Digital pathology at scale is largely an infrastructure challenge, built on five core pillars: performance, scalability, storage, integration, and network.

Storage and network provide the backbone for handling large whole slide images, but it is integration, particularly between PACS, LIS, and scanners that proves most complex. Here, standardisation through formats like DICOM becomes essential. Together, these pillars highlight a simple reality: success in digital pathology comes not from a single solution, but from a well-designed system that can adapt and evolve over time.

But what about performance, scalability, and integration…