A Digital Pathology Solution to Resolve the Tissue Floater Conundrum.

Context.--Pathologists may encounter extraneous pieces of tissue (tissue floaters) on glass slides because of specimen cross-contamination. Troubleshooting this problem, including performing molecular tests for tissue identification if available, is time consuming and often does not satisfactorily r...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 145; no. 3; pp. 359 - 365
Autores principales: Pantanowitz, Liron, Michelow, Pamela, Hazelhurst, Scott, Kalra, Shivam, Choi, Charles, Shah, Sultaan, Babaie, Morteza, Tizhoosh, Hamid R.
Formato: pictorial research tables/charts Journal Article
Publicado: College of American Pathologists Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
      vid: 145
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        149134150
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        10.5858/arpa.2020-0034-OA
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        atl: A Digital Pathology Solution to Resolve the Tissue Floater Conundrum.
      aug:
        au:
          Pantanowitz, Liron
          Michelow, Pamela
          Hazelhurst, Scott
          Kalra, Shivam
          Choi, Charles
          Shah, Sultaan
          Babaie, Morteza
          Tizhoosh, Hamid R.
        affil: Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
      sug:
        subj:
          Pathology, Clinical Equipment and Supplies
          Specimen Handling Methods
          Digital Technology Utilization
          Human
          Molecular Diagnostic Techniques
          Staining and Labeling Methods
          Technology, Medical
          Deep Learning
          Equipment Contamination
          Databases
          Image Retrieval
      ab: Context.--Pathologists may encounter extraneous pieces of tissue (tissue floaters) on glass slides because of specimen cross-contamination. Troubleshooting this problem, including performing molecular tests for tissue identification if available, is time consuming and often does not satisfactorily resolve the problem. Objective.--To demonstrate the feasibility of using an image search tool to resolve the tissue floater conundrum. Design.--A glass slide was produced containing 2 separate hematoxylin and eosin (H&E)-stained tissue floaters. This fabricated slide was digitized along with the 2 slides containing the original tumors used to create these floaters. These slides were then embedded into a dataset of 2325 whole slide images comprising a wide variety of H&E stained diagnostic entities. Digital slides were broken up into patches and the patch features converted into barcodes for indexing and easy retrieval. A deep learning-based image search tool was employed to extract features from patches via barcodes, hence enabling image matching to each tissue floater. Results.--There was a very high likelihood of finding a correct tumor match for the queried tissue floater when searching the digital database. Search results repeatedly yielded a correct match within the top 3 retrieved images. The retrieval accuracy improved when greater proportions of the floater were selected. The time to run a search was completed within several milliseconds. Conclusions.--Using an image search tool offers pathologists an additional method to rapidly resolve the tissue floater conundrum, especially for those laboratories that have transitioned to going fully digital for primary diagnosis.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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