Seems very similar to how maps work on the web these days, in particular protomap files [0]. I wonder if you could view the medical images in leaflet or another frontend map library with the addition of a shim layer? Cool work!0: https://protomaps.com/
el_pa_b|1 month ago
As for digital pathology, the field is very much tied to scanner-vendor proprietary formats (SVS, NDPI, MRXS, etc).