Daily Biopsy Diagnosis in Surgical Pathology Concordance Between Light Microscopy and Whole-Slide Imaging in Real-Life Conditions

作者:Villa Irene; Mathieu Marie Christine; Bosq Jacques; Auperin Anne; Pomerol Jean Francois; Lacroix Triki Magali; Scoazec Jean Yves*; Dartigues Peggy
来源:American Journal of Clinical Pathology, 2018, 149(4): 344-351.
DOI:10.1093/AJCP/AQX161

摘要

Objectives: The current challenge for the various digital whole-slide imaging (WSI) systems is to be definitively validated for diagnostic purposes. We designed a concordance study between glass slide and digital slide diagnosis in real-life conditions, coupled with an ergonomic study.
Methods: Three senior pathologists evaluated, first in glass slides and then in digital slides, 119 biopsy cases, including 749 slides, with 332 H&E saffron stains and 417 additional techniques, mainly immunohistochemistry.
Results: All digital slides, including specially stained slides, were interpretable. Concordance between glass slides and digital slides was observed in 87.4% of cases. Minor discordances were observed in 12 (10.1%) cases and major discordances, with therapeutic impact, in three (2.5%), including one related to WSI. The satisfaction of participants was high and increased with time.
Conclusions: Our study confirms the feasibility and accuracy of WSI diagnosis, even for cases having multiple samples and requiring special staining techniques, such as immunohistochemistry and in situ hybridization.

  • 出版日期2018-4