Complete digital pathology transition: A large multi-center experience

Benzion Samueli, Natalie Aizenberg, Ruthy Shaco-Levy, Aviva Katzav, Yarden Kezerle, Judit Krausz, Salam Mazareb, Hagit Niv-Drori, Hila Belhanes Peled, Edmond Sabo, Ana Tobar, Sylvia L. Asa

    Research output: Contribution to journalArticlepeer-review

    1 Scopus citations


    Introduction: Transitioning from glass slide pathology to digital pathology for primary diagnostics requires an appropriate laboratory information system, an image management system, and slide scanners; it also reinforces the need for sophisticated pathology informatics including synoptic reporting. Previous reports have discussed the transition itself and relevant considerations for it, but not the selection criteria and considerations for the infrastructure. Objective: To describe the process used to evaluate slide scanners, image management systems, and synoptic reporting systems for a large multisite institution. Methods: Six network hospitals evaluated six slide scanners, three image management systems, and three synoptic reporting systems. Scanners were evaluated based on the quality of image, speed, ease of operation, and special capabilities (including z-stacking, fluorescence and others). Image management and synoptic reporting systems were evaluated for their ease of use and capacity. Results: Among the scanners evaluated, the Leica GT450 produced the highest quality images, while the 3DHistech Pannoramic provided fluorescence and superior z-stacking. The newest generation of scanners, released relatively recently, performed better than slightly older scanners from major manufacturers Although the Olympus VS200 was not fully vetted due to not meeting all inclusion criteria, it is discussed herein due to its exceptional versatility. For Image Management Software, the authors believe that Sectra is, at the time of writing the best developed option, but this could change in the very near future as other systems improve their capabilities. All synoptic reporting systems performed impressively. Conclusions: Specifics regarding quality and abilities of different components will change rapidly with time, but large pathology practices considering such a transition should be aware of the issues discussed and evaluate the most current generation to arrive at appropriate conclusions.

    Original languageEnglish
    Article number155028
    JournalPathology Research and Practice
    StatePublished - 1 Jan 2024


    • Digital pathology
    • Image management system
    • Slide scanners
    • Synoptic reporting

    ASJC Scopus subject areas

    • Pathology and Forensic Medicine
    • Cell Biology


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