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Sharing standardized image-derived data in computational pathology using DICOM

Daniela P. Schacherer (Fraunhofer Institute for Digital Medicine MEVIS Bremen Germany) Christopher P. Bridge (Athinoula A. Martinos Center for Biomedical Imaging Massachusetts General Hospital Boston USA) David Clunie (PixelMed Publishing Bangor USA) Igor Octaviano (Radical Imaging LLC USA) Andr\'e Homeyer (Fraunhofer Institute for Digital Medicine MEVIS Bremen Germany) Markus D. Herrmann (Harvard Medical School Boston USA) Olivier Gevaert (Stanford University Stanford USA) Tabita Ghete (University Hospital Erlangen Erlangen Germany) Markus Metzler (University Hospital Erlangen Erlangen Germany) Henning Hoefener (Fraunhofer Institute for Digital Medicine MEVIS Bremen Germany) Tahsin Kurc (Stony Brook University Stony Brook USA) Curtis Lisle (National Institute of Allergy and Infectious Diseases Bethesda USA) Kenneth Philbrick (Google Research Mountain View USA) Joel Saltz (Stony Brook University Stony Brook USA) Yuanning Zheng (Stanford University Stanford USA) Andrey Fedorov (Harvard Medical School Boston USA)
Sep 2026
Artificial Intelligence Machine Learning Computer Vision

Abstract

Development and evaluation of computational pathology methods require access to large and diverse datasets. Over the past decade, various initiatives invested significantly into collecting, centralizing, and sharing pathology imaging data. In contrast, sharing of image-derived data such as region-of-interest delineations or segmentation masks is less well developed. In this work, we describe our approach to encoding and sharing image-derived pathology data in a standardized manner within the National Cancer Institute (NCI) Imaging Data Commons (IDC), a platform that hosts and provides public access to de-identified radiology and pathology data. The IDC relies on the Digital Imaging and Communications in Medicine (DICOM) standard for data harmonization, yet the adoption of DICOM for pathology image-derived content has remained largely unexplored until now. Here, we present five representative datasets harmonized by conversion from their original representations into DICOM and shared publicly in the IDC. We demonstrate the benefits of this harmonization, describe contributions to critical open-source tooling, and discuss technical considerations relevant to broader adoption of DICOM for pathology image-derived data.

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