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Updated: Jan 24, 2026

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
Published on: July 11, 2025
Synoptic reporting increases quality of upper gastrointestinal cancer pathology reports
Nikolaj S Baranov1, Iris D Nagtegaal2, Nicole C T van Grieken3
1Department of Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, PO Box 9101, 6500, HB, Nijmegen, The Netherlands.
Introduction:
Traditionally, surgical pathology reports are narrative. These report types are prone to error and missing data; therefore, structured standardized reporting was introduced. However, the effect of synoptic reporting on the completeness of esophageal and gastric carcinoma pathology reports is not yet established.
Materials And Methods:
A population-based retrospective nationwide cohort study in the Netherlands was conducted over a period of 2012-2016, utilizing the Netherlands Cancer Registry for patient data and the nationwide network and registry of histology for pathology data.
Results:
In total, 1148 narrative and 1311 synoptic pathology reports were included. Completeness was achieved in 56.4% of the narrative reports versus 97.0% of the synoptic reports (p < 0.01). Out of 21 standard items, 15 were significantly more frequently reported in synoptic reports.
Conclusion:
Synoptic reporting improves surgical pathology reporting quality and should be implemented in standard patient care.
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