GeoJSON is not just for geographical features! Shapes of any kind work just as well.

QuPath[1], a tool for digital pathology whole slide image analysis, can export annotations in GeoJSON format (and import too I suppose).[2] This makes it really very easy to make annotations transportable between tooling.

[1] https://qupath.github.io/

[2] https://github.com/qupath/qupath-docs/blob/main/docs/advance...