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The Pathologist / Issues / 2026 / July / Why Pathology Needs Enterprise Imaging
Digital and computational pathology Microscopy and imaging Digital Pathology Technology and innovation Guidelines and Recommendations

Why Pathology Needs Enterprise Imaging

Nabile Safdar and Cheryl Carey explore enterprise imaging, interoperability, and lessons from radiology's digital transformation

By Jessica Allerton 07/22/2026 Discussion 3 min read
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Objective:

To highlight the importance of enterprise imaging in pathology and the role of the Society for Imaging Informatics in Medicine (SIIM) in supporting this transition through education, research, and collaboration.

Approach:
  • Historical Context: SIIM has evolved since its establishment in 1980, adapting to technological shifts in imaging informatics.
  • Mission and Support: SIIM focuses on education, research, technical leadership, and community to support imaging informaticists.
  • Enterprise Imaging Definition: Enterprise imaging now includes pathology, which is transitioning to digital workflows, presenting challenges and opportunities.
  • Challenges in Integration: Pathology faces interoperability challenges compared to established standards in radiology and cardiology.
  • Collaboration Across Specialties: Integrated enterprise imaging can enhance collaboration and multimodal patient care by unifying data across specialties.
  • AI in Enterprise Imaging: AI is becoming integral to enterprise imaging, with lessons from radiology's digital transformation applicable to pathology.
  • Future of Enterprise Imaging: SIIM aims to guide the evolution of enterprise imaging by establishing standards and fostering collaboration across disciplines.
Key Findings:
  • SIIM supports the transition to digital pathology through education and collaboration.
  • Pathology is moving from glass slides to digital workflows.
  • Interoperability remains a significant challenge for pathology.
  • Integrated imaging data can improve patient care.
  • AI tools are crucial for enhancing clinical decision-making.
Interpretation:

The integration of enterprise imaging in pathology is essential for advancing diagnostic capabilities and improving patient outcomes.

Limitations:
  • Pathology has historically relied on proprietary solutions.
  • Achieving seamless integration across platforms will require time.
Conclusion:

The future of enterprise imaging in pathology will depend on collaboration, standardization, and the adoption of AI technologies.

Sources:
  • Society for Imaging Informatics in Medicine

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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About the Author(s)

Jessica Allerton

Deputy Editor, The Pathologist

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