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切除的癌症标本的数字绘图：视觉病理学报告。

Digital mapping of resected cancer specimens: The visual pathology report.

作者信息

Fassler Carly, Aweeda Marina, Perez Alexander N, Chung Yuna, Yueh Spencer, Sinard Robert J, Rohde Sarah L, Mannion Kyle, Langerman Alexander J, Rosenthal Eben L, Wu Jie Ying, Mehrad Mitra, Ely Kim, Lewis James S, Topf Michael C

机构信息

Vanderbilt University Medical Center, Department of Otolaryngology - Head and Neck Surgery, Nashville, TN, United States of America.

Vanderbilt University Medical Center, Department of Pathology, Microbiology, and Immunology, Nashville, TN, United States of America.

出版信息

J Pathol Inform. 2024 Sep 28;15:100399. doi: 10.1016/j.jpi.2024.100399. eCollection 2024 Dec.

DOI:10.1016/j.jpi.2024.100399
PMID:39712976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662268/
Abstract

BACKGROUND

The current standard-of-care pathology report relies only on lengthy written text descriptions without a visual representation of the resected cancer specimen. This study demonstrates the feasibility of incorporating virtual, three-dimensional (3D) visual pathology reports to improve communication of final pathology reporting.

MATERIALS AND METHODS

Surgical specimens are 3D scanned and virtually mapped alongside the pathology team to replicate grossing. The 3D specimen maps are incorporated into a hybrid visual pathology report which displays the resected specimen and sampled margins alongside gross measurements, tumor characteristics, and microscopic diagnoses.

RESULTS

Visual pathology reports were created for 10 head and neck cancer cases. Each report concisely communicated information from the final pathology report in a single page and contained significantly fewer words (293.4 words) than standard written pathology reports (850.1 words,  < 0.01).

CONCLUSIONS

We establish the feasibility of a novel visual pathology report that includes an annotated visual model of the resected cancer specimen in place of lengthy written text of standard of care head and neck cancer pathology reports.

摘要

背景

当前的标准治疗病理报告仅依赖冗长的书面文字描述，而没有对切除的癌症标本进行可视化呈现。本研究证明了纳入虚拟三维（3D）视觉病理报告以改善最终病理报告沟通的可行性。

材料与方法

手术标本进行3D扫描，并与病理团队一起进行虚拟映射以复制大体标本检查。3D标本图被纳入混合视觉病理报告中，该报告展示了切除的标本和取样边缘以及大体测量、肿瘤特征和显微镜诊断。

结果

为10例头颈癌病例创建了视觉病理报告。每份报告在单页中简洁地传达了最终病理报告中的信息，并且包含的字数（293.4个单词）明显少于标准书面病理报告（850.1个单词，<0.01）。

结论

我们确立了一种新型视觉病理报告的可行性，该报告包括切除的癌症标本的注释视觉模型，以取代标准治疗头颈癌病理报告中的冗长书面文字。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/023535e55471/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/78b72daa2801/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/54d70d80bc61/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/eafb8439cde2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/477458e17a5e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/5c6f73ab04c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/d6ab5d9010be/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/023535e55471/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/78b72daa2801/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/54d70d80bc61/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/eafb8439cde2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/477458e17a5e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/5c6f73ab04c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/d6ab5d9010be/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7364/11662268/023535e55471/gr6.jpg

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本文引用的文献

1
Enhanced Communication of Tumor Margins Using 3D Scanning and Mapping.使用 3D 扫描和映射技术增强肿瘤边界的沟通。
J Vis Exp. 2023 Dec 15(202). doi: 10.3791/66253.
2
iPad Annotation of 3D Surgical Models Using Procreate®: Novel Documentation of Supplemental Margins.使用 Procreate®对 3D 手术模型进行 iPad 标注：补充切缘的新文档记录方法。
Laryngoscope. 2024 Jun;134(6):2783-2786. doi: 10.1002/lary.31144. Epub 2023 Nov 3.
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Intraoperative three-dimensional scanning of head and neck surgical defects: Enhanced communication and documentation of harvested supplemental margins.
术中对头颈部手术缺损的三维扫描：增强对补充切缘的采集的沟通和记录。
Head Neck. 2023 Oct;45(10):2690-2699. doi: 10.1002/hed.27498. Epub 2023 Aug 28.
4
Virtual 3D Specimen Mapping in Head & Neck Oncologic Surgery.头颈部肿瘤外科中的虚拟 3D 标本映射。
Laryngoscope. 2024 Jan;134(1):191-197. doi: 10.1002/lary.30881. Epub 2023 Jul 19.
5
Frozen Section Timeout: Pilot Study to Reconcile Margins Using 3D Resected Specimen and Defect Scans.冰冻切片时间延迟：使用 3D 切除标本和缺陷扫描来协调切缘的初步研究。
Laryngoscope. 2024 Feb;134(2):725-731. doi: 10.1002/lary.30892. Epub 2023 Jul 19.
6
Ex vivo 3D scanning and specimen mapping in anatomic pathology.解剖病理学中的体外3D扫描与标本测绘
J Pathol Inform. 2023 Jan 2;14:100186. doi: 10.1016/j.jpi.2022.100186. eCollection 2023.
7
Enhanced Intraoperative Communication of Tumor Margins Using 3D Scanning and Mapping: The Computer-Aided Design Margin.使用 3D 扫描和绘图技术增强肿瘤边缘的术中沟通：计算机辅助设计边界。
Laryngoscope. 2023 Aug;133(8):1914-1918. doi: 10.1002/lary.30511. Epub 2022 Dec 19.
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Radical shift in the communication paradigm in head and neck frozen section analysis: Intraoperative three-dimensional specimen scanning.头颈冰冻切片分析中通信范式的彻底转变：术中三维标本扫描
Head Neck. 2023 Jan;45(1):7-9. doi: 10.1002/hed.27247. Epub 2022 Nov 15.
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Head Neck. 2023 Jan;45(1):22-31. doi: 10.1002/hed.27201. Epub 2022 Sep 26.
10
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Head Neck. 2023 Jan;45(1):10-21. doi: 10.1002/hed.27171. Epub 2022 Sep 6.