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Enterprise Implementation of Digital Pathology: Feasibility, Challenges, and Opportunities
D J Hartman1, L Pantanowitz2, J S McHugh3
1Department of Pathology, Division of Pathology Informatics, University of Pittsburgh Medical Center, Presbyterian Hospital, A610, 200 Lothrop Street, Pittsburgh, PA, 15213-2546, USA. hartmandj@upmc.edu.
Journal of Digital Imaging
|January 25, 2017
Summary
Digital pathology implementation for primary diagnosis is feasible. This study details a successful 40,000-slide conversion, highlighting key lessons for adopting digital pathology workflows.
Area of Science:
- Pathology
- Medical Informatics
- Digital Imaging
Background:
- Digital pathology is increasingly viable for routine diagnostics.
- The institution has over 10 years of experience with digital pathology for intraoperative consultations.
Purpose of the Study:
- To describe the experience of converting to a digital pathology platform for primary diagnostic work.
- To identify challenges and opportunities in implementing digital pathology for routine use.
Main Methods:
- An incremental rollout of digital pathology was performed on subspecialty benches.
- The implementation began with biopsy specimens, which contain small tissue amounts.
- Over 40,000 slides were scanned using the digital pathology system.
Main Results:
- Successful scanning of over 40,000 slides was achieved.
- The incremental rollout strategy facilitated the transition.
- Valuable insights into challenges and opportunities were gained.
Conclusions:
- Successful conversion to digital pathology requires careful planning.
- Pre-imaging adjustments, integrated software, and post-imaging evaluations are crucial.
- Digital pathology is a viable platform for primary pathology diagnosis.
