Digital Pathology Transformation in a Supraregional Germ Cell Tumour Network.

digital germ cell pathology testis

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
25 Nov 2021
Historique:
received: 14 10 2021
revised: 16 11 2021
accepted: 23 11 2021
entrez: 24 12 2021
pubmed: 25 12 2021
medline: 25 12 2021
Statut: epublish

Résumé

In this article we share our experience of creating a digital pathology (DP) supraregional germ cell tumour service, including full digitisation of the central laboratory. DP infrastructure (Philips) was deployed across our hospital network to allow full central digitisation with partial digitisation of two peripheral sites in the supraregional testis germ cell tumour network. We used a survey-based approach to capture the quantitative and qualitative experiences of the multidisciplinary teams involved. The deployment enabled case sharing for the purposes of diagnostic reporting, second opinion, and supraregional review. DP was seen as a positive step forward for the departments involved, and for the wider germ cell tumour network, and was completed without significant issues. Whilst there were challenges, the transition to DP was regarded as worthwhile, and examples of benefits to patients are already recognised. Pathology networks, including highly specialised services, such as in this study, are ideally suited to be digitised. We highlight many of the benefits but also the challenges that must be overcome for such clinical transformation. Overall, from the survey, the change was seen as universally positive for our service and highlights the importance of engagement of the whole team to achieve success.

Sections du résumé

BACKGROUND BACKGROUND
In this article we share our experience of creating a digital pathology (DP) supraregional germ cell tumour service, including full digitisation of the central laboratory.
METHODS METHODS
DP infrastructure (Philips) was deployed across our hospital network to allow full central digitisation with partial digitisation of two peripheral sites in the supraregional testis germ cell tumour network. We used a survey-based approach to capture the quantitative and qualitative experiences of the multidisciplinary teams involved.
RESULTS RESULTS
The deployment enabled case sharing for the purposes of diagnostic reporting, second opinion, and supraregional review. DP was seen as a positive step forward for the departments involved, and for the wider germ cell tumour network, and was completed without significant issues. Whilst there were challenges, the transition to DP was regarded as worthwhile, and examples of benefits to patients are already recognised.
CONCLUSION CONCLUSIONS
Pathology networks, including highly specialised services, such as in this study, are ideally suited to be digitised. We highlight many of the benefits but also the challenges that must be overcome for such clinical transformation. Overall, from the survey, the change was seen as universally positive for our service and highlights the importance of engagement of the whole team to achieve success.

Identifiants

pubmed: 34943429
pii: diagnostics11122191
doi: 10.3390/diagnostics11122191
pmc: PMC8700654
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : NIHR Oxford Biomedical Research Centre
ID : n/a
Organisme : UK Research and Innovation
ID : 104689

Références

J Clin Pathol. 2020 Apr;73(4):223-227
pubmed: 31597682
Histopathology. 2018 Nov;73(5):784-794
pubmed: 29924891
JCO Clin Cancer Inform. 2019 Jun;3:1-7
pubmed: 31194585
J Clin Pathol. 2017 Dec;70(12):1010-1018
pubmed: 28780514
Lancet Digit Health. 2020 Aug;2(8):e407-e416
pubmed: 33328045
Cancers (Basel). 2021 Mar 16;13(6):
pubmed: 33809521
J Pathol Inform. 2015 Apr 30;6:18
pubmed: 25969793
Histopathology. 2005 Aug;47(2):166-9
pubmed: 16045777
J Pathol Inform. 2019 Dec 03;10:37
pubmed: 31897354
PLoS One. 2021 Feb 25;16(2):e0246958
pubmed: 33630918
Arch Pathol Lab Med. 2017 Jul;141(7):944-959
pubmed: 28440660
J Pathol Inform. 2013 Jun 29;4:15
pubmed: 23858390
J Clin Pathol. 2021 Jul;74(7):448-455
pubmed: 32934103
J Pathol Inform. 2020 Apr 17;11:12
pubmed: 32477618
J Pathol Inform. 2014 Mar 28;5(1):14
pubmed: 24843825
Nat Med. 2019 Aug;25(8):1301-1309
pubmed: 31308507
Mod Pathol. 2019 Jul;32(7):916-928
pubmed: 30778169
J Clin Pathol. 2021 Feb;74(2):129-132
pubmed: 32616541
J Pathol Inform. 2021 Jan 23;12:4
pubmed: 34012708
Arch Pathol Lab Med. 2020 Feb;144(2):221-228
pubmed: 31295015
J Clin Pathol. 2021 Jul;74(7):443-447
pubmed: 32620678
J Pathol. 2019 Oct;249(2):143-150
pubmed: 31144302
Clin Genitourin Cancer. 2017 Feb;15(1):152-156
pubmed: 27324054
Arch Pathol Lab Med. 2021 Sep 1;145(9):1051-1061
pubmed: 33946103
J Clin Pathol. 2019 Feb;72(2):157-164
pubmed: 30518631
J Clin Pathol. 2019 Mar;72(3):198-205
pubmed: 29549217
J Med Internet Res. 2017 Nov 01;19(11):e367
pubmed: 29092808
J Pathol Clin Res. 2021 May;7(3):191-202
pubmed: 33635586

Auteurs

Richard Colling (R)

Nuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UK.
Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Andrew Protheroe (A)

Department of Oncology, University of Oxford, Oxford OX3 9DU, UK.
Oxford Cancer Centre, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Mark Sullivan (M)

Urology Department, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Ruth Macpherson (R)

Radiology Department, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Mark Tuthill (M)

Oxford Cancer and Haematology Centre, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Jacqueline Redgwell (J)

Urology Department, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Zoe Traill (Z)

Radiology Department, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Angus Molyneux (A)

Pathology Department, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes MK6 5DL, UK.

Elizabeth Johnson (E)

Pathology Department, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes MK6 5DL, UK.

Niveen Abdullah (N)

Pathology Department, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes MK6 5DL, UK.

Andrea Taibi (A)

Department of Cellular Pathology, North Bristol NHS Trust, Bristol BS10 5NB, UK.

Nikki Mercer (N)

Department of Cellular Pathology, Great Western Hospitals NHS Foundation Trust, Swindon SN3 6BB, UK.

Harry R Haynes (HR)

Department of Cellular Pathology, Great Western Hospitals NHS Foundation Trust, Swindon SN3 6BB, UK.

Anthony Sackville (A)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Judith Craft (J)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Joao Reis (J)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Gabrielle Rees (G)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Maria Soares (M)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Ian S D Roberts (ISD)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Darrin Siiankoski (D)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Helen Hemsworth (H)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Derek Roskell (D)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Sharon Roberts-Gant (S)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Kieron White (K)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Jens Rittscher (J)

Institute of Biomedical Engineering, University of Oxford, Oxford OX3 7DQ, UK.

Jim Davies (J)

Department of Computer Science, University of Oxford, Oxford OX1 2JD, UK.

Lisa Browning (L)

Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.
NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Clare Verrill (C)

Nuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, UK.
Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.
NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.

Classifications MeSH