Rapid digital pathology go-live at scale…

On the 18th of September 2024, NYU Langone started scanning six different tissue types, marking their first digital steps. By September the following year, the senior leadership team behind the transition were looking at a fully paperless digital pathology workflow.

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Annual Case Volume

New York City, New York, USA

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Year Deployed

AI Deployment: Pending

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Scanners
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Pathologists

The Big Picture, The Road to AI Deployment & The Biggest Implementation Challenge

Use the quick links below to check out particular sections and interviews that interest you

How did NYU Langone build the foundations for digital pathology at scale?

Nader Mherabi, Executive Vice President, Vice Dean and Chief Digital and Information Officer at NYU Langone Health, explores the infrastructure, leadership and digital strategy behind the organisation’s transformation.

From lessons learned through decades of healthcare digitisation to the case for investing in digital pathology, this conversation reveals what it really takes to make large-scale change possible and step into the world of digital pathology.

How are NYU Langone using AI in their histopathology workflow?

Dr Syed T. Hoda and Dr Joan Cangiarella discuss NYU Langone’s approach to AI, from developing and validating its own tools to exploring applications beyond diagnosis.

The conversation looks at where AI could make the biggest difference. The pair discuss quality control, workload balancing, case prioritisation and automating everyday tasks for pathologists.

How do you bring an entire pathology department with you on the journey to digital?

Dr Joan Cangiarella and Dr Syed T. Hoda discuss the change management behind NYU Langone’s digital pathology rollout from overcoming early resistance to creating a culture where going digital was the expectation, not the exception.

They also explore how remote working, flexibility and a new way of practising pathology have helped win over sceptics, support recruitment and attract the next generation of pathologists.

Articles

A View From Above

Your opportunity to see exactly what the NYU Langone histopathology lab looks like on the inside

Click to look inside NYU Langone’s histopathology lab

Dr Syed T. Hoda
Clinical Professor, Director of Digital Pathology
Dr Joan Cangiarella

Executive Vice President, Vice Chair, Pathology

Nader Mherabi

Executive Vice President and Vice Dean, Chief Digital and Information Officer

Amin El-Rowmeim
Senior Manager, Clinical Ancillary Systems at NYU Langone Health
Rui Soares
Rui Soares
Operations Director, Anatomic Pathology Laboratory
Sau Wong
Digital Pathology Operations Manager
Veronica Portnov
Lead Digital Pathology Coordinator
Rehnuma Trisa
Digital Pathology Coordinator

Technology Stack

Whole Slide Scanning

Philips Pathology Scanner SG300

Clinical & Research

Clinical & Research

Glissando Desktop Scanner

Clinical

Clinical

Data Storage Strategy

Day 0

Dell EMC PowerMax

High performance surface area network (SAN) for image ingestion

NYU is currently evaluating a migration to Pure Storage to support future scalability and performance requirements

24 Hours

Dell EMC Isilon/Dell PowerScale

Images transition to Network Attached Storage (NAS)

90 Days

AWS S3 Standard

Signed case images are archived

95 Days

AWS S3 Glacier Flexible Retrieval

Images transition to lower cost archive storage

365 Days

AWS S3 Glacier Deep Archive

Long term retention

Laboratory Information System

Epic Beaker

Includes several NYU-specific enhancements

Image Management System

Philips IntelliSite Pathology Solution (PIPS) Version 6.0 New Concept

Philips IntelliSite Pathology Solution (PIPS) Version 6.0

Remote Reporting

Cisco Concept

Cisco Meraki MX SD-WAN

VPN connectivity for pathology remote reading

Diagnostic & Non-diagnostic Displays

Beacon Concept

Beacon C411W

Diagnostic Use

27-inch, 4MP diagnostic medical displays

Dell Concept

Dell

Non-diagnostic Use

EPIC worklists and patient record review

Pathology Workstation

PW Concept

Digital Components

Processor
Intel Core Ultra 9 285

Operating System
Windows 11 Pro

Graphics
NVIDIA RTX 2000 ADA (16 GB GDDR6)

Memory
32 GB DDR5

Storage
1 TB SSD

Peripheral Options

Mouse
3Dconnexion SpaceMouse Compact
3Dconnexion SpaceMouse Pro

Keyboard
3Dconnexion Keyboard Pro with Numpad

Additional Displays
Wacom Intuos Pro Tablets

Rome Wasn’t Built In A Day

How did NYU Langone digitize histopathology at such speed and scale?

Dr Syed T. Hoda takes us through the planning, change management and phased rollout behind the transformation, from the first go-live to building confidence across specialties and hospital sites.

The conversation explores why project management, communication and clinical buy-in were so critical, and how NYU Langone turned an ambitious timeline into a sustainable glassless workflow.

Articles

From The Technical Side

What does it take to build the technical backbone for digital pathology at scale?

Along with Amin El-Rowmeim we explore the infrastructure behind NYU Langone’s rollout, from tiered storage and high-speed networks to LIS integration, remote reporting and disaster recovery.

The conversation also examines interoperability, vendor lock-in and the technical decisions that helped NYU Langone create a resilient, scalable glassless workflow across multiple sites.

Articles

A Team Creating New Possibilities

Who keeps a fully digital pathology workflow moving behind the scenes?

Veronica Portnov and Rehnuma Trisa discuss the role of NYU Langone’s digital pathology coordinators, the team bridging the gap between the laboratory and pathologists while helping ensure every case reaches the right person quickly.

From scanner troubleshooting and image quality control to adapting workflows as more subspecialties go glassless, the conversation offers rare insight into the day to day life of the Digital Pathology Coordinators as they ensure the laboratory keeps scanning slides and continue to improve their processes.