> If you want files in TIFF format, you (the lab tech) have to take an action to export a side in TIFF. It can take up a fair amount of lab tech time.

Worse, you have to do it manually one by one in their interface, it takes like 30 minutes per slide and you only have like 20 minutes after it's done to pick it up and save it somewhere useful otherwise the temporary file gets lost.

DICOM is of course the way to go, but it does have its rough edges - stupid multiple files, sparse shit, concatenated levels and now Philips is the only vendor who makes JPEG XL (next to jpeg, jp2k and jpeg xr).

We learnt to live with iSyntax (and iSyntax2), if you can get access to them that is. In most deployments the whole system is a closed appliance and you have no access to the filesystem to get the damn files out.