{"title":"Z-stacking improves AI detection of cellular features, so does extended focus","authors":"Tengyou Xu , Hongyan Gu , Xiang Chen , Mohammad Haeri","doi":"10.1016/j.jpi.2026.100599","DOIUrl":"10.1016/j.jpi.2026.100599","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100599"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148181324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas Spies , Ray Linford , Jacob Durtschi , Lauren Zuromski , Ashley Hutchings , Alexandra Rangel , Ryan Shean , Weston Prestwich , Mark Dewey , Brendan O'Fallon , David Ng
{"title":"Aggregating multimodal hematopathology data into an analytics-ready database for AI development","authors":"Nicholas Spies , Ray Linford , Jacob Durtschi , Lauren Zuromski , Ashley Hutchings , Alexandra Rangel , Ryan Shean , Weston Prestwich , Mark Dewey , Brendan O'Fallon , David Ng","doi":"10.1016/j.jpi.2026.100601","DOIUrl":"10.1016/j.jpi.2026.100601","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100601"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148181325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aysegul Ergin Sutcu , Michael White , Jenny Lewis , Xiaozhi Zhou , Theresa L. Thompson , Elin Kindberg , Morgan Filipsson , Rasmus Dencker , Dylan V. Miller , Isaac Lloyd , Eric F. Glassy , Nathash S. Kallichanda , Jonathan E. Zuckerman
{"title":"Partnering to standardization: Clinical study for the first use of DICOM for pathology diagnostics","authors":"Aysegul Ergin Sutcu , Michael White , Jenny Lewis , Xiaozhi Zhou , Theresa L. Thompson , Elin Kindberg , Morgan Filipsson , Rasmus Dencker , Dylan V. Miller , Isaac Lloyd , Eric F. Glassy , Nathash S. Kallichanda , Jonathan E. Zuckerman","doi":"10.1016/j.jpi.2026.100613","DOIUrl":"10.1016/j.jpi.2026.100613","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100613"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Toby C. Cornish , Shubham Dayal , David Ferber , Joseph Chiweshe , Robert Monroe
{"title":"The evolving role of DICOM in digital pathology","authors":"Toby C. Cornish , Shubham Dayal , David Ferber , Joseph Chiweshe , Robert Monroe","doi":"10.1016/j.jpi.2026.100658","DOIUrl":"10.1016/j.jpi.2026.100658","url":null,"abstract":"<div><div>Digital pathology has emerged as a technology with the potential to transform anatomic pathology by enabling remote consultation, computational analysis, streamlined workflows, and more efficient archival of histopathology slides. Interest in digital pathology has steadily grown as health practitioners increasingly recognize its potential to enhance patient care. In the United States, at least 10 whole slide scanners have been cleared or approved by the Food and Drug Administration (FDA), reflecting a growing confidence in this technology. However, widespread adoption has been hampered by the continued proliferation of proprietary, vendor-specific whole slide image formats that limit interoperability between systems. Whereas commonly used whole slide image formats, such as SVS, iSyntax, BIF, MRXS, and NDPI, have proven adequate for siloed deployments, they are less well-suited for integration into enterprise imaging solutions. The Digital Imaging and Communications in Medicine (DICOM) standard, which revolutionized radiology over three decades ago, offers a vendor-neutral whole slide image format that enables seamless exchange of images and metadata across systems, supporting efficient workflows, accurate diagnosis, and secondary use such as artificial intelligence research. This article discusses the use of DICOM in digital pathology, the key benefits it provides, the clear need for digital pathology vendors to adopt it as a native storage format, and other opportunities and barriers to adoption. As digital pathology matures and computational pathology applications proliferate, DICOM adoption represents a critical step toward an interoperable, vendor-neutral imaging ecosystem.</div></div>","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100658"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Witali Aswolinskiy , John K.L. Wong , Myroslav Zapukhlyak , Yulia Kindruk , Marina Pavlova , Roman Laskorunskyi , Martin Paulikat , Christian Aichmüller
