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对一个从零开始建立的数字病理形态学实验室三年工作的分析。

Analysis of the three-year work of a digital pathomorphological laboratory built from the ground.

作者信息

Evgenievna Rudenko Ekaterina, Alexandrovna Demura Tatiana, Andreevna Vekhova Ksenia, Andreevna Lobanova Olga, Alekseevna Yumasheva Valentina, Anatolevich Zhakota Dmitrii, Kirill Anoshkin, Alexey Remez, Maksim Untesco, Nikolay Kroman, Artem Mayer, Alexander Zhuravlev, Alexandra Kryatova, Kirill Lyapichev, Mikhail Genis

机构信息

Sechenov First Moscow State Medical University (Sechenov University), Trubetskaya street, 8, p. 2, 119991 Moscow, Russia.

Department of Pathology, Pediatric Faculty, Pirogov Russian National Research Medical University (Pirogov Medical University), Moscow, Russia.

出版信息

J Pathol Inform. 2022 Jul 5;13:100111. doi: 10.1016/j.jpi.2022.100111. eCollection 2022.

Abstract

Digital pathology is a new stage in the development of pathomorphological diagnostics. This topic was most widespread during the COVID-19 pandemic. The advantages of digitization of diagnostics include the possibility of remote work of a pathologist, remote asynchronous consultation, and automation of business processes. They provide an increase in diagnostic quality and speed up the diagnosis process. These benefits are only a small part of what digital cancer diagnostics can provide. This article is written on our own experience of Russia's first fully digital pathomorphological laboratory UNIM. All advantages and disadvantages of digitization, peculiarities of using technology, differences from the conventional approach to diagnostics, the economics of the process, the importance of integration with LIS (laboratory information system) and MIS (medical information system), errors and principles of their solution, payback will be discussed, and every stage of laboratory work will be considered in detail: from logistics and registration to diagnosis and archiving. Due to the fact that all data has been digitized over several years, we will present a comprehensive analysis of statistics and observations on how to organize processes in a fully digital laboratory. A key feature of our experience is the high cost-effectiveness of the platform and approach, which allowed us to win the competition in the market. The result of the survey of doctors' attitudes towards digital pathology will also be presented.

摘要

数字病理学是病理形态学诊断发展的一个新阶段。在新冠疫情期间,这个话题最为广泛。诊断数字化的优势包括病理学家远程工作的可能性、远程异步会诊以及业务流程自动化。它们提高了诊断质量并加快了诊断过程。这些好处只是数字癌症诊断所能提供的一小部分。本文基于我们在俄罗斯首个全数字病理形态学实验室UNIM的经验撰写。将讨论数字化的所有优缺点、技术使用特点、与传统诊断方法的差异、过程的经济性、与实验室信息系统(LIS)和医疗信息系统(MIS)集成的重要性、错误及其解决原则、投资回报,并将详细考虑实验室工作的每个阶段:从物流和登记到诊断和存档。由于所有数据在过去几年中已数字化,我们将对如何在全数字实验室中组织流程的统计数据和观察结果进行全面分析。我们经验的一个关键特征是该平台和方法的高成本效益,这使我们能够在市场竞争中获胜。还将展示医生对数字病理学态度的调查结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aaf/9577042/4cc2501c6b16/gr1.jpg

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