慢节奏的数字化病理学进化:多面板上的光和影。

IF 4.4 Q1 PATHOLOGY PATHOLOGICA Pub Date : 2023-06-01 DOI:10.32074/1591-951X-868
Alessandro Caputo, Vincenzo L'Imperio, Francesco Merolla, Ilaria Girolami, Eleonora Leoni, Vincenzo Della Mea, Fabio Pagni, Filippo Fraggetta
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摘要

目的:病理学的数字革命代表了优化成本,降低错误风险和改善患者护理的宝贵资源,即使它仍然在少数实验室中采用。障碍包括对初始费用的担忧,对使用整个幻灯片图像进行初步诊断缺乏信心,以及缺乏过渡指导。为了应对这些挑战并制定一项计划,以促进在意大利病理学部门引入数字病理学(DP),建立了一个小组讨论,以确定需要考虑的关键点。方法:2022年7月21日,在Zoom上举行了首次电话会议,以确定面对面会议期间要讨论的主要问题。最后的峰会分为四个不同的会议:(I)数据处理的定义,(II)数据处理的实际应用,(III)人工智能在数据处理中的应用,(IV)数据处理与教育。结果:实施DP的基本要求是完全跟踪和自动化的工作流程,根据每个部门的具体需求选择合适的扫描仪,以及与协调的团队合作(病理学家,技术人员,生物学家,IT服务和行业)相结合的坚定承诺。这可以减少人为错误,从而将人工智能工具应用于诊断、预后和预测。开放的挑战是缺乏对虚拟幻灯片存储的具体规定,以及对大量幻灯片的最佳存储解决方案。结论:团队合作是DP转型的关键,包括与行业的密切合作。这将简化过渡,并有助于弥合目前许多实验室与完全数字化之间存在的差距。最终目标是改善对病人的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The slow-paced digital evolution of pathology: lights and shadows from a multifaceted board.

Objective: The digital revolution in pathology represents an invaluable resource fto optimise costs, reduce the risk of error and improve patient care, even though it is still adopted in a minority of laboratories. Barriers include concerns about initial costs, lack of confidence in using whole slide images for primary diagnosis, and lack of guidance on transition. To address these challenges and develop a programme to facilitate the introduction of digital pathology (DP) in Italian pathology departments, a panel discussion was set up to identify the key points to be considered.

Methods: On 21 July 2022, an initial conference call was held on Zoom to identify the main issues to be discussed during the face-to-face meeting. The final summit was divided into four different sessions: (I) the definition of DP, (II) practical applications of DP, (III) the use of AI in DP, (IV) DP and education.

Results: Essential requirements for the implementation of DP are a fully tracked and automated workflow, selection of the appropriate scanner based on the specific needs of each department, and a strong commitment combined with coordinated teamwork (pathologists, technicians, biologists, IT service and industries). This could reduce human error, leading to the application of AI tools for diagnosis, prognosis and prediction. Open challenges are the lack of specific regulations for virtual slide storage and the optimal storage solution for large volumes of slides.

Conclusion: Teamwork is key to DP transition, including close collaboration with industry. This will ease the transition and help bridge the gap that currently exists between many labs and full digitisation. The ultimate goal is to improve patient care.

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来源期刊
PATHOLOGICA
PATHOLOGICA PATHOLOGY-
CiteScore
5.90
自引率
5.70%
发文量
108
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