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In the AIM 3.0 model, an image annotation or annotation of annotation is stored as a single file, either as an AIM DICOM SR or AIM XML document. When AIM was used in Pathology, hundreds of thousands of AIM files were created for a single study. Managing AIM files from different image studies became very complicated. A collection described in the next section was used to store AIM instances from the same imaging study.


The next section describes changes from AIM version 3.0 to the AIM Foundation model.

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