Table 2 Main barriers for the implementation of a digital pathology system

Costs of implementation and maintenance

Payers and decision makers overlook the benefits

Lack of support for Pathology areas by Hospital administrators

Lack of adaptation and acceptance by doctors

Lack of standardization

Cost of digital storage is greater than the physical storage

Lack of an adequate strategy for the digitization of images

Low proportion of laboratories with technical quality certification

Pathologists are not aware of its benefits

Lack of reimbursement

Complexity of use

Lack of guidelines for validation of diagnostic methods

Fear of job replacement

Low automation of the technical area

Slide grids/baskets that can be transferred automatically from autostainers and scanners preventing manual manipulation and wax contamination

High costs of on site technical assistance