Network-based pathology system with desktop slide scanner

1. A method for remotely manipulating and analyzing a digital image of a sample, comprising:

providing an acquisition computer connected to a network server in communication with a computer network;

inserting at least one sample into a digital scanner connected to the acquisition computer, the digital scanner comprising a microscope and a microscope stage;

generating a pre-scan image of the sample on the microscope stage at a first magnification, wherein the pre-scan image comprises one or more image tiles;

automatically uploading the one or more image tiles to the network server in real time and synthesizing the pre-scan image at the network server;

providing a second computer remote to the acquisition computer and connected to the computer network, wherein a user of the second computer remotely viewing the pre-scan image on the second remote computer identifies an area of interest in the tiled pre-scan image of the sample;

uploading the identified area of interest of the pre-scan image of the sample on the microscope stage at a second magnification higher than the first magnification as a live stream to the second computer, wherein the live stream comprises generating a local scan of the area of interest by the acquisition computer, and the second computer receives the local scan of the area of interest at the second higher magnification that instantly changes as the microscope stage is moved by the user to analyze different portions of the areas of interest in real time.

2. The method of claim 1 , further comprising the user using the second computer to remotely focus the microscope on regions of varying depth in the identified areas of interest in real time.

3. The method of claim 1 , wherein the digital scanner further comprises an inker that marks the sample in the areas of interest identified by the user.

4. The method of claim 1 , wherein the local scan of the area of interest at the second higher magnification comprises a plurality of local image tiles.

5. The method of claim 4 , wherein the plurality of local image tiles are uploaded by the acquisition computer to the network server while the local scan is being generated, each local image tile being viewable by the second computer in communication with the computer network in real time while the plurality of local image tiles are being uploaded.

6. The method of claim 5 , wherein the network server stitches each local image tile together as the image tiles are being uploaded and assembles a raw final image of the local scan from a mosaic of the plurality of local image tiles.

7. The method of claim 1 , wherein the user optionally enters notes detailing why the area of interest should be analyzed.

8. The method of claim 1 , wherein the user is a pathologist.

9. The method of claim 1 , wherein the sample is a tissue sample.

10. The method of claim 9 , wherein the tissue sample is from a patient.

11. A method for a pathologist to remotely manipulate and analyze a digital image of a tissue sample, comprising:

providing an acquisition computer connected to a network server in communication with a computer network;

inserting at least one tissue sample into a digital scanner connected to the acquisition computer, the digital scanner comprising a microscope and a microscope stage;

generating a pre-scan image of the tissue sample on the microscope stage at a first magnification and automatically uploading the image to the network server in real time, wherein the pre-scan image comprises one or more image tiles and is synthesized at the network server;

providing a second computer remote to the acquisition computer and connected to the computer network, wherein the pathologist remotely views the pre-scan image on the second computer and identifies an area of interest in the tiled pre-scan image of the tissue sample;

uploading the identified area of interest of the pre-scan image of the tissue sample on the microscope stage at a second magnification higher than the first magnification as a live stream to the second computer, wherein the live stream comprises generating a local scan of the area of interest by the acquisition computer, and the second computer receives the local scan of the area of interest at the second higher magnification that instantly changes as the microscope stage is moved by the pathologist to analyze different portions of the areas of interest in real time.

12. The method of claim 11 , further comprising the pathologist using the second computer to remotely focus the microscope on regions of varying depth in the identified areas of interest in real time.

13. The method of claim 11 , wherein the digital scanner further comprises an inker that marks the tissue sample in the areas of interest identified by the pathologist.

14. The method of claim 11 , wherein the local scan of the area of interest at the second higher magnification comprises a plurality of local image tiles.

15. The method of claim 14 , wherein the plurality of local image tiles are uploaded by the acquisition computer to the network server while the local scan is being generated, each local image tile being viewable by the second computer in communication with the computer network in real time while the plurality of local image tiles are being uploaded.

16. The method of claim 15 , wherein the network server stitches each local image tile together as the image tiles are being uploaded and assembles a raw final image of the local scan from a mosaic of the plurality of local image tiles.

17. The method of claim 11 , wherein the pathologist optionally enters notes detailing why the area of interest should be analyzed.