My use of the VisionTek in Digital Pathology

Han van Krieken, pathologists

Nijmegen, the Netherlands

Department of pathology

• Academic pathology laboratory

• 30.000 histology• 20.000 cytology• 250 autopsies

• Subspeciality services/consultation• Hematopathology (van Krieken, Hebeda)• Renal pathology (Steenbergen)

• Melanocytic lesions (Blokx)• Head & Neck (Slootweg)• Neuropathology (Wesseling)

• Soft tissue/bone tumors (Flucke)• Gatro-enterology (Nagtegaal)

Challenges for pathologists today

• Personalised medicine

• Subspecialisation

• Larger teams and closer to the clinician

• 7x24 hours service

Fullfilled needs using digital pathology

• Education (since 2004)

• Substitutes during absence (since 2010)

• Specialty frozen sections being on call (since 2013, Visiontec)

Dedicated solution for specific need

Scanned LiveEducation

Consulting

Diagnostics

Archive

Image analysis

Benefits of live viewing

• Manual Focussing

• Rapid consultation

• Lees affected by slide quality

Benefits of scanned slides

• Easy repeated use

• Storage in EPD

• Multidisciplinary team meetings

• Multiple images at the same time

Applications

Rapid remote consultancy of frozen sections using TeamViewer

TelePathology

Implementation in diagnostics1. Learning phase: Using the VisionTek in daily routine

2. Validation of remote consultancy of frozen sections:

by 3 Pathologists, in total 21 cases

3. validation report.

Applications Multiple stains

Applications Quantification

Applications TMA Scoring

Applications Snapshots for presentations or publications

Applications Scanning of an area of interest

Potential improvements

• More slides at the same time

• Faster loading

Conclusion from a relative digibete

Having the Visiontec available helped me to have

• Higher quality by viewing multiple stainings at the same time

• Consultation outside office hours

• Quick presentation images

Digital Pathology group

RadboudUMC

Han van KriekenJeroen van der LaakEwout Schaafsma

Konnie HebedaPieter WesselingIrene Otte-Holler