Skip to main content
Top
Published in: Diagnostic Pathology 1/2019

Open Access 01-12-2019 | Artificial Intelligence | Editorial

Next generation diagnostic pathology: use of digital pathology and artificial intelligence tools to augment a pathological diagnosis

Author: Anil V. Parwani

Published in: Diagnostic Pathology | Issue 1/2019

Login to get access

Excerpt

Pathology is the study and diagnosis of disease through the examination of body tissue, which is typically fixed on glass slides and viewed under a microscope. Most medical diagnoses are made by pathologists, who, as consultants to physicians, are often referred to as “The Doctor’s Doctor”. In most labs around the world, pathology relies almost solely on glass slides to render a diagnosis. As such, initial diagnoses and subsequent second opinions are often delayed while waiting for the glass slide or specimen to be physically delivered to the appropriate pathologist and patient care may be suspended [1]. Diagnostic pathology is entering into an exciting time with the more widespread use of digital imaging in pathology, in particular, the development and deployment of whole slide imaging (WSI) technology [2]. WSI allows the scanning of entire glass slides, with an output of an image file that is a digitized reproduction of the glass slide with images that are of diagnostic quality [3, 4]. In addition, in the last 5 years we have witnessed an increasing use of machine learning (ML), deep learning (DL) and artificial intelligence (AI) tools making their way into healthcare as well as a diagnostic pathology workflow [57]. Thus, the timing is right for a digital disruption to occur in diagnostic pathology. The purpose of this editorial is to introduce to the readers these new and innovative tools in the diagnostic workflow and provide opportunities to bring together a series of articles on digital pathology and artificial intelligence in the next few months. …
Literature
1.
go back to reference Mandong BM. Diagnostic oncology: role of the pathologist in surgical oncology--a review article. Afr J Med Med Sci. 2009;38(Suppl 2):81–8.PubMed Mandong BM. Diagnostic oncology: role of the pathologist in surgical oncology--a review article. Afr J Med Med Sci. 2009;38(Suppl 2):81–8.PubMed
2.
go back to reference Amin W, Srintrapun SJ, Parwani AV. Automated whole slide imaging. Expert Opin Med Diagn. 2008;2(10):1173–81.CrossRef Amin W, Srintrapun SJ, Parwani AV. Automated whole slide imaging. Expert Opin Med Diagn. 2008;2(10):1173–81.CrossRef
3.
go back to reference Abels E, et al. Computational pathology definitions, best practices, and recommendations for regulatory guidance: a white paper from the digital pathology association. J Pathol. 2019;249(3):286–94.CrossRef Abels E, et al. Computational pathology definitions, best practices, and recommendations for regulatory guidance: a white paper from the digital pathology association. J Pathol. 2019;249(3):286–94.CrossRef
4.
go back to reference Aeffner F, et al. Introduction to Digital Image Analysis in Whole-slide Imaging: A White Paper from the Digital Pathology Association. J Pathol Inform. 2019;10:9.CrossRef Aeffner F, et al. Introduction to Digital Image Analysis in Whole-slide Imaging: A White Paper from the Digital Pathology Association. J Pathol Inform. 2019;10:9.CrossRef
5.
go back to reference Lucas M, et al. Deep learning for automatic Gleason pattern classification for grade group determination of prostate biopsies. Virchows Arch. 2019;475(1):77–83.CrossRef Lucas M, et al. Deep learning for automatic Gleason pattern classification for grade group determination of prostate biopsies. Virchows Arch. 2019;475(1):77–83.CrossRef
6.
go back to reference Nagpal K, et al. Development and validation of a deep learning algorithm for improving Gleason scoring of prostate cancer. NPJ Digit Med. 2019;2:48.CrossRef Nagpal K, et al. Development and validation of a deep learning algorithm for improving Gleason scoring of prostate cancer. NPJ Digit Med. 2019;2:48.CrossRef
7.
go back to reference Niazi MKK, Parwani AV, Gurcan MN. Digital pathology and artificial intelligence. Lancet Oncol. 2019;20(5):e253–61.CrossRef Niazi MKK, Parwani AV, Gurcan MN. Digital pathology and artificial intelligence. Lancet Oncol. 2019;20(5):e253–61.CrossRef
8.
go back to reference Sadeghipour A, Babaheidarian P. Making formalin-fixed, Paraffin Embedded Blocks. Methods Mol Biol. 2019;1897:253–68.CrossRef Sadeghipour A, Babaheidarian P. Making formalin-fixed, Paraffin Embedded Blocks. Methods Mol Biol. 2019;1897:253–68.CrossRef
9.
go back to reference Conant JL, et al. Transition to subspecialty sign-out at an academic institution and its advantages. Acad Pathol. 2017;4:2374289517714767.CrossRef Conant JL, et al. Transition to subspecialty sign-out at an academic institution and its advantages. Acad Pathol. 2017;4:2374289517714767.CrossRef