{"title":"Fast organ-of-origin classification for digital pathology quality control","authors":"Witali Aswolinskiy , John K.L. Wong , Myroslav Zapukhlyak , Yulia Kindruk , Marina Pavlova , Roman Laskorunskyi , Martin Paulikat , Christian Aichmüller","doi":"10.1016/j.jpi.2026.100663","DOIUrl":"10.1016/j.jpi.2026.100663","url":null,"abstract":"<div><div>Digitizing large histopathology archives requires processing millions of scanned whole-slide images that must be validated rapidly. Automated organ-of-origin classification can accelerate quality control and enable early detection of mislabeled specimens. We developed a deep learning model that classifies the organ of origin from hematoxylin and eosin-stained slides using a single low-resolution thumbnail per slide in under 1 s. For training, we used thumbnails from 16,624 slides from The Cancer Genome Atlas (TCGA) and Clinical Proteomic Tumor Analysis Consortium (CPTAC) archives, which contain mostly primary tumor resections. The images were categorized into 14 classes based on the most common primary sites in TCGA: Bladder, Brain, Breast, Colorectal, Kidney, Liver, Lung, Pancreas, Prostate, Skin, Stomach, Thyroid gland, Uterus, and Other (encompassing the remaining tissue types). We evaluated our approach on two independent external cohorts: a 5-class cohort with 2857 slides (Colorectal, Kidney, Liver, Pancreas, and Prostate) and a comprehensive 14-class cohort (12,348 slides). The model achieved 90% balanced accuracy for the 5-class cohort and 62% for the full 14-class cohort. Notably, when considering only the predictions with high confidence, 53% of the large cohort could be classified with 74% balanced accuracy. Manual review of high-confidence misclassifications suggested that some may reflect errors in the ground truth rather than model error. Mean model inference time was 0.2 s per slide on an NVIDIA L4 GPU. Our deep learning approach demonstrates high classification performance with very low inference time, indicating its potential for real-time and cost-effective quality control in digital pathology.</div></div>","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100663"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147951514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marta Wojciechowska , Stefano Malacrino , Dylan Windell , Emma L. Culver , Jessica K. Dyson , on behalf of the UKAIH consortium, Jens Rittscher
{"title":"Enhancing liver fibrosis measurement: Deep learning and uncertainty analysis across multi-center cohorts","authors":"Marta Wojciechowska , Stefano Malacrino , Dylan Windell , Emma L. Culver , Jessica K. Dyson , on behalf of the UKAIH consortium, Jens Rittscher","doi":"10.1016/j.jpi.2026.100653","DOIUrl":"10.1016/j.jpi.2026.100653","url":null,"abstract":"<div><div>Digital pathology enables large multi-center studies of histological specimens, but differences in staining protocols and slide quality can compromise the comparability of quantitative results. We analyzed 686 PicroSirius Red-stained liver biopsies from 4 independent cohorts spanning more than 20 clinical sites to assess how stain variability affects automated fibrosis quantification and model uncertainty. An U-Net ensemble was trained to segment collagen and to estimate pixel- and tile-level predictive uncertainty. Across markedly heterogeneous staining conditions, the ensemble achieved strong segmentation performance (Dice 0.83–0.90) and produced informative uncertainty maps that identified artifacts and out-of-distribution regions. Epistemic uncertainty values were typically below 0.002, providing a practical criterion for flagging unreliable predictions. Our results demonstrate that ensemble-based uncertainty estimation complements stain-standardization efforts by quantifying prediction confidence directly from model outputs, improving the reliability and interpretability of collagen proportionate-area measurements across multi-center datasets. This framework supports more trustworthy and reproducible digital-pathology workflows for fibrosis assessment and other histological applications.</div></div>","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100653"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147710064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Otoniel Alejandro González Barbosa , Rodrigo Humberto Girón Cuestas , Juan Eduardo Sebastián Aguirre-Garza , Natalia Vilches Cisneros , José Antonio García Muñiz , Juan Pablo Flores Gutiérrez
{"title":"Pathologist experience and AI use in claudin 18.2 IHC for upper gastrointestinal tract tumors","authors":"Otoniel Alejandro González Barbosa , Rodrigo Humberto Girón Cuestas , Juan Eduardo Sebastián Aguirre-Garza , Natalia Vilches Cisneros , José Antonio García Muñiz , Juan Pablo Flores Gutiérrez","doi":"10.1016/j.jpi.2026.100616","DOIUrl":"10.1016/j.jpi.2026.100616","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100616"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}