Academic Pathology最新文献

{"title":"Pathology in the artificial intelligence era: Guiding innovation and implementation to preserve human insight","authors":"Harry Gaffney MD ,&nbsp;Kamran M. Mirza MD, PhD","doi":"10.1016/j.acpath.2025.100166","DOIUrl":"10.1016/j.acpath.2025.100166","url":null,"abstract":"<div><div>The integration of artificial intelligence in pathology has ignited discussions about the role of technology in diagnostics—whether artificial intelligence serves as a tool for augmentation or risks replacing human expertise. This manuscript explores artificial intelligence's evolving contributions to pathology, emphasizing its potential capacity to enhance, rather than eclipse, the pathologist's role. Through historical comparisons, such as the transition from analog to digital in radiology, this paper highlights how technological advancements have historically expanded professional capabilities without diminishing the essential human element. Current applications of artificial intelligence in pathology—from diagnostic standardization to workflow efficiency—demonstrate its potential to augment diagnostic accuracy, expedite processes, and improve consistency across institutions. However, challenges remain in algorithmic bias, regulatory oversight, and maintaining interpretive skills among pathologists. The discussion underscores the importance of comprehensive governance frameworks, evolving educational curricula, and public engagement initiatives to ensure artificial intelligence in pathology remains a collaborative endeavor that empowers professionals, upholds ethical standards, and enhances patient outcomes. This manuscript ultimately advocates for a balanced approach where artificial intelligence and human expertise work in concert to advance the future of diagnostic medicine.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100166"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"#PathArt: from glass slide to canvas; with a mission of enlightening the burdens of life","authors":"Meredith Herman DO ,&nbsp;Casey Schukow DO ,&nbsp;Alexandra Tatarian MD ,&nbsp;Ziad M. El-Zaatari MD ,&nbsp;Gloria Hopkins Sura MD ,&nbsp;Marilyn M. Bui MD, PhD, FCAP","doi":"10.1016/j.acpath.2024.100157","DOIUrl":"10.1016/j.acpath.2024.100157","url":null,"abstract":"<div><div>Pathology requires visual aptitude, pattern, and color recognition as a medical specialty. This can account for the growing PathArt (or #PathArt via social media, or SoMe) movement. For the purpose of this review, the authors define PathArt as any form of art inspired by pathology topics, such as microscopic images (i.e. surgical histology, cytology, hematology, immunohistochemistry), gross pathology, and clinical pathology (including molecular/genetics). Pathologists are well-versed in the use of hashtags and commonly utilize them to tag relevant medical topics to share with colleagues through online platforms, such as Twitter (renamed X in 2023). As the professional laboratory network has expanded virtually, artists within the community have emerged and shared numerous pathology artworks. However, displaying pathology as “beautiful” art pieces gives rise to concerns over portraying cancer light-heartedly given the humanity of disease. For this review, we discuss the history of art and medicine, pathology as a visual and creative specialty, explore the conceptual framework of the hashtag #PathArt is associated with sharing pathology-related art on SoMe, and address the psychological and medico-legal implications that surround PathArt. This article is intended to provide a guide to fostering PathArt and #PathArt in an ethical and positive manner. References were obtained via qualitative review of non-peer-reviewed and peer-reviewed literature pertinent to this topic.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100157"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From good to great: The journey of sustained academic improvement of a university department of pathology and laboratory medicine","authors":"Zu-hua Gao MD, PhD,&nbsp;Genevieve McMillan BSc, MHSc,&nbsp;Cheryl Wellington PhD,&nbsp;Helene Cote PhD,&nbsp;Michael Nimmo LLB, MD,&nbsp;David Huntsman MD,&nbsp;Suzanne Vercauteren MD, PhD,&nbsp;Lucy Perrone PhD,&nbsp;David Granville PhD, FAHA,&nbsp;Cornelia Laule PhD","doi":"10.1016/j.acpath.2025.100159","DOIUrl":"10.1016/j.acpath.2025.100159","url":null,"abstract":"<div><div>Pathology and Laboratory Medicine discipline occupies a special place in the medical school and healthcare ecosystem as it bridges basic medical science and clinical practice. In the era of rapid