Deep Learning within a DICOM WSI Viewer for Histopathology

Microscopy scanners and artificial intelligence (AI) techniques have facilitated remarkable advancements in biomedicine. Incorporating these advancements into clinical practice is, however, hampered by the variety of digital file formats used, which poses a significant challenge for data processing. Open-source and commercial software solutions have attempted to address proprietary formats, but they fall short of providing comprehensive access to vital clinical information beyond image pixel data. The proliferation of competing proprietary formats makes the lack of interoperability even worse. DICOM stands out as a standard that transcends internal image formats via metadata-driven image exchange in this context. DICOM defines imaging workflow information objects for images, patients' studies, reports, etc. DICOM promises standards-based pathology imaging, but its clinical use is limited. No FDA-approved digital pathology system natively generates DICOM, and only one high-performance whole slide images (WSI) device has been approved for diagnostic use in Asia and Europe. In a recent series of Digital Pathology Connectathons, the interoperability of our solution was demonstrated by integrating DICOM digital pathology imaging, i.e., WSI, into PACs and enabling their visualisation. However, no system that incorporates state-of-the-art AI methods and directly applies them to DICOM images has been presented. In this paper, we present the first web viewer system that employs WSI DICOM images and AI models. This approach aims to bridge the gap by integrating AI methods with DICOM images in a seamless manner, marking a significant step towards more effective CAD WSI processing tasks. Within this innovative framework, convolutional neural networks, including well-known architectures such as AlexNet and VGG, have been successfully integrated and evaluated.