Goacher E., Randell R., Williams B., Treanor D. Whole slide imaging versus microscopy for primary diagnosis in surgical pathology: A multicenter blinded randomized noninferiority study of 1992 cases (pivotal study) Am. Mukhopadhyay S., Feldman M.D., Abels E., Ashfaq R., Beltaifa S., Cacciabeve N.G., Cathro H.P., Cheng L., Cooper K., Dickey G.E., et al. Current state of the regulatory trajectory for whole slide imaging devices in the USA. International clinical guidelines for the adoption of digital pathology: A review of technical aspects. Implementation of digital pathology offers clinical and operational increase in efficiency and cost savings. Hanna M.G., Reuter V.E., Samboy J., England C., Corsale L., Fine S.W., Agaram N.P., Stamelos E., Yagi Y., Hameed M., et al. Here we discuss experiences from past digital pathology implementations, future possibilities through the addition of artificial intelligence, technical and occupational health challenges, and possible changes to the pathologist's profession.Īrtificial intelligence automation computer vision syndrome digital pathology machine learning occupational health whole slide imaging. Our histology lab is organized according to Lean principles. However, the main goal is the continuous development of digital pathology for diagnostic routine in the department. Image analysis is blended into the traditional work-flow, and the approval of artificial intelligence for routine diagnostics starts to challenge human evaluation as the gold standard. Digital pathology is a digital image-based practice of pathology that includes acquisition, management, and interpretation of pathological data produced from a digitized glass slide. The digital pathology group also works closely with our computational pathology researchers. Cost-efficiency analyses and occupational health issues need to be addressed comprehensively.
Guidelines by international pathology organizations aim to safeguard histology in the digital realm, from image acquisition over the setup of work-stations to long-term image archiving, but must be considered a starting point only. Up to half of the pathologists are reluctant to sign out reports on only digital slides and are concerned about reporting without the tool that has represented their profession since its beginning. Comparative studies have published reassuring data on safety and feasibility, but implementation experiences highlight the need for training and the knowledge of pitfalls. Faster whole slide image scanning has paved the way for this development, but implementation on a large scale is challenging on technical, logistical, and financial levels. Digital pathology is on the verge of becoming a mainstream option for routine diagnostics.
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