knowledge and technology evolution, the new ways of communication, new training requirements, and the demand of personalized precision diagnostics, this specialty is facing unprecedented challenges and opportunities. Some of these challenges are institution-specific, while many are shared worldwide at different magnitudes. This review shares our team efforts in effectively dealing with challenges of budget constraints, engaging diverse and distributed faculties to establish and implement a shared vision and strategy to achieve sustained improvement in education programs and research enterprise. We hope that our experiences and insights can inspire other university departments in finding innovative approaches for their unique challenges and opportunities.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100159"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in autopsy training for pathology residents: A survey of autopsy directors","authors":"Kathryn P. Scherpelz MD, PhD ,&nbsp;Desiree Marshall MD ,&nbsp;Alex K. Williamson MD ,&nbsp;Nicole R. Jackson MD, MPH","doi":"10.1016/j.acpath.2024.100156","DOIUrl":"10.1016/j.acpath.2024.100156","url":null,"abstract":"<div><div>Resident training in autopsy provides a foundation of knowledge and skills for forensic pathologists and anatomic pathologists, but obstacles are present in ensuring quality training. A survey of US autopsy service directors at sites with pathology residency programs was used to identify common challenges in resident autopsy training. Respondents (n = 29) largely believed that negative attitudes from residents, faculty, training programs, and/or the medical system at large (34%) and time limitations (34%) were the most significant challenges for residency autopsy training. Regarding the Accreditation Council for Graduate Medical Education's decreased autopsy requirements from 50 to 30 required cases, respondents noted decreased difficulty (38% to 7%) for residents to achieve the minimum of cases but increased concerns regarding competency at this minimum (7% to 76%). Other impacts of this reduced requirement included decreased interest from residents after meeting minimum requirements, shortened autopsy rotations, increased resident-free autopsies, and increased use of pathologist assistants. Two programs (7%) described a decreased need for residents to share cases, but no other potential benefit was described. In addition to the value provided to the community through autopsies, autopsy training during residency provides knowledge and skills relevant to anatomic pathologists generally and forms a necessary foundation on which forensic pathology fellows and future autopsy attendings can develop proficiency. Continued effort is needed to promote the importance of autopsies to pathology residents and others and to provide sufficient training to produce pathologists competent in autopsy pathology.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100156"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Pancreatic neuroendocrine neoplasms","authors":"Hunter L. Monroe BS,&nbsp;Reima El Naili MD","doi":"10.1016/j.acpath.2025.100161","DOIUrl":"10.1016/j.acpath.2025.100161","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100161"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Mechanism and locations of intracranial hypertensive hemorrhage leading to stroke","authors":"Joshua Richmond MD ,&nbsp;Jake Quarles MD ,&nbsp;Sanjay Talati MD ,&nbsp;Jyotsna Pandey MD PhD","doi":"10.1016/j.acpath.2025.100165","DOIUrl":"10.1016/j.acpath.2025.100165","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100165"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic versus allopathic medical school pathology curricula: a survey of medical students at Michigan State University","authors":"Curtiss Johnson BA ,&nbsp;Meredith Herman DO ,&nbsp;Basma Klump PhD ,&nbsp;Christina Silva BS ,&nbsp;Jessica Maupin DO ,&nbsp;Casey P. Schukow DO ,&nbsp;Justin Tran BS ,&nbsp;Paul Kowalski MD","doi":"10.1016/j.acpath.2025.100164","DOIUrl":"10.1016/j.acpath.2025.100164","url":null,"abstract":"<div><div>Despite guidelines for pathology undergraduate medical education set forth by the Association of American Medical Colleges, American Medical Association, Liaison Committee on Medical Education, and Commission on Osteopathic College Accreditation, there is sparse literature regarding differences in pathology curricula between allopathic and osteopathic institutions. As programs alter curricula to adapt to the ever-increasing breadth and depth of medical knowledge, there is concern for lost educational