The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide

Background: Digital pathology has progressed over the last two decades, with many clinical and nonclinical applications. Transplantation pathology is a highly specialized field in which the majority of practicing pathologists do not have sufficient expertise to handle critical needs. In this context...

Full description

Bibliographic Details
Main Authors: Ilaria Girolami, Anil Parwani, Valeria Barresi, Stefano Marletta, Serena Ammendola, Lavinia Stefanizzi, Luca Novelli, Arrigo Capitanio, Matteo Brunelli, Liron Pantanowitz, Albino Eccher
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Journal of Pathology Informatics
Subjects:
Online Access:http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2019;volume=10;issue=1;spage=21;epage=21;aulast=Girolami
_version_ 1828732493821378560
author Ilaria Girolami
Anil Parwani
Valeria Barresi
Stefano Marletta
Serena Ammendola
Lavinia Stefanizzi
Luca Novelli
Arrigo Capitanio
Matteo Brunelli
Liron Pantanowitz
Albino Eccher
author_facet Ilaria Girolami
Anil Parwani
Valeria Barresi
Stefano Marletta
Serena Ammendola
Lavinia Stefanizzi
Luca Novelli
Arrigo Capitanio
Matteo Brunelli
Liron Pantanowitz
Albino Eccher
author_sort Ilaria Girolami
collection DOAJ
description Background: Digital pathology has progressed over the last two decades, with many clinical and nonclinical applications. Transplantation pathology is a highly specialized field in which the majority of practicing pathologists do not have sufficient expertise to handle critical needs. In this context, digital pathology has proven to be useful as it allows for timely access to expert second-opinion teleconsultation. The aim of this study was to review the experience of the application of digital pathology to the field of transplantation. Methods: Papers on this topic were retrieved using PubMed as a search engine. Inclusion criteria were the presence of transplantation setting and the use of any type of digital image with or without the use of image analysis tools; the search was restricted to English language papers published in the 25 years until December 31, 2018. Results: Literature regarding digital transplant pathology is mostly about the digital interpretation of posttransplant biopsies (75 vs. 19), with 15/75 (20%) articles focusing on agreement/reproducibility. Several papers concentrated on the correlation between biopsy features assessed by digital image analysis (DIA) and clinical outcome (45/75, 60%). Whole-slide imaging (WSI) only appeared in recent publications, starting from 2011 (13/75, 17.3%). Papers dealing with preimplantation biopsy are less numerous, the majority (13/19, 68.4%) of which focus on diagnostic agreement between digital microscopy and light microscopy (LM), with WSI technology being used in only a small quota of papers (4/19, 21.1%). Conclusions: Overall, published studies show good concordance between digital microscopy and LM modalities for diagnosis. DIA has the potential to increase diagnostic reproducibility and facilitate the identification and quantification of histological parameters. Thus, with advancing technology such as faster scanning times, better image resolution, and novel image algorithms, it is likely that WSI will eventually replace LM.
first_indexed 2024-04-12T18:02:23Z
format Article
id doaj.art-6f9dd7f039c2492fb1ed21d428119b96
institution Directory Open Access Journal
issn 2153-3539
2153-3539
language English
last_indexed 2024-04-12T18:02:23Z
publishDate 2019-01-01
publisher Elsevier
record_format Article
series Journal of Pathology Informatics
spelling doaj.art-6f9dd7f039c2492fb1ed21d428119b962022-12-22T03:22:05ZengElsevierJournal of Pathology Informatics2153-35392153-35392019-01-01101212110.4103/jpi.jpi_27_19The landscape of digital pathology in transplantation: From the beginning to the virtual E-slideIlaria GirolamiAnil ParwaniValeria BarresiStefano MarlettaSerena AmmendolaLavinia StefanizziLuca NovelliArrigo CapitanioMatteo BrunelliLiron PantanowitzAlbino EccherBackground: Digital pathology has progressed over the last two decades, with many clinical and nonclinical applications. Transplantation pathology is a highly specialized field in which the majority of practicing pathologists do not have sufficient expertise to handle critical needs. In this context, digital pathology has proven to be useful as it allows for timely access to expert second-opinion teleconsultation. The aim of this study was to review the experience of the application of digital pathology to the field of transplantation. Methods: Papers on this topic were retrieved using PubMed as a search engine. Inclusion criteria were the presence of transplantation setting and the use of any type of digital image with or without the use of image analysis tools; the search was restricted to English language papers published in the 25 years until December 31, 2018. Results: Literature regarding digital transplant pathology is mostly about the digital interpretation of posttransplant biopsies (75 vs. 19), with 15/75 (20%) articles focusing on agreement/reproducibility. Several papers concentrated on the correlation between biopsy features assessed by digital image analysis (DIA) and clinical outcome (45/75, 60%). Whole-slide imaging (WSI) only appeared in recent publications, starting from 2011 (13/75, 17.3%). Papers dealing with preimplantation biopsy are less numerous, the majority (13/19, 68.4%) of which focus on diagnostic agreement between digital microscopy and light microscopy (LM), with WSI technology being used in only a small quota of papers (4/19, 21.1%). Conclusions: Overall, published studies show good concordance between digital microscopy and LM modalities for diagnosis. DIA has the potential to increase diagnostic reproducibility and facilitate the identification and quantification of histological parameters. Thus, with advancing technology such as faster scanning times, better image resolution, and novel image algorithms, it is likely that WSI will eventually replace LM.http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2019;volume=10;issue=1;spage=21;epage=21;aulast=GirolamiDigital pathologydonor biopsygraft biopsyimage analysistransplantation
spellingShingle Ilaria Girolami
Anil Parwani
Valeria Barresi
Stefano Marletta
Serena Ammendola
Lavinia Stefanizzi
Luca Novelli
Arrigo Capitanio
Matteo Brunelli
Liron Pantanowitz
Albino Eccher
The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
Journal of Pathology Informatics
Digital pathology
donor biopsy
graft biopsy
image analysis
transplantation
title The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
title_full The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
title_fullStr The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
title_full_unstemmed The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
title_short The landscape of digital pathology in transplantation: From the beginning to the virtual E-slide
title_sort landscape of digital pathology in transplantation from the beginning to the virtual e slide
topic Digital pathology
donor biopsy
graft biopsy
image analysis
transplantation
url http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2019;volume=10;issue=1;spage=21;epage=21;aulast=Girolami
work_keys_str_mv AT ilariagirolami thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT anilparwani thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT valeriabarresi thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT stefanomarletta thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT serenaammendola thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT laviniastefanizzi thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT lucanovelli thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT arrigocapitanio thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT matteobrunelli thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT lironpantanowitz thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT albinoeccher thelandscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT ilariagirolami landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT anilparwani landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT valeriabarresi landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT stefanomarletta landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT serenaammendola landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT laviniastefanizzi landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT lucanovelli landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT arrigocapitanio landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT matteobrunelli landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT lironpantanowitz landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide
AT albinoeccher landscapeofdigitalpathologyintransplantationfromthebeginningtothevirtualeslide