introduces an online consultation system for pathological diagnosis using virtual slides, improving speed and usability for dermatopathology cases. The system facilitates rapid, remote expert consultations, addressing pathologist shortages.

Area of Science:

Pathology
Teledermatology
Digital Health

Background:

An online consultation system utilizing virtual slides (whole slide images; WSI) has been developed to aid pathological diagnosis.
This system can help mitigate the shortage of pathologists, particularly in dermatopathology and complex case analysis.

Purpose of the Study:

To evaluate the performance and explore the future potential of an online virtual slide consultation system.
To assess the system's usability and effectiveness for remote pathological consultations.

Main Methods:

Digitalization of histological specimens into virtual slides (WSI) and uploading to an open server.
Input of patient data and selection of up to ten consultants via a purpose-built online system.
Simultaneous email notification to consultants with login credentials for accessing case data and images.

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Main Results:

Consultations were solicited for 36 cases, involving 1-8 dermatopathology consultants.
No issues were reported with image quality or system functionality; diagnoses were received rapidly (as fast as 18 minutes).
Questionnaires confirmed the system's usability, with 16 out of 23 consultants finding it effective.

Conclusions:

A novel teledermatopathology consultation system using virtual slides has been developed and its utility investigated.
The system is a valuable tool for international medical collaboration and is anticipated for wider future application.