Serviço de Anatomia Patológica, Hospital Garcia de Orta, EPE, Almada, Portugal; NOVA Medical School, Lisboa, Portugal; IPATIMUP - Instituto de Patologia e Imunologia Molecular da Universidade do Porto, Porto, Portugal.
Department of Pathology, Kameda Medical Center, Kamogawa, Chiba, Japan.
Lab Invest. 2023 Dec;103(12):100261. doi: 10.1016/j.labinv.2023.100261. Epub 2023 Oct 13.
The past 70 years have been characterized by rapid advancements in computer technology, and the health care system has not been immune to this trend. However, anatomical pathology has remained largely an analog discipline. In recent years, this has been changing with the growing adoption of digital pathology, partly driven by the potential of computer-aided diagnosis. As part of an international collaboration, we conducted a comprehensive survey to gain a deeper understanding of the status of digital pathology implementation in Europe and Asia. A total of 127 anatomical pathology laboratories participated in the survey, including 75 from Europe and 52 from Asia, with 72 laboratories having established digital pathology workflow and 55 without digital pathology. Laboratories using digital pathology for diagnostic (n = 29) and nondiagnostic (n = 43) purposes were thoroughly questioned about their implementation strategies and institutional experiences, including details on equipment, storage, integration with laboratory information system, computer-aided diagnosis, and the costs of going digital. The impact of the digital pathology workflow was also evaluated, focusing on turnaround time, specimen traceability, quality control, and overall satisfaction. Laboratories without access to digital pathology were asked to provide insights into their perceptions of the technology, expectations, barriers to adoption, and potential facilitators. Our findings indicate that although digital pathology is still the future for many, it is already the present for some. This decade may be a time when anatomical pathology finally embraces digital revolution on a larger scale.
过去 70 年见证了计算机技术的飞速发展，医疗保健系统也未能置身事外。然而，解剖病理学在很大程度上仍然是一门模拟学科。近年来，随着数字病理学的日益普及，这种情况有所改变，这在一定程度上是受到计算机辅助诊断的潜力的推动。作为一项国际合作的一部分，我们进行了一项全面调查，以更深入地了解欧洲和亚洲数字病理学实施的现状。共有 127 个解剖病理学实验室参与了这项调查，其中 75 个来自欧洲，52 个来自亚洲，72 个实验室已经建立了数字病理学工作流程，55 个没有数字病理学。使用数字病理学进行诊断（n=29）和非诊断目的（n=43）的实验室都被详细询问了他们的实施策略和机构经验，包括设备、存储、与实验室信息系统的集成、计算机辅助诊断以及数字化的成本等细节。还评估了数字病理学工作流程的影响，重点关注周转时间、标本可追溯性、质量控制以及整体满意度。没有数字病理学访问权限的实验室被要求提供对该技术的看法、期望、采用障碍和潜在促进因素的见解。我们的研究结果表明，尽管数字病理学对许多人来说仍然是未来，但对一些人来说已经是现在。这十年可能是解剖病理学最终在更大规模上拥抱数字革命的时候。
