FIGURE 1.

Schema of the development of the cloud-based integrated database including clinical radiological and pathological data, and web-based multidisciplinary discussion (MDD) using the cloud-based integrated database. HRCT: high-resolution computed tomography. The data centre included three servers, one each for clinical, radiological (HRCT DICOM files) and pathological (whole-slide files) data. Each type of data was uploaded to each web server separately and registered with the appropriate case identification numbers. For web-based MDD, the clinician, radiologist and pathologist referred to the data and evaluated the case based on the information in the database by themselves. They then discussed the case with each other via video-conferencing to reach an MDD diagnosis. The final diagnosis was recorded in the cloud-based database. ^#: interlinked by the case identification number.