Journal of Pathology Informatics Journal of Pathology Informatics
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Year : 2014  |  Volume : 5  |  Issue : 1  |  Page : 44

21 st century workflow: A proposal

Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA

Correspondence Address:
Jeffrey L Fine
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2153-3539.145733

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Digital pathology is rapidly developing, but early systems have been slow to gain traction outside of niche applications such as: Second-opinion telepathology, immunostain interpretation, and intraoperative telepathology. Pathologists have not yet developed a well-articulated plan for effectively utilizing digital imaging technology in their work. This paper outlines a proposal that is intended to begin meaningful progress toward achieving helpful computer-assisted pathology sign-out systems, such as pathologists' computer-assisted diagnosis (pCAD). pCAD is presented as a hypothetical intelligent computer system that would integrate advanced image analysis and better utilization of existing digital pathology data from lab information systems. A detailed example of automated digital pathology is presented, as an automated breast cancer lymph node sign-out. This proposal provides stakeholders with a conceptual framework that can be used to facilitate development work, communication, and identification of new automation strategies.

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