10.
go back to reference Zarella MD, et al. A practical guide to whole slide imaging: a white paper from the digital pathology association. Arch Pathol Lab Med. 2019;143(2):222–34.CrossRef Zarella MD, et al. A practical guide to whole slide imaging: a white paper from the digital pathology association. Arch Pathol Lab Med. 2019;143(2):222–34.CrossRef
11.
go back to reference Zhao C, et al. International telepathology consultation: Three years of experience between the University of Pittsburgh Medical Center and KingMed Diagnostics in China. J Pathol Inform. 2015;6:63.CrossRef Zhao C, et al. International telepathology consultation: Three years of experience between the University of Pittsburgh Medical Center and KingMed Diagnostics in China. J Pathol Inform. 2015;6:63.CrossRef
12.
go back to reference Evans AJ, et al. US Food and Drug Administration approval of whole slide imaging for primary diagnosis: a key milestone is reached and new questions are raised. Arch Pathol Lab Med. 2018;142(11):1383–7.CrossRef Evans AJ, et al. US Food and Drug Administration approval of whole slide imaging for primary diagnosis: a key milestone is reached and new questions are raised. Arch Pathol Lab Med. 2018;142(11):1383–7.CrossRef
13.
go back to reference Mukhopadhyay S, et al. Whole slide imaging versus microscopy for primary diagnosis in surgical pathology: a multicenter blinded randomized noninferiority study of 1992 cases (pivotal study). Am J Surg Pathol. 2018;42(1):39–52.PubMed Mukhopadhyay S, et al. Whole slide imaging versus microscopy for primary diagnosis in surgical pathology: a multicenter blinded randomized noninferiority study of 1992 cases (pivotal study). Am J Surg Pathol. 2018;42(1):39–52.PubMed
14.
go back to reference Amin S, Mori T, Itoh T. A validation study of whole slide imaging for primary diagnosis of lymphoma. Pathol Int. 2019;69(6):341–9.PubMed Amin S, Mori T, Itoh T. A validation study of whole slide imaging for primary diagnosis of lymphoma. Pathol Int. 2019;69(6):341–9.PubMed
15.
go back to reference Azizi S, et al. Detection and grading of prostate cancer using temporal enhanced ultrasound: combining deep neural networks and tissue mimicking simulations. Int J Comput Assist Radiol Surg. 2017;12(8):1293–305.CrossRef Azizi S, et al. Detection and grading of prostate cancer using temporal enhanced ultrasound: combining deep neural networks and tissue mimicking simulations. Int J Comput Assist Radiol Surg. 2017;12(8):1293–305.CrossRef
16.
go back to reference Bauer TW, et al. Validation of whole slide imaging for primary diagnosis in surgical pathology. Arch Pathol Lab Med. 2013;137(4):518–24.CrossRef Bauer TW, et al. Validation of whole slide imaging for primary diagnosis in surgical pathology. Arch Pathol Lab Med. 2013;137(4):518–24.CrossRef
17.
go back to reference Buck TP, et al. Validation of a whole slide imaging system for primary diagnosis in surgical pathology: a community hospital experience. J Pathol Inform. 2014;5(1):43.CrossRef Buck TP, et al. Validation of a whole slide imaging system for primary diagnosis in surgical pathology: a community hospital experience. J Pathol Inform. 2014;5(1):43.CrossRef
18.
go back to reference Fraggetta F, et al. The importance of eSlide macro images for primary diagnosis with whole slide imaging. J Pathol Inform. 2018;9:46.CrossRef Fraggetta F, et al. The importance of eSlide macro images for primary diagnosis with whole slide imaging. J Pathol Inform. 2018;9:46.CrossRef
19.
go back to reference Vodovnik A, Aghdam MRF. Complete routine remote digital pathology services. J Pathol Inform. 2018;9:36.CrossRef Vodovnik A, Aghdam MRF. Complete routine remote digital pathology services. J Pathol Inform. 2018;9:36.CrossRef
20.
go back to reference Beck AH, et al. Systematic analysis of breast cancer morphology uncovers stromal features associated with survival. Sci Transl Med. 2011;3(108):108ra113.CrossRef Beck AH, et al. Systematic analysis of breast cancer morphology uncovers stromal features associated with survival. Sci Transl Med. 2011;3(108):108ra113.CrossRef
21.
go back to reference Hegde N, et al. Similar image search for histopathology: SMILY. NPJ Digit Med. 2019;2:56.CrossRef Hegde N, et al. Similar image search for histopathology: SMILY. NPJ Digit Med. 2019;2:56.CrossRef
Metadata
Title
Next generation diagnostic pathology: use of digital pathology and artificial intelligence tools to augment a pathological diagnosis
Author
Anil V. Parwani
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2019
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/s13000-019-0921-2

Other articles of this Issue 1/2019

Diagnostic Pathology 1/2019 Go to the issue