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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