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Visions Talk

Visions Talk. Alex Medas, MS John David Larkin Nolen, MD/PhD/MSPH. LIS evolution. Billing. Workflow. Advanced Diagnostics. The digitization of the slide. Areas of Impact. Workflow “Replacement” of glass slides Advanced diagnostics Automated scoring of markers

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Visions Talk

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  1. Visions Talk Alex Medas, MS John David Larkin Nolen, MD/PhD/MSPH

  2. LIS evolution Billing Workflow Advanced Diagnostics

  3. The digitization of the slide

  4. Areas of Impact • Workflow • “Replacement” of glass slides • Advanced diagnostics • Automated scoring of markers • New diagnostics markers (quantum dots, etc.) • New lines of business • Remote consults (frozen section) • Virtual pathology

  5. Start at the nexus • Pathologist-centric approach for digital pathology • Unifying point of integration • Gathers data via slides and generates report • Pathologist user interface is key for maintaining workflow

  6. Pathologist Console

  7. Pathologist Console

  8. Points of Integration • Front end (Desktop) • User interface integration • Single application, single sign-on • Desktop integration • Collaboration • QC • Patient safety (matching between case and images) • Seamless operation (exchanging of metadata) • Back end • Communication between LIS image store and digital pathology solution image store • Unified storage solution, enterprise-wide with DICOM standards

  9. Desktop Integration Pathology Workstation APLIS Client Robotic Microscope Application Slide Scanner Application Image Analysis Application Grossing Application Integration Layer

  10. Desktop Integration (continue) Viewer 1 Viewer