Whole-slide images (Virtual Slides), are a high-resolution image of physical histopathology scanned with special scanners, that produces the images in gigapixels. It allows scientists, researchers, clinical pathologists to use software to zoom for regions of interest ROIs.
Whole-slide images viewers are used in different sectors as medical diagnosis, intraoperative diagnosis, medical education, medical students training, diagnostic decision support systems, clinical research, & immunohistochemistry (IHC).
We often hear the term digital pathology, which is a technical concept to improve the quality, reduce the errors, and provide a better view of the slides. Above all Digital pathology is aiming to provide collaborative methods to improve diagnosis and research.
There are several Whole-slide image formats, there is no standard version because the variety of vendors, but we have libraries, projects, software which are built to process those formats, here is a list of the most common formats [src: OpenSlide]:
We have compiled this list here to help researchers, students, and developers, by easing their research of finding the open-source, free whole-slide image viewers, and analysis. so they can use freely in their work, read the code, build on it or integrate it into their current systems.
Our list includes programming libraries, software, & projects on Github.
QuPath is a lightweight virtual slide viewer & analysis software that works for Windows, Linux, & macOS. It's an open-source project built using Java technologies. QuPath is developed at the University of Edinburgh.
We have provided a snap review about QuPath listing its features in this article.
Cytomine is an open-source integrated whole-slide viewer & analysis platform. It supports many virtual slides (WSI) formats, works on Windows, Linux, macOS. With its web-based client, it supports collaboration and remote analysis for external teams, & researchers.
Orbit is a whole-slide image analysis program that has integrated machine, & deep learning algorithms. Orbit is built for AI researchers, but it works as a viewer for clinical pathologists as well, however, we would recommend other software for pathologists and histopathology educational purposes.
Orbit supports OMERO server, which is a digital pathology server to store, display, manage whole-slide images.
Read more about Orbit features that we covered in this article.
ASAP is an open-source whole-slide image viewer, it uses OpenSlide library which already supports multiple virtual slide extensions. It uses OpenCV library, DCMTK, & Boost C++ library.
ASAP is currently supporting windows (64), and Linux (Debian, Ubuntu)
Both projects have been used in several online histopathology online projects we covered some of them while reviewing them:
ImageJ is a famous open-source medical imaging viewer, with a custom plugin called SlideJ, ImageJ can display whole-slide images easy, including Aperio .SVS, Leica .SCN, Hamamatsu .NDPI, Mirax, Generic tiled TIFF and regular TIFF.
SlideJ splits the large image into square tiles with user-configured settings. SlideJ is based on Bio-Formats of OME (Open Microscopy Environment)
OMERO is digital pathology server designed to store, manage, whole-slide images and provide developers with API tools to build custom apps on top of it. OMERO is a production of OME (Open Microscopy Environment).
OMERO viewer is a custom whole-slide image viewer build to display images from OMERO server. It supports multiple image viewing, ROIs, annotations, and comes with advanced viewing options.
Here is a 10 mins video that shows it in action.
JVSView is a windows package for displaying virtual slides, it's written in C++ and works on Windows 64bits/ 32bits.
JVSView supports local and remote images from JVSserv – a JPIP server for a remote serving of JPEG2000 virtual slides. It also supports multiple full-screen displays, multi-layer viewing, storing ROIs as XML metadata. It provides seamless integration with ImageJ. It's free for non-commercial users.
PMA.start (Pathomation) is a free whole-slide image viewer and analysis package, that comes with a modular system and extensions to support ImageJ integration, and web-services API.
Unlike several microscopy packages, Pathomation is using OpenLayers, not OpenSlide and several web technologies like jQuery, jQueryUI, Bootstrap. and it is only available for Windows.
For more information about how PMA.start works, we would recommend watching the next presentation
caMicroscope is an open-source web-based Digital pathology image viewer with support of human/ machine-generated annotations and markups.
Note that caMicroscope is under active development.
Open source solutions are cost-effective for labs, researchers as it allows developers and software engineers to extend it and integrate it with their apps. We have collected 30+ projects, but we choose the most mature and usable ones, hoping this list will benefit our readers.
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A physician with programming skills, Linux user since late 1990s, Open source supporter. Coding with Python, NodeJS (Meteor, VueJS, Express, D3, PhantomJS), SmallTalk & R language.