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      Summary of the 4 th Nordic Symposium on Digital Pathology

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          Abstract

          The Nordic symposium on digital pathology (NDP) was created to promote knowledge exchange across stakeholders in health care, industry, and academia. In 2016, the 4 th NDP installment took place in Linköping, Sweden, promoting development and collaboration in digital pathology for the benefit of routine care advances. This article summarizes the symposium, gathering 170 attendees from 13 countries. This summary also contains results from a survey on integrated diagnostics aspects, in particular radiology-pathology collaboration.

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          Implementation of large-scale routine diagnostics using whole slide imaging in Sweden: Digital pathology experiences 2006-2013

          Sten Thorstenson, Jesper Molin, Claes Lundström (2014)
          Recent technological advances have improved the whole slide imaging (WSI) scanner quality and reduced the cost of storage, thereby enabling the deployment of digital pathology for routine diagnostics. In this paper we present the experiences from two Swedish sites having deployed routine large-scale WSI for primary review. At Kalmar County Hospital, the digitization process started in 2006 to reduce the time spent at the microscope in order to improve the ergonomics. Since 2008, more than 500,000 glass slides have been scanned in the routine operations of Kalmar and the neighboring Linköping University Hospital. All glass slides are digitally scanned yet they are also physically delivered to the consulting pathologist who can choose to review the slides on screen, in the microscope, or both. The digital operations include regular remote case reporting by a few hospital pathologists, as well as around 150 cases per week where primary review is outsourced to a private clinic. To investigate how the pathologists choose to use the digital slides, a web-based questionnaire was designed and sent out to the pathologists in Kalmar and Linköping. The responses showed that almost all pathologists think that ergonomics have improved and that image quality was sufficient for most histopathologic diagnostic work. 38 ± 28% of the cases were diagnosed digitally, but the survey also revealed that the pathologists commonly switch back and forth between digital and conventional microscopy within the same case. The fact that two full-scale digital systems have been implemented and that a large portion of the primary reporting is voluntarily performed digitally shows that large-scale digitization is possible today.
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            Integrating pathology and radiology disciplines: an emerging opportunity?

            James Sorace, Denise R Aberle, Dena Elimam … (2012)
            Pathology and radiology form the core of cancer diagnosis, yet the workflows of both specialties remain ad hoc and occur in separate "silos," with no direct linkage between their case accessioning and/or reporting systems, even when both departments belong to the same host institution. Because both radiologists' and pathologists' data are essential to making correct diagnoses and appropriate patient management and treatment decisions, this isolation of radiology and pathology workflows can be detrimental to the quality and outcomes of patient care. These detrimental effects underscore the need for pathology and radiology workflow integration and for systems that facilitate the synthesis of all data produced by both specialties. With the enormous technological advances currently occurring in both fields, the opportunity has emerged to develop an integrated diagnostic reporting system that supports both specialties and, therefore, improves the overall quality of patient care.
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              Summary of 2nd Nordic symposium on digital pathology

              Claes Lundström, Sten Thorstenson, Marie Waltersson … (2015)
              Techniques for digital pathology are envisioned to provide great benefits in clinical practice, but experiences also show that solutions must be carefully crafted. The Nordic countries are far along the path toward the use of whole-slide imaging in clinical routine. The Nordic Symposium on Digital Pathology (NDP) was created to promote knowledge exchange in this area, between stakeholders in health care, industry, and academia. This article is a summary of the NDP 2014 symposium, including conclusions from a workshop on clinical adoption of digital pathology among the 144 attendees.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Pathol Inform
                Journal ID (iso-abbrev): J Pathol Inform
                Journal ID (publisher-id): JPI
                Title: Journal of Pathology Informatics
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 2229-5089
                ISSN (Electronic): 2153-3539
                Publication date Collection: 2017
                Publication date (Electronic): 10 March 2017
                Volume: 8
                Electronic Location Identifier: 8
                Affiliations
                [1 ]Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden
                [2 ]Sectra AB, Sweden
                [3 ]Section of Pathology and Tumour Biology, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK
                [4 ]Department of Cellular Pathology, St. James University Hospital, Leeds, UK
                Author notes
                Address for correspondence: Dr. Claes Lundström, Center for Medical Image Science and Visualization, Linkoping University US, SE-58185 Linköping, Sweden. E-mail: claes.lundstrom@ 123456liu.se
                Article
                Publisher ID: JPI-8-8
                DOI: 10.4103/jpi.jpi_5_17
                PMC ID: 5364737
                SO-VID: 08132b60-ff19-4bad-8aaf-dddd0838c821
                Copyright © Copyright: © 2017 Journal of Pathology Informatics
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Date received : 12 January 2017
                Date accepted : 27 January 2017
                Categories
                Subject: Symposium

                ScienceOpen disciplines: Pathology
                Keywords: digital pathology,implementation,pathology informatics
                Data availability:
                ScienceOpen disciplines: Pathology
                Keywords: digital pathology, implementation, pathology informatics

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