Evidence map›Paper›PMID 34012708›Full record

ArticleJournal of pathology informatics2021

Verification and Validation of Digital Pathology (Whole Slide Imaging) for Primary Histopathological Diagnosis: All Wales Experience.

M Babawale, A Gunavardhan, J Walker, T Corfield, P Huey, A Savage, A Bansal, M Atkinson, H Abdelsalam, E Raweily and 17 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pathology informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Histology Image Viewer and Converter (HIVC): A High-Speed Freeware Software to View and Convert Whole Slide Histology Images.Computer methods in biomechanics and biomedical engineering. Imaging & visualization · 2023
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 12 institutions in 1 country.

M BabawaleDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
A GunavardhanDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
J WalkerDepartment of Anaesthetics, Gwynedd Hospital, Betsi Cadwaladr University Health Board, Bangor, Wales.
T CorfieldDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
P HueyDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
A SavageDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
A BansalDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
M AtkinsonDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
H AbdelsalamDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
E RaweilyDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
A ChristianDepartment of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales.
I EvangelouDepartment of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales.
D ThomasDepartment of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales.
J ShannonDepartment of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales.
E YoudDepartment of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales.
P BrumwellDepartment of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales.
J HarrisonDepartment of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales.
I ThompsonDepartment of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales.
M RashidDepartment of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales.
G LeopoldDepartment of Cellular Pathology, Morriston Hospital Swansea Bay University Health Board, Port Talbot, Wales.
A FinallDepartment of Cellular Pathology, Morriston Hospital Swansea Bay University Health Board, Port Talbot, Wales.
S RobertsDepartment of Cellular Pathology, Singleton Hospital, Abertawe Bro Morgannwg Health Board, Port Talbot, Wales.
D HousaDepartment of Histopathology, Glangwilli Hospital, Hywel Dda University Health Board, Carmarthen, Wales.
P NedevaDepartment of Histopathology, Glangwilli Hospital, Hywel Dda University Health Board, Carmarthen, Wales.
A DaviesDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
D FletcherDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
Muhammad AslamDepartment of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales.
Glan Clwyd Hospital · GBBetsi Cadwaladr University Health Board · GBCardiff and Vale University Health Board · GBHywel Dda University Health Board · GBRoyal Glamorgan Hospital · GBRoyal Gwent Hospital · GBAneurin Bevan University Health Board · GBCwm Taf University Health Board · GBMorriston Hospital · GBSingleton Hospital · GBSwansea Bay University Health Board · GBUniversity Hospital of Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe study is aimed to verify Aperio AT2 scanner for reporting on the digital pathology platform (DP) and to validate the cohort of pathologists in the interpretation of DP for routine diagnostic histopathological services in Wales, United Kingdom. MATERIALS METHODS AND

resultsThis was a large multicenter study involving seven hospitals across Wales and unique with 22 (largest number) pathologists participating. 7491 slides from 3001 cases were scanned on Leica Aperio AT2 scanner and reported on digital workstations with Leica software of e-slide manager. A senior pathology fellow compared DP reports with authorized reports on glass slide (GS). A panel of expert pathologists reviewed the discrepant cases under multiheader microscope to establish ground truth. 2745 out of 3001 (91%) cases showed complete concordance between DP and GS reports. Two hundred and fifty-six cases showed discrepancies in diagnosis, of which 170 (5.6%) were deemed of no clinical significance by the review panel. There were 86 (2.9%) clinically significant discrepancies in the diagnosis between DP and GS. The concordance was raised to 97.1% after discounting clinically insignificant discrepancies. Ground truth lay with DP in 28 out of 86 clinically significant discrepancies and with GS in 58 cases. Sensitivity of DP was 98.07% (confidence interval [CI] 97.57-98.56%); for GS was 99.07% (CI 98.72-99.41%).

conclusionsWe concluded that Leica Aperio AT2 scanner produces adequate quality of images for routine histopathologic diagnosis. Pathologists were able to diagnose in DP with good concordance as with GS. STRENGTHS AND LIMITATIONS OF THIS STUDY: Strengths of this study - This was a prospective blind study. Different pathologists reported digital and glass arms at different times giving an ambience of real-time reporting. There was standardized use of software and hardware across Wales. A strong managerial support from efficiency through the technology group was a key factor for the implementation of the study. LIMITATIONS: This study did not include Cytopathology and

Indexed as

Concordancediagnosisdigital pathologyglass slidesground truthlight microscopyscanned slides/whole slide imagingvalidationvariances/discrepanciesverification

Identifiers

PMID34012708
PMCPMC8112347
OpenAlexW3124150981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.