Digital Pathology in Europe: Coordinating Patient Care and Research Efforts
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Digital Pathology in Europe: Coordinating Patient Care and Research Efforts. COST Action IC0604. Marcial García Rojo Chair. Hospital General de Ciudad Real / Spain Vytenis Punys Kaunas University of Technology / Lithuania

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Digital Pathology in Europe: Coordinating Patient Care and Research Efforts

COST Action IC0604

Marcial García Rojo

Chair. Hospital General de Ciudad Real / Spain

Vytenis Punys Kaunas University of Technology / Lithuania

Janina SlodkowskaMilitary Institute of the Health Services, Warsaw / Poland

Thomas SchraderUniversity of Applied Sciences, Brandenburg / Germany

Christel DanielINSERM, Université René Descartes, Paris / France

Bernd BlobeleHealth Competence Center, U. Regensburg / Germany

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Digital Pathology in Europe: Coordinating Patient Care and Research Efforts

EURO-TELEPATH. Telepathology Network in Europe

COST Action IC0604

Start date: 05/11/2007

End date: 05/11/2011

Year: 2

16 action parties:



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15:00-15:10. Introduction. COST Action IC0604 Research Efforts

15:10-15:40. Informatics Standardization and IHE        Christel Daniel

15:40-16:10. Business processes in Pathology        Thomas Schrader (discussion on line)

16:10-16:20. Discussion: Architecture of a European distributed health care environment for patient care and research in Anatomic Pathology. Bernd Blobel.

16:20-16:40 Coffee break

16:40-17:10. Handling whole slide microscopy images in PACS        Vytenis Punys

17:10-17:30. Virtual microscopy scanning technology        Marcial García Rojo

17:30-18:00. Application of automated quantitative analysis in Pathology        Janina Slodkowska


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Action participants Research Efforts

(including WG experts)

We are open to new participants

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Use of COST instruments Research Efforts

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Scientific context and objectives (1/2) Research Efforts

Background / Problem statement:Adequate technological framework for the management of multimedia electronic healthcare records

Informatics applied to Anatomic Pathology

Research on standards to represent, interpret, browse, retrieve digital medical images

World wide search engine

Collaborate with Standardisation bodies with previous research conclusions.

Main challenges are educational, technological, and complexity of health information systems.

Brief reminder of MoU objectives: Evaluate and validate the common technological framework and communication standards required to access, transmit and manage digital medical records by pathologists and other medical specialties in a networked environment.

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Scientific context and objectives (2/2) Research Efforts

Research directions:

Model for pathology and other hospital information systems

Automation procedures in Pathology. Best technology available and under research.

Scanning solutions for Pathology microscopic slides.

Technological solutions for compression and storage problems with large image files.

Virtual slide standard viewer specifications which allow efficient reviewing of pathology images.

International standards (DICOM, HL7, SNOMED, CEN) and IHE initiative.

An European-scope telepathology network

Collection of interesting and typical samples, and clinico-pathological sessions

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Working groups Research Efforts

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2008: Research EffortsIHE workflow proposals can help increasing productivity and automation procedures

Analysis of Scanning solutions has become useful

Pathology DICOM object model has been published

JPEG is aware of compression and storage in Pathology

2009:Process modelling and hospital information systems

IHE: Anatomic Pathology Reporting to Public Health Repositories

Image analysis of immunohistochemical quantification has been evaluated

Nanotechnology and multispectral imaging can play a role

Results vs. Objectives

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Significant highlights (1/2) Research Efforts

9th European Congress on Telepathology and 3rd International Congress on Virtual Microscopy

200 experts (35 countries) and all microscope brands

5 COST related joint research papers were presented. A total of 16 keynote lectures, 76 papers, 15 posters, 2 satellite symposia, and 2 short training courses (IHE and virtual slides)

Proceedings published in BioMed Central (PubMed)

A STSM was arranged during this congress

EURO-TELEPATH is already know by international standardization bodies (DICOM, IHE pathology groups). A joint meeting DICOM-IHE- EURO-TELEPATH has been arranged.

May, 2008

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Significant highlights (2/2) Research Efforts

Workshop on “Quantitative immunohistochemistry in digital pathology”

IT engineers, bioinformaticians, biologists, oncologists, pathologists

Consensus as obtained on standardization of immuno-histochemistry to improve quality and the current status of quantitative image analysis in immunohistochemistry.

The collaborative study on breast carcinoma HER2/neu and hormonal receptors is a main output of this meeting.

The draft of an EC RTD Framework project proposal was presented

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STSM. Foster young scientists participation, Research Efforts

Training school on image analysis using open source software.

Next critical phases should include:

Complete business modeling of pathology processes using most suitable notation

Terminology: SNOMED CT for Anatomic Pathology

Interfacing whole slide imaging platforms and image automatic analysis

Postprocessing integration of radiology technical framework (DICOM)