https://dicom.nema.org/dicom/dicomwsi/
Interesting guide to the Whole Slide Images (WSI) format. The surprising thing for me is that compression is used, and they note does not affect use in diagnostics.
Back in the day we used TIFF for a similar application (X-ray detector images).
Digital pathology are just a lot bigger than radiology, we regularly see slides 500k x 500k pixels.