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Implementing the DICOM Standard for Digital Pathology.

Markus D Herrmann1, David A Clunie2, Andriy Fedorov3,4

  • 1MGH and BWH Center for Clinical Data Science, Boston, MA, USA.

Journal of Pathology Informatics
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Digital Imaging and Communications in Medicine (DICOM) implementation enables efficient access to digital pathology images and metadata. This standard facilitates enterprise integration and data exchange within healthcare networks.

Keywords:
Computational pathologyDICOMwebimage compressionslide scanningwhole slide imaging

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Area of Science:

  • Digital pathology
  • Medical imaging standards
  • Health informatics

Background:

  • Digital Imaging and Communications in Medicine (DICOM) is the established standard for medical imaging.
  • A DICOM standard for pathology exists but lacks widespread adoption.
  • This study addresses the implementation and evaluation of DICOM for digital pathology in a real-world setting.

Purpose of the Study:

  • To implement essential aspects of the DICOM standard for digital pathology.
  • To assess the capabilities and limitations of DICOM in a multisite, multivendor healthcare network.
  • To evaluate the efficiency of data encoding, storage, and retrieval using DICOM.

Main Methods:

  • Selected and populated relevant DICOM attributes with pixel data and metadata.
  • Integrated patient and specimen information from diverse laboratory systems.
  • Validated DICOM files and measured performance using different compression methods and web services.

Main Results:

  • Whole slide images and metadata were successfully encoded as DICOM objects.
  • Efficient data access was achieved via files and RESTful web services.
  • Image compression methods significantly impacted data access efficiency, with JPEG and JPEG-LS showing optimal performance for lossy and lossless compression, respectively.

Conclusions:

  • DICOM implementation provides efficient access to digital pathology images and metadata.
  • Leveraging existing infrastructure, DICOM facilitates enterprise integration and data exchange for digital pathology.
  • The study demonstrates the feasibility and benefits of adopting DICOM in digital pathology workflows.