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Diagnostics
Volume 12
Issue 2
10.3390/diagnostics12020529
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Article

Digital Pathology Implementation in Private Practice: Specific Challenges and Opportunities

by
Diana Montezuma
1,2,3,*,
Ana Monteiro
1,
João Fraga
4,
Liliana Ribeiro
1,
Sofia Gonçalves
1,
André Tavares
1,
João Monteiro
1 and
Isabel Macedo-Pinto
1
1
IMP Diagnostics, Edifício Trade Center do Bom Sucesso, 61, Sala 809, 4150-146 Porto, Portugal
2
Cancer Biology & Epigenetics Group, Research Center of IPO Porto (CI-IPOP)/RISE@CI-IPOP (Health Research Network), Portuguese Oncology Institute of Porto (IPO Porto)/Porto Comprehensive Cancer Center (Porto.CCC), R. Dr. António Bernardino de Almeida, 4200-072 Porto, Portugal
3
Doctoral Programme in Medical Sciences, School of Medicine & Biomedical Sciences, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira 228, 4050-513 Porto, Portugal
4
Department of Pathology, Portuguese Oncology Institute of Porto (IPO Porto), R. Dr. António Bernardino de Almeida, 4200-072 Porto, Portugal
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(2), 529; https://doi.org/10.3390/diagnostics12020529
Submission received: 19 January 2022 / Revised: 15 February 2022 / Accepted: 16 February 2022 / Published: 18 February 2022
(This article belongs to the Special Issue Digital Pathology: Records of Successful Implementations)
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Abstract

Digital pathology (DP) is being deployed in many pathology laboratories, but most reported experiences refer to public health facilities. In this paper, we report our experience in DP transition at a high-volume private laboratory, addressing the main challenges in DP implementation in a private practice setting and how to overcome these issues. We started our implementation in 2020 and we are currently scanning 100% of our histology cases. Pre-existing sample tracking infrastructure facilitated this process. We are currently using two high-capacity scanners (Aperio GT450DX) to digitize all histology slides at 40×. Aperio eSlide Manager WebViewer viewing software is bidirectionally linked with the laboratory information system. Scanning error rate, during the test phase, was 2.1% (errors detected by the scanners) and 3.5% (manual quality control). Pre-scanning phase optimizations and vendor feedback and collaboration were crucial to improve WSI quality and are ongoing processes. Regarding pathologists’ validation, we followed the Royal College of Pathologists recommendations for DP implementation (adapted to our practice). Although private sector implementation of DP is not without its challenges, it will ultimately benefit from DP safety and quality-associated features. Furthermore, DP deployment lays the foundation for artificial intelligence tools integration, which will ultimately contribute to improving patient care.
Keywords: digital pathology; WSI; LIS; artificial intelligence; routine diagnosis digital pathology; WSI; LIS; artificial intelligence; routine diagnosis

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MDPI and ACS Style

Montezuma, D.; Monteiro, A.; Fraga, J.; Ribeiro, L.; Gonçalves, S.; Tavares, A.; Monteiro, J.; Macedo-Pinto, I. Digital Pathology Implementation in Private Practice: Specific Challenges and Opportunities. Diagnostics 2022, 12, 529. https://doi.org/10.3390/diagnostics12020529

AMA Style

Montezuma D, Monteiro A, Fraga J, Ribeiro L, Gonçalves S, Tavares A, Monteiro J, Macedo-Pinto I. Digital Pathology Implementation in Private Practice: Specific Challenges and Opportunities. Diagnostics. 2022; 12(2):529. https://doi.org/10.3390/diagnostics12020529

Chicago/Turabian Style

Montezuma, Diana, Ana Monteiro, João Fraga, Liliana Ribeiro, Sofia Gonçalves, André Tavares, João Monteiro, and Isabel Macedo-Pinto. 2022. "Digital Pathology Implementation in Private Practice: Specific Challenges and Opportunities" Diagnostics 12, no. 2: 529. https://doi.org/10.3390/diagnostics12020529

APA Style

Montezuma, D., Monteiro, A., Fraga, J., Ribeiro, L., Gonçalves, S., Tavares, A., Monteiro, J., & Macedo-Pinto, I. (2022). Digital Pathology Implementation in Private Practice: Specific Challenges and Opportunities. Diagnostics, 12(2), 529. https://doi.org/10.3390/diagnostics12020529

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