Evidence map›Paper›PMID 35785212›Full record

SynthesisFrontiers in oncology2022

Technical and Diagnostic Issues in Whole Slide Imaging Published Validation Studies.

Paola Chiara Rizzo, Ilaria Girolami, Stefano Marletta, Liron Pantanowitz, Pietro Antonini, Matteo Brunelli, Nicola Santonicco, Paola Vacca, Nicola Tumino, Lorenzo Moretta and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Digital pathology structure and deployment in Veneto: a proof-of-concept study.Virchows Archiv : an international journal of pathology · 2024
    Article
  13. Review
  14. Article
  15. Standard operating procedures for biobank in oncology.Frontiers in molecular biosciences · 2022
    Article
  16. Artificial intelligence in head and neck cancer diagnosis.Journal of pathology informatics · 2022
    Review
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

14 authors.

Paola Chiara RizzoDepartment of Pathology and Diagnostics and Public Health, Section of Pathology, University Hospital of Verona, Verona, Italy.
Ilaria GirolamiDivision of Pathology, Central Hospital, Bolzano, Italy.
Stefano MarlettaDepartment of Pathology and Diagnostics and Public Health, Section of Pathology, University Hospital of Verona, Verona, Italy.
Liron PantanowitzDepartment of Pathology & Clinical Labs, University of Michigan, Ann Arbor, MI, United States.
Pietro AntoniniDepartment of Pathology and Diagnostics and Public Health, Section of Pathology, University Hospital of Verona, Verona, Italy.
Matteo BrunelliDepartment of Pathology and Diagnostics and Public Health, Section of Pathology, University Hospital of Verona, Verona, Italy.
Nicola SantoniccoDepartment of Pathology and Diagnostics and Public Health, Section of Pathology, University Hospital of Verona, Verona, Italy.
Paola VaccaBambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Nicola TuminoBambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Lorenzo MorettaBambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Anil ParwaniDepartment of Pathology, Ohio State University Medical Center, Columbus, OH, United States.
Swati SatturwarDepartment of Pathology, Ohio State University Medical Center, Columbus, OH, United States.
Albino EccherDepartment of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy.
Enrico MunariDepartment of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Digital pathology with whole-slide imaging (WSI) has many potential clinical and non-clinical applications. In the past two decades, despite significant advances in WSI technology adoption remains slow for primary diagnosis. The aim of this study was to identify common pitfalls of WSI reported in validation studies and offer measures to overcome these challenges. Methods: A systematic search was conducted in the electronic databases Pubmed-MEDLINE and Embase. Inclusion criteria were all validation studies designed to evaluate the feasibility of WSI for diagnostic clinical use in pathology. Technical and diagnostic problems encountered with WSI in these studies were recorded. Results: A total of 45 studies were identified in which technical issues were reported in 15 (33%), diagnostic issues in 8 (18%), and 22 (49%) reported both. Key technical problems encompassed slide scan failure, prolonged time for pathologists to review cases, and a need for higher image resolution. Diagnostic challenges encountered were concerned with grading dysplasia, reliable assessment of mitoses, identification of microorganisms, and clearly defining the invasive front of tumors. Conclusion: Despite technical advances with WSI technology, some critical concerns remain that need to be addressed to ensure trustworthy clinical diagnostic use. More focus on the quality of the pre-scanning phase and training of pathologists could help reduce the negative impact of WSI technical difficulties. WSI also seems to exacerbate specific diagnostic tasks that are already challenging among pathologists even when examining glass slides with conventional light microscopy.

Indexed as

artificial intelligencedigital pathologysystematic (literature) reviewsvalidation studywhole slide imaging

Identifiers

PMID35785212
PMCPMC9246412

What OpenQuestion holds

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Registered trials

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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.