The role of telepathology in improving cancer diagnostic and research capacity in sub-Saharan Africa

Abstract

Non-communicable disease (NCD), including cancer, disproportionately affect Low- and Middle-Income Countries (LMICs). This inequity is in part due to limitations of pathology services, both human and infrastructural. While significant improvements have been made to address these gaps, creative approaches that are mindful of regional priorities, cultural differences, and unique local challenges are needed. In this perspective, we will describe the implementation of telepathology services in sub-Saharan Africa (SSA) that serve as cornerstones for direct patient care, multi-disciplinary care coordination, research programs, and building human capacity through training. Models and challenges of system implementation, sustainability, and pathologist engagement will be discussed. Using disease and site-specific examples, we will suggest metrics for quality control and improvement initiatives that are critical for providing high-quality cancer registry data and necessary for future implementation of therapeutic and interventional clinical trials.

The State of Telepathology in Africa in the Age of Digital Pathology Advancements: A Bibliometric Analysis and Literature Review

“…The integration of telepathology into healthcare systems has been catalyzed by significant advancements in digital imaging, artificial intelligence (AI), and telecommunications [ 5 ]. These technological strides have not only expanded the capabilities and reliability of telepathology services but have also streamlined the diagnostic process, enhancing the speed and accuracy of pathological assessments [ 6 ]. Furthermore, the incorporation of AI algorithms offers the promise of automated preliminary analyses, potentially revolutionizing diagnostic workflows and accuracy [ 7 ].…”

Establishing sustainable collaborations in global pathology education

“…Other projects have highlighted a unique educational exchange where students of the partner LMIC participate in a tailored clinical rotation at the HIC institution ( 10 ). The bi-directional exchange can also take the form of a recurring telepathology educational and clinical conference, both employed in the author’s work in Guatemala ( 6 ) and other institutions ( 11 ). Finally, the bi-directional exchange can be utilized to share quality improvement and other capacity-building strategies between the partners.…”