Digital transition in pathology lab: a survey from the Lombardy region.

IF 4.4 Q1 PATHOLOGY
Elisa Belloni, Emanuela Bonoldi, Giorgio Bovo, Sabrina Buoro, Michele Cerati, Fulvia Milena Cribiú, Emanuele Dainese, Alessandro Del Gobbo, Mattia Facchetti, Andrea Gianatti, Umberto Gianelli, Paolo Giunta, Vincenzo L'Imperio, Massimo Milione, Manuela Nebuloni, Fabio Pagni, Marco Paulli, Antonella Piga, Fabio Pasotti
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引用次数: 0

Abstract

Objective: Digital pathology is an opportunity to revise the routine and old artisanal workflow, moving to standard operating procedures, quality control and reproducibility. Here the results of a survey promoted by the Coordinamento della Medicina di Laboratorio (CRC Med Lab) of the Lombardy region in Italy are reported to shed light on the current situation of digital adoption in the country.

Methods: The survey composed of 58 questions was sent to 60 pathology laboratories. The results were collected and most significant answers were reported and discussed.

Results: Answers were received from 57 (95%) laboratories, a minority organized in spoke-hub networks (16%) with a centralized processing phase (11%). Hybrid manual/computer-assisted traceability was prevalent (36%), with QR/barcode labeling starting within the pathology lab (23%). Different laboratory information systems (LIS) were employed, mostly with alert functions and/or multimedial file attachments (56% and 46%, respectively). The majority opted for a semi-automated tracking management (44, 77%) and 18 centers (32%) were partly digitizing the routine (¾ scanning < 25% of slides). Whole slide images were retained for 3.7 years in average; in-house blocks/slides archiving was still preferred (30, 53%), with 1838 (±1551) and 1798 (±1950) days (5 years) internal permanence for blocks and slides that are stored in out-source (mean turnaround time for return on-demand 3.7±2.1, range 1-10 days).

Conclusions: The advantages of digital pathology must be balanced against the challenges faced in the structural revision of the pathology workflow. This regional scouting can represent the foundation to build an efficient and connected digital pathology system in the territory.

病理实验室的数字化转型:来自伦巴第大区的调查。
目的:数字病理学是一个机会,可借以修改常规和旧式的手工工作流程,转向标准操作程序、质量控制和可重复性。本文报告了由意大利伦巴第大区医学实验室协调员(CRC Med Lab)发起的一项调查的结果,以揭示该国采用数字化技术的现状:方法:向 60 家病理实验室发送了包含 58 个问题的调查问卷。方法:向 60 家病理实验室发送了由 58 个问题组成的调查问卷,并收集了调查结果,报告和讨论了最重要的答案:结果:共收到 57 家(95%)实验室的答复,其中少数实验室以辐式集线器网络(16%)为组织形式,集中处理阶段(11%)。人工/计算机辅助混合型追溯系统非常普遍(36%),病理实验室内部开始使用 QR/条形码标签(23%)。采用了不同的实验室信息系统(LIS),大多具有警报功能和/或多媒介文件附件(分别占 56% 和 46%)。大多数中心选择了半自动化跟踪管理(44 个,77%),18 个中心(32%)对常规工作进行了部分数字化(¾ 扫描小于 25% 的玻片)。整张切片图像平均保存3.7年;内部切块/切片归档仍是首选(30,53%),外部存储的切块和切片的内部永久保存时间分别为1838(±1551)天和1798(±1950)天(5年)(按需返回的平均周转时间为3.7±2.1,范围为1-10天):数字病理学的优势必须与病理学工作流程结构改革所面临的挑战相平衡。这次地区考察为在该地区建立高效、互联的数字病理系统奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PATHOLOGICA
PATHOLOGICA PATHOLOGY-
CiteScore
5.90
自引率
5.70%
发文量
108
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