'Lean' on Digital Pathology

BY John E. Tomaszewski. March 17, 2015

Abstract: The construction of a pathological diagnosis is the time, space and place in which cellular imaging, clinical informatics and the cognitive skill of a pathologist’s intracranial neural network combine to make a prognostic or predictive statement as to the likely outcome for a given patient.

The tools that surround and support this “diagnostic time, space and place” are critical to the success of the work. When we focus on the environment of a pathologist’s diagnostic work activities, the structure and processes of that environment have changed only slowly over the past several decades. The digital laboratory information system has certainly been a significant change and pathologists have adapted their diagnostic information workflow from paper to a computer screen. The core of the process that is the review and interpretation of cellular images has, however, changed little. Pathologists still assemble cases and view them under a microscope in much the same way as was done 50 years ago. The intensity of the activity is certainly much greater, but the review process is much the same.

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John E. Tomaszewski

Dr. Tomaszewski is Professor and Chair of Pathology and Anatomical Sciences at SUNY Buffalo. He came to the University at Buffalo in 2011 after serving as Interim Chair of Pathology and Laboratory Med... Learn More