Real-world digital pathology: considerations and ruminations of four young pathologists

Digital Examination of LYmph node CYtopathology Using the Sydney system (DELYCYUS): An international, multi‐institutional study

“…Embracing WSI and digital cytopathology has some important and far‐reaching consequences 36–38 . First, telecytology allows pathologists to send a digital slide for a second opinion in a few seconds without risks of damaging or losing the glass slide, which remains safely archived 34,39,40 . It is worth noting that the same digital slides can be sent simultaneously to different consultants.…”

“…[36][37][38] First, telecytology allows pathologists to send a digital slide for a second opinion in a few seconds without risks of damaging or losing the glass slide, which remains safely archived. 34,39,40 It is worth noting that the same digital slides can be sent simultaneously to different consultants. Furthermore, pathologists are not limited to using telecytology solely for diagnostic purposes but can leverage this technology for research, quality assurance (both internal and external), and teaching purposes.…”

Transforming diagnostics: The implementation of digital pathology in clinical laboratories

“…33 When financial constraints are not the limiting factor, the key to the transition will be teamwork and close collaboration with all parties. 34 Another important point often overlooked is the need to update reimbursement schemes. The current current procedural terminology (CPT) codes do not account for the additional services provided including image analysis and AI software that significantly improves precision healthcare through prognostic and predictive tools.…”

“…Another fine example is the Catalan Health Institute (Spain), with a similar case workload and staff size to UHN (Canada), which also found overall success in managing and providing high‐quality patient care by moving to DP 33 . When financial constraints are not the limiting factor, the key to the transition will be teamwork and close collaboration with all parties 34 …”

How many more slides to go until we fully adopt digital cytology?

“…The digital transformation wave has finally hit pathology laboratories, thereby calling for workflow modifications 1,2 . The benefits derived from employing digital technology such as automation and standardization are well known and successful examples have already been reported, particularly in surgical pathology 3–8 . While the use of whole slide images (WSIs) for rendering a primary diagnosis in histopathology has been approved by regulatory bodies and adopted by many surgical pathologists, digital cytology still seems to be lagging behind, despite some reports in the literature of routine implementations, with use cases ranging from cervicovaginal screening to tele‐ROSE (rapid on‐site evaluation) 7,9–14 …”