Validation of a whole‐slide image‐based teleconsultation network

Baidoshvili, Alexi; Stathonikos, Nikolas; Freling, Gerard; Bart, Joost; Hart, Nils ’t; Laak, Jeroen van der; Doff, Jan J.; Vegt, Bert van der; Kluin, Philip M.; Diest, Paul J. van

doi:10.1111/his.13673

Cited by 22 publications

(18 citation statements)

References 16 publications

(32 reference statements)

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“…Other groups have also fully transitioned to digital workflow. For example, van Dienst and Baidoschvili in the Netherlands reported on the time saving aspects and benefits of their DP implementations 1 18. Additionally, they shared their experiences with the tender process and approach towards setting up their laboratory, infrastructure and pathologists’ workstations 19.…”

Section: Discussionmentioning

confidence: 99%

Current opinion, status and future development of digital pathology in Switzerland

et al. 2019

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AimsThe transition from analogue to digital pathology (DP) is underway in Switzerland. To assess relevant experiences of pathologists with DP and gauge their outlook towards a digital future, a national survey was conducted by the Swiss Digital Pathology Consortium. Similar surveys were conducted in other countries, enabling a meta-analysis of DP experiences.MethodsPathologists and residents were asked to complete a survey containing 12 questions. Results were compared with similar studies conducted in the United Kingdom, Sweden, Canada, and India.ResultsThe estimated response rate among practicing pathologists and trainees nationwide was 39.5%. Of these, 89% have experience with digital slides, mainly for education (61%) and primary diagnostics (20%). Further, 32% have worked with an image analysis programme and 26% use computer-based algorithms weekly. Interestingly, 66% would feel comfortable making a primary diagnosis digitally, while 10% would not. Most respondents believe more standards and regulations are necessary for the clinical employment of DP. Noted advantages include ease of access to slides and the resulting connectivity benefits, namely collaboration with experts across disciplines, off-site work, training purposes, and computational image analysis. Perceived disadvantages include implementation costs and issues associated with IT infrastructure and file formats.ConclusionThe survey results suggest that experiences and perspectives of Swiss pathologists concerning DP is comparable to that of the other reporting countries undergoing transitions to digital workflows. Although more standards and regulations are needed to ensure the safe usage of these technologies, pathologists in Switzerland appear welcoming of this new digital era.

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Section: Discussionmentioning

confidence: 99%

Current opinion, status and future development of digital pathology in Switzerland

et al. 2019

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“… 55 , 56 Improved ergonomic situations for pathologists: The use of digital pathology can improve the ergonomics of pathology slide examination, and in fact, many pathologists believe that it increases the efficiency of their work due to more comfortable working positions. 60 , 63 Research: WSI and digital pathology is increasingly used in clinical and collaborative research. Facilitated availability and same-time access to digital images by different researchers, will encourage collaborative intra- and inter-institutional research through sharing and pooling the digital images and the relevant information.…”

Section: Digital Pathologymentioning

confidence: 99%

“…Improved ergonomic situations for pathologists: The use of digital pathology can improve the ergonomics of pathology slide examination, and in fact, many pathologists believe that it increases the efficiency of their work due to more comfortable working positions. 60 , 63 …”

Section: Digital Pathologymentioning

confidence: 99%

The Role of Telehealth During the COVID-19 Pandemic Across the Interdisciplinary Cancer Team: Implications for Practice

Paterson

Bacon

Dwyer

et al. 2020

Seminars in Oncology Nursing

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Objective This literature review aims to explore the role of telehealth during the COVID-19 pandemic across the interdisciplinary cancer care team. Data Sources Electronic databases including CINAHL, MEDLINE, PsychINFO, Scopus, and grey literature were searched using Google Scholar up until September 2020. Conclusion While the safe and effective delivery of cancer care via telehealth requires education and training for healthcare professionals and patients, telehealth has provided a timely solution to the barriers caused by the COVID-19 pandemic on the delivery of interdisciplinary cancer services. Globally, evidence has shown that telehealth in cancer care can leverage an innovative response during the COVID-19 pandemic but may provide a long-lasting solution to enable patients to be treated appropriately in their home environment. Telehealth reduces the travel burden on patients for consultation, affords a timely solution to discuss distressing side effects, initiate interventions, and enable possible treatment additions and/or changes. Implications for Nursing Practice Global public health disasters pose significant and unique challenges to the provision of necessary services for people affected by cancer. Oncology nurses can provide a central contribution in the delivery of telehealth through transformational leadership across all domains and settings in cancer care. Oncology nurses provide the “hub of cancer care” safely embedded in the interdisciplinary team. Telehealth provides a solution to the current global health crisis but could also benefit the future provision of services and broad reach clinical trials.

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“…WSIs, which can now be scanned in less than a minute, can serve as an effective surrogate for traditional microscopy-based pathology 20,25 . However, WSI workflow models have known limitations including the need for substantial network bandwidth to handle large file sizes, the lack of Z-dimensional focus (except in specialized cases, where a 'Z-Stack' image might be generated for a region of interest (ROI) from the larger total slide area), which limits their utility for cytopathological and renal biopsy evaluation, and imperfect control software in the scanning appliances themselves, which can contribute to various imaging artefacts (for example, out-of-focal plane dust on the glass slide triggering acquisition of the wrong focal plane) 26 .…”

Section: Digital Pathologymentioning

confidence: 99%

“…Processes might indeed be slower when digital pathology workflows are first adopted; however, following an initial training and acclimatization period, overall pathologist performance greatly increases for measurements of both speed and accuracy. As a result, perceptions are changing, with digital pathology becoming increasingly accepted, helping the pathology specialty move towards fully digital workflows and associated platforms for clinical operations 26 – 29 .…”

Section: Nephropathology In the Digital Eramentioning

confidence: 99%

Digital pathology and computational image analysis in nephropathology

et al. 2020

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The emergence of digital pathology-an image-based environment for the acquisition, management and interpretation of pathology information supported by computational techniques for data extraction and analysis-is changing the pathology ecosystem. In particular, by virtue of our new-found ability to generate and curate digital libraries, the field of machine vision can now be effectively applied to histopathological subject matter by individuals who do not have deep expertise in machine vision techniques. Although these novel approaches have already advanced the detection, classification, and prognostication of diseases in the fields of radiology and oncology, renal pathology is just entering the digital era, with the establishment of consortia and digital pathology repositories for the collection, analysis and integration of pathology data with other domains. The development of machine-learning approaches for the extraction of information from image data, allows for tissue interrogation in a way that was not previously possible. The application of these novel tools are placing pathology centre stage in the process of defining new, integrated, biologically and clinically homogeneous disease categories, to identify patients at risk of progression, and shifting current paradigms for the treatment and prevention of kidney diseases.

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Validation of a whole‐slide image‐based teleconsultation network

Abstract: This validation study demonstrates the suitability of a teleconsultation network for remote digital consultation using whole-slide images. Such networks may contribute to faster revision and consultation in pathology while maintaining diagnostic standards.

Cited by 22 publications

References 16 publications

Current opinion, status and future development of digital pathology in Switzerland

Current opinion, status and future development of digital pathology in Switzerland

The Role of Telehealth During the COVID-19 Pandemic Across the Interdisciplinary Cancer Team: Implications for Practice

Digital pathology and computational image analysis in nephropathology

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