opportunities in pathology and a growing need for research on the landscape of pathology undergraduate medical education in medical schools nationwide. An Institutional Review Board approved, voluntary 22-item survey regarding pathology curricula was distributed to allopathic and osteopathic medical school students at Michigan State University from July 2022 to January 2023. The total number of responses was 363 (n = 363; 22.6% allopathic, 77.4% osteopathic). We present data on pathology education at a university that features both an allopathic and osteopathic college of medicine while focusing on factors that influence medical students’ perceptions of pathology. Statistically significant differences (<em>P</em>≤0.05) in responses—favoring Michigan State University osteopathic students over their allopathic counterparts—were observed in several areas: the perception of pathology as a medical versus surgical specialty (<em>P</em> 0.014), acknowledgement of a dedicated pathology course (<em>P</em> 0.002), and awareness of pathology-specific content (<em>P</em> &lt; 0.001). Allopathic students expressed a greater desire for pathology exposure (<em>P</em> 0.003). This study highlights the variable exposure of pathology between two different curriculums and suggests that, while traditionally primary-care-focused, osteopathic medical programs may offer stronger pathology education and exposure.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100164"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Psoriasis","authors":"Ryan C. Saal BS ,&nbsp;Abby S. Van Voorhees MD ,&nbsp;Richard M. Conran MD, PhD, JD","doi":"10.1016/j.acpath.2024.100154","DOIUrl":"10.1016/j.acpath.2024.100154","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100154"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Neonatal alloimmune thrombocytopenia","authors":"Ingmar N. Bastian MD ,&nbsp;William N. Rose MD","doi":"10.1016/j.acpath.2024.100152","DOIUrl":"10.1016/j.acpath.2024.100152","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100152"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social media in pathology and laboratory medicine: A systematic review","authors":"Allyson Flippo BS ,&nbsp;Bhakti Dixit MS ,&nbsp;Casey P. Schukow DO ,&nbsp;Sean M. Hacking MB, BCH, BAO ,&nbsp;Leo Song MD ,&nbsp;Kimberly Fiock PhD, MS ,&nbsp;Kathryn Golab MLS(ASCP)CMSHCM ,&nbsp;Snehal Sonawane MD ,&nbsp;David N. Alter MD, MPH, DABCC ,&nbsp;Rodney E. Rohde PhD, SM(ASCP)CM, SVCM, MBCM, FACSc ,&nbsp;Swikrity U. Baskota MD, FCAP ,&nbsp;Aadil Ahmed MD ,&nbsp;Nicole R. Jackson MD, MPH ,&nbsp;Anna B. Owczarczyk MD, PhD, FASCP ,&nbsp;Kyle S. Conway MD ,&nbsp;Kamran M. Mirza MD, PhD","doi":"10.1016/j.acpath.2024.100151","DOIUrl":"10.1016/j.acpath.2024.100151","url":null,"abstract":"<div><div>The use of social media platforms in pathology and medical laboratory science has increased in recent years, revolutionizing the way professionals in these fields interact, disseminate information, and collaborate. To gain an understanding of the current landscape regarding social media use in pathology and medical laboratory science, a novel systematic review was conducted. A search of PubMed, Medline, Embase, and Scopus was performed to identify articles evaluating social media use within pathology and medical laboratory science. Articles published in English within the previous 10 years were searched on December 22, 2022. Inclusion criteria were articles containing information regarding social media utility in pathology or laboratory medicine and related articles that mentioned specific hashtags for pathology. The review process involved analyzing the social media platforms referenced, hashtags mentioned, and the presence of international authors as key endpoints of interest. 802 publications were identified; 54 studies met inclusion criteria. Subspecialties represented were considered, but none were found to be statistically significant. X/Twitter (n = 42) was the most discussed social media platform. The top hashtags discussed were #pathJC (5.1%), #dermpathJC (4.2%), #USCAP2016 (3.4%), and #PathBoards (3.4%). Analysis of these articles provides insights into current trends, including the social media platforms referenced, hashtags used, and involvement of international authors. This review will contribute to a deeper understanding of the role and impact of social media in these fields, highlighting opportunities and challenges for future research and practice in pathology and lab medicine.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100151"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}