Transforming Anatomic Pathology

Gestalt is committed to bringing anatomic pathology into the digital age. We provide the enterprise solutions, and services, to transform anatomic pathology laboratories from glass slides, microscopes and couriers to an automated, electronic digital workflow.


Gestalt’s PathFlow solution provides a secure platform to acquire the pathology image & clinical data, automatically route the case to the appropriate pathologist and return their results to the requesting clinician. This capability provides tremendous opportunity for improvements in the quality of patient care, the speed of diagnosis and the efficiency of both individual pathologists and their associated labs.

Workflow Management for both Digital and Glass in SAME System!

The same solution that enables digital workflow and reporting management fordigitized cases, can also be used to manage your glass slide workflow.

This is a huge benefit for many labs that use manual methods, which include spreadsheets, to track the case load and distribution of glass slides to pathologists. This manual method rarely has any means of tracking and monitoring which ones have been sent out, their delivery status, or their read/dictation status.

Our PathFlow solution provides a single platform where technicians can include both digitized cases and glass slides into the same process and workflow for all anatomic pathology cases. Pathologists can see their worklist of digitized cases along with their list of glass slides to be read. Tracking, monitoring, and reporting are all done from within our platform and enable an enterprise wide, real time view of all case work in the system.

Workflow Performance Dashboard

All of your cases are automatically tracked and are reportable. Service level agreements (SLA’s) with referring hospitals or clinicians can be configured by client so that each agreement is monitored and status is updated based on their specific agreement. Feedback and tracking of technical errors such as a poor scan quality, image artifacts, misaligned tissue scan or other problems can be tracked and reported for improvement opportunities. Quickly and easily view or run reports such as daily, weekly or monthly turn-around times (TAT) for each physician in real time and then provide reports, individually or enterprise wide.

Clinical Documentation & Voice Recognition (VR)

Gestalt’s PathFlow integrates reporting & voice recognition software as a complete clinical reporting solution. This solution enables pathologists to use natural language processing to create their diagnostic reports which are then sent back to which ever LIS originated the case.

We also offer affordable remote transcription services.

Case Workflow & Routing, Escalation & Report Distribution

PathFlow enables highly configurable rules to route exams to appropriate sub-specialized pathologists automatically. Cases automatically populate digital worklists with all available patient information readily available to the pathologist. Cases age and turn color based on service level agreements with referring entities or your preferred settings. Distribution of dictated reports are handled automatically via an intelligent rules engine that is configurable by you or based upon your providers’ preferences.

Universal Image Viewer

Our digital viewer works with images from a variety of different image file formats produced by different digital pathology scanners. This includes images produced on Leica, Philips, Motic and many others. Our goal is to continue to include new image file formats and scanners as they are updated or enter the market - to ensure your ability to read any image from any scanner. We invite you to contact us regarding your particular WSI scanner image format specifications. If we don’t support it today, we will work with you to include it in our list of supported formats for tomorrow.


The incorporation of digital pathology can reduce the necessity of a pathologist to read slides through a physical microscope, thus eliminating geographical barriers. This advancement in technology literally puts the world of healthcare at your fingertips.  You now have access to pathologists anytime, anywhere and in every specialty.

Secondary Consults

  • Quickly provide high quality diagnosis and treatment recommendations by reducing the time it takes to receive specialized secondary consults whether they are from within the pathologists practice or from an external expert. 
  • You can also reduce the expense, time and risk of transporting slides from one location to another.  If additional stains are required or ordered, then the new digital image can be shared as soon as it is plated.

Pathologist location flexibility - No Geographic Barriers

  • Attract top talent and reduce expenses by enabling pathologists to review cases from any certified diagnostic workstation, reducing their travel time and providing improved work/life balance.

Outreach Expansion

  • You can now add testing intake and consultations to your service – or expand your volume if you already do this – by having access to pathologists around the state, country, globe.  Having remote pathologists who can supplement your on staff ones will increase your ability to take on extra work at a fraction of the expense.  With our PathFlow solution, you don’t have to worry about additional licenses, physical location or even time zones.  Pathologists can work on their time, from their location – all through our secure cloud-based solutions.
  • Pathology practices can now provide their consultation services to international pathology laboratories in need of skilled pathology consults. 80% of pathologists are located in the USA, and Asia and other regions of the world have a shortage of pathologists. This increased case volume generates additional revenue, by enabling workload leveling for under-utilized pathologists. Professional practices can build their own international partnership, or utilize one of Gestalt’s established partners.

Multi-lab Case Intake and Reporting

  • Pathologists who are contracted to review cases from multiple pathology labs are often using different laboratory information systems (LIS) which may be geographically, and technically, quite distant from one another. In addition to having their own LIS each lab will typically have its own slide distribution process, and specific clinical documentation tool. In many cases the pathologist will need to be physically located at the lab to provide the diagnostic service. This diversity of tools, and complexity of processes and locations result in pathologists spending significant time managing the various pathology case workflows they function in as well as considerable travel time for on-site reads. Gestalt’s PathFlow solution provides a pathologist-centric workflow aggregator that enables case review, case management, and electronic reporting for multiple facilities while providing consistent clinical data about the patient.


Labs that are performing clinical trials benefit from digital pathology by decreasing the time for reads, documentation and validation.
PathFlow lends itself perfectly to this discipline due to the fact that it is cloud based and can be easily accessed from anywhere and at any time.  Pathologists can work on their schedule and all findings are captured and incorporated back into the lab’s LIS. Clinical trial labs often have prior images and slides to be able to compare progress or efficacy of treatments over time.  PathFlow provides the pathologist with all prior images associated with any given case (if the lab chooses to provide access to them) so that a timeline and relevance comparison can be done.

Our solutions help clinical trial labs keep costs down, attract pathologists without having to pay a premium for commutes or off-hours availability and help increase the speed of their workflow – to include the necessary documentation process for their customers.


PathFlow supports pathologists preparing for tumor boards by significantly reducing the amount of manual effort, personnel and time involved.
Some of the benefits include:

  • Simplify transportation and preparation of slides
  • Reduction in physical steps for a pathologist to review selected cases
  • Pathologist simply highlights areas of interest, adds annotations and if desired – takes snapshots of areas of interest
  • Last minute add-on cases can be facilitated quickly
  • If case is bumped from schedule the preparation work is still available and stored with the case
  • Streamline presentation of cases at meeting
  • Present in a simple web browser reducing technical delays and saving valuable time
  • Pathologist scripts annotations and observations directly into a case on the screen, rather than scratching them on a notepad
  • Improve the quality of pathology contribution to team meeting
  • Immediate access to entire slide (rather than just a snapshot) enabling other clinicians on team to assess case
  • Immediate access to relevant prior cases that may improve diagnostic evaluation.
  • Easy sharing of pathology images with other care team members.


Pathology laboratories can conveniently ‘self-validate’ their pathologists for digital primary diagnosis right from our platform.

During the self-validation period, the system automatically collects the original consult reports created from the microscope review, presents the digitized cases to the pathologist after the washout period has passed, and then provides the cases for adjudication.

Case counts and pass/fail criteria are calculated and reported directly from within our applications.
Peer review features allow pathologists to engage in the expert consultation processes electronically through systematized procedures for fulfilling official peer review requirements.