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Digitization of the pathology slides
June 23, 2017Dr. Ivo Vanden Berghe
AZ Sint-Jan Bruges-Ostend; Belgium
Belfast Pathology 2017
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Digitization of the pathology slides
1. Why go digital?
2. Selection of the vendor
3. Validation process
4. Implementation period
5. Benefits for AZ St Jan
6. Next steps
PART I
Advantage of digital pathology: real life PART II
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Introduction AZ St Jan
Profile pathology department• No. of employees: 23• No. of pathologists: 4• No. of residents: 2 (University of Leuven and Antwerp)• No. of biopsy cases per annum: +/- 17000• No. of scanners: 2• Digital since January 2016
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Digitization of the pathology slides
1. Why go digital?
• Equal as in Radiology: PACS
• Teaching Hospital (residents)
• Digital pathology is the future
• Consultancy platforms
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Digitization of the pathology slides
• Image quality
• Scan speed and non stop scanning process
• “Easy to use” for the pathologist
• “Easy to use” for the lab technician
1. Selection of the vendor
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Digitization of the pathology slides
Connectivity scanner – IMS – LIS system
3. Validation process
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Digitization of the pathology slides
… with report made on digital images: comparison of diagnoses
Comparison of 100 random histology slides, previously reported by microscopy
3. Validation process
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Digitization of the pathology slides
3. Validation process
… with images generated at home and at work for same case
Comparison of images generated byscanning the barcode at work
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Digitization of the pathology slides
Scanning of the barcodeGoed Gescand 97,0%
Barcode niet gelezen 2,4%
Scanproces niet geslaagd 0,6%
3. Validation process
Scanning of the barcode
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Digitization of the pathology slides
• ‘Young’ pathologists
• Smaller group
• Benefits and ‘work comfort’ straightforward
4. Implementation period
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Digitization of the pathology slides
• Publicity
• ‘Future ready’
• Ready to ‘connect’ with other centers for Consultancy platforms
5. Benefits for AZ St Jan
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Digitization of the pathology slides
• Set up of consultancy platforms with Philips
• More efficient use of storage
• Validation of quantification software
• Training of in house lab technicians (?)
6. Next steps
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From tissue to microscopic slide for histologic examination
Microscopicexamination
E.g. Colonic polyp
PART II. Digitization of the pathology slides
1. What is Pathology?
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2. Microscopic slide: from slide to archive
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2. Microscopic slide: long way to go…..
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2. Microscopic slide: long way to go…..
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2. Microscopic slide: long way to go…..
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2. Microscopic slide: long way to go…..
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2. Microscopic slide: long way to go…..
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2. Microscopic slide: long way to go…..
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2. From slide to archive: digital world
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2. From slide to archive: digital world
1stAdvantage: No more ‘travelling’ for the slide
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Other advantages of digital pathology
The barcode will always match with the correct digital image2ndAdvantage:
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Other advantages of digital pathology
3rdAdvantage: Digital consultancy
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Other advantages of digital pathology
3rdAdvantage: Digital consultancy
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Other advantages of digital pathology
3rdAdvantage: Digital consultancy
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Other advantages of digital pathology
3rdAdvantage: Digital consultancy
• Mass General Hospital ,Boston
• Beth Israel Hospital , Boston
• University of Firenze• Edinburgh• KU Leuven• UZ Gent
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Other advantages of digital pathology
4thAdvantage: Quantification
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> or = 15%
Other advantages of digital pathology
4thAdvantage: Quantification
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Other advantages of digital pathology
5thAdvantage: Annotation tools
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Other advantages of digital pathology
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Other advantages of digital pathology
6thAdvantage: Overview functie
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Other advantage of digital pathology
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Other advantages of digital pathology: LIS dependent
• Not enough pathologist in general: centralisation
• Digital teaching platform / resident teaching
• Image is available anywhere / internet = acces
• Multidisciplinary Oncological Consult (MOC)
• Glass splinters
• Neck problems
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Thank you
NOTE FROM ZOW:Optional slide