This article describes how INFINITT Healthcare and Samsung Medical Center implemented a cloud-based digital pathology system on AWS to improve tissue analysis workflows and multidisciplinary collaboration.

• Cloud-based PACS digitizes whole-slide imaging (WSI) as DICOM files for pathologists
• Real-time remote collaboration enables multiple pathologists to view and annotate slides simultaneously
• Eliminates need for manual image capture, PowerPoint preparation, and physical slide transportation
• Automatic data backup and retention policy enforcement through Amazon S3
• 50-70% cost savings versus traditional on-premises IT infrastructure
• Architecture uses EC2, EBS, S3, SageMaker, and Cognito for secure access and AI/ML workflows
• Handles 1,000 WSI images daily (10TB data) with 2.5-10GB per uncompressed image
• Future plans include AI algorithms to automate cancer grading and pathological detection

Cloud-based digital pathology addresses staffing shortages while improving diagnostic efficiency and enabling collaborative research across institutions.