{"title":"Whole slide imaging for rapid treatment decision-making and education in renal pathology.","authors":"Emiko Otsuka, Mineaki Kitamura, Kiyokazu Tsuji, Kenta Torigoe, Ayuko Yamashita, Nozomi Ueki, Yuki Matsuoka, Takahiro Takazono, Noriho Sakamoto, Kumiko Muta, Hisayuki Hamada, Masahiro Nakashima, Hiroshi Mukae, Tomoya Nishino","doi":"10.1007/s10157-025-02710-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Whole slide imaging (WSI) is digital imaging technique that involves scanning glass slides. Although WSI is widely used in pathological diagnosis and education, its impact on nephrology education remains unknown. We clarified the usefulness of WSI in rapid treatment decision-making and education in renal pathology.</p><p><strong>Methods: </strong>We included in patients undergoing renal biopsy at our facility and divided them into two groups: the WSI (-) group, underwent renal biopsy during (July, 2020-June, 2022), when WSI was not available, and the WSI (+) group (July, 2022-June, 2024), when WSI was available on electric medical record. The time from renal biopsy to the description of the pathological assessment, days to treatment initiation or modification, and the percentage of the assessment reported by nephrology trainees were compared between the two groups. Furthermore, this study included an inquiry about the usefulness of WSI from nephrologists who worked during these periods.</p><p><strong>Results: </strong>The time until assessment description and treatment initiation or modification were shorter in the WSI (+) group (p < 0.001 for both). Multivariable Cox regression analysis showed that the use of WSI had the most significant impact on these outcomes (p < 0.001). Moreover, the percentage of first assessments reported by nephrology trainees increased from 25.8% to 53.2% (p < 0.001), and multivariable logistic analysis showed that WSI was the most associated factor (p < 0.001). In the questionnaire, most nephrologists cited the ease of access and sharing as the main advantages of WSI.</p><p><strong>Conclusions: </strong>WSI is helpful for rapid treatment decision-making and education in renal pathology.</p>","PeriodicalId":10349,"journal":{"name":"Clinical and Experimental Nephrology","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10157-025-02710-y","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Whole slide imaging (WSI) is digital imaging technique that involves scanning glass slides. Although WSI is widely used in pathological diagnosis and education, its impact on nephrology education remains unknown. We clarified the usefulness of WSI in rapid treatment decision-making and education in renal pathology.
Methods: We included in patients undergoing renal biopsy at our facility and divided them into two groups: the WSI (-) group, underwent renal biopsy during (July, 2020-June, 2022), when WSI was not available, and the WSI (+) group (July, 2022-June, 2024), when WSI was available on electric medical record. The time from renal biopsy to the description of the pathological assessment, days to treatment initiation or modification, and the percentage of the assessment reported by nephrology trainees were compared between the two groups. Furthermore, this study included an inquiry about the usefulness of WSI from nephrologists who worked during these periods.
Results: The time until assessment description and treatment initiation or modification were shorter in the WSI (+) group (p < 0.001 for both). Multivariable Cox regression analysis showed that the use of WSI had the most significant impact on these outcomes (p < 0.001). Moreover, the percentage of first assessments reported by nephrology trainees increased from 25.8% to 53.2% (p < 0.001), and multivariable logistic analysis showed that WSI was the most associated factor (p < 0.001). In the questionnaire, most nephrologists cited the ease of access and sharing as the main advantages of WSI.
Conclusions: WSI is helpful for rapid treatment decision-making and education in renal pathology.
期刊介绍：
Clinical and Experimental Nephrology is a peer-reviewed monthly journal, officially published by the Japanese Society of Nephrology (JSN) to provide an international forum for the discussion of research and issues relating to the study of nephrology. Out of respect for the founders of the JSN, the title of this journal uses the term “nephrology,” a word created and brought into use with the establishment of the JSN (Japanese Journal of Nephrology, Vol. 2, No. 1, 1960). The journal publishes articles on all aspects of nephrology, including basic, experimental, and clinical research, so as to share the latest research findings and ideas not only with members of the JSN, but with all researchers who wish to contribute to a better understanding of recent advances in nephrology. The journal is unique in that it introduces to an international readership original reports from Japan and also the clinical standards discussed and agreed by JSN.
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