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
