Current opinion, status and future development of digital pathology in Switzerland.

Current opinion, status and future development of digital pathology in Switzerland.
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DOI:
10.1136/jclinpath-2019-206155
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发表时间:
2020-06
影响因子:
3.4
通讯作者:
--
中科院分区:
医学3区
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瑞士正在进行从模拟病理学到数字病理学(DP)的过渡。为了评估病理学家与DP的相关经验,并衡量他们对数字化未来的展望,瑞士数字病理学联盟进行了一项全国性调查。在其他国家也进行了类似的调查,以便对发展伙伴关系的经验进行元分析。病理学家和居民被要求完成一项包含12个问题的调查。结果与在英国,瑞典,加拿大和印度进行的类似研究进行了比较。全国执业病理学家和实习生的估计应答率为39.5%。其中,89%的人有使用数字幻灯片的经验,主要用于教育(61%)和初级诊断(20%)。此外,32%的人每周使用图像分析程序,26%的人每周使用计算机算法。有趣的是,66%的人愿意以数字方式进行初步诊断,而10%的人不愿意。大多数受访者认为DP的临床应用需要更多的标准和法规。值得注意的优势包括易于访问幻灯片和由此产生的连接优势,即与跨学科专家的协作,非现场工作,培训目的和计算图像分析。已知的缺点包括实施成本以及与IT基础设施和文件格式相关的问题。调查结果表明,瑞士病理学家对DP的经验和观点与其他正在向数字化工作流程过渡的报告国家相当。尽管需要更多的标准和法规来确保这些技术的安全使用,但瑞士的病理学家似乎对这个新的数字时代表示欢迎。
The transition from analogue to digital pathology (DP) is underway in Switzerland. To assess relevant experiences of pathologists with DP and gauge their outlook towards a digital future, a national survey was conducted by the Swiss Digital Pathology Consortium. Similar surveys were conducted in other countries, enabling a meta-analysis of DP experiences. Pathologists and residents were asked to complete a survey containing 12 questions. Results were compared with similar studies conducted in the United Kingdom, Sweden, Canada, and India. The estimated response rate among practicing pathologists and trainees nationwide was 39.5%. Of these, 89% have experience with digital slides, mainly for education (61%) and primary diagnostics (20%). Further, 32% have worked with an image analysis programme and 26% use computer-based algorithms weekly. Interestingly, 66% would feel comfortable making a primary diagnosis digitally, while 10% would not. Most respondents believe more standards and regulations are necessary for the clinical employment of DP. Noted advantages include ease of access to slides and the resulting connectivity benefits, namely collaboration with experts across disciplines, off-site work, training purposes, and computational image analysis. Perceived disadvantages include implementation costs and issues associated with IT infrastructure and file formats. The survey results suggest that experiences and perspectives of Swiss pathologists concerning DP is comparable to that of the other reporting countries undergoing transitions to digital workflows. Although more standards and regulations are needed to ensure the safe usage of these technologies, pathologists in Switzerland appear welcoming of this new digital era.
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