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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System.

David Y Zhang1, Rasoul Sali2, Min Zhu2

  • 1NovinoAI; Department of Veterans Affairs, New York Harbor Healthcare System; david.zhang@novinopath.com.

Journal of Visualized Experiments : Jove
|July 28, 2025
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Summary
This summary is machine-generated.

This study introduces FlexLIS, an AI-powered digital pathology software that enhances diagnostic accuracy and workflow. It streamlines reporting, supports quality control, and aids in diagnosing cancers like prostate and bladder cancer.

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Area of Science:

  • Digital Pathology
  • Artificial Intelligence in Medicine
  • Computational Pathology

Background:

  • Electronic reporting systems (LIS) and image management systems (IMS) have transformed pathology.
  • Integration of advanced IMS and AI algorithms further refines diagnostic precision and efficiency.
  • FlexLIS is a novel digital pathology software designed to leverage AI for enhanced pathology workflows.

Purpose of the Study:

  • To provide a protocol for pathologists on using FlexLIS software for slide image review and report generation.
  • To demonstrate the application of FlexLIS in diagnosing prostate cancer from needle core biopsies.
  • To showcase the utility of FlexLIS in bladder cancer screening using urine cytology.

Main Methods:

  • Utilizing FlexLIS software with integrated AI models for automated image analysis.
  • Generating comprehensive pathology reports by transcribing AI-driven results.
  • Applying the software protocol to specific clinical cases, including prostate needle core biopsies and urine cytology.

Main Results:

  • FlexLIS successfully integrates AI for image analysis and report generation, streamlining the diagnostic process.
  • The software supports quality control, special stain ordering, and consultations, enhancing workflow efficiency.
  • Demonstrated versatility in diagnosing prostate and bladder cancers, highlighting clinical applicability.

Conclusions:

  • FlexLIS, an AI-integrated digital pathology software, has the potential to significantly improve pathologists' diagnostic accuracy and workflow.
  • The software offers a versatile platform for various applications, including cancer diagnosis and screening.
  • This paper provides a practical guide for pathologists to adopt and utilize AI in their clinical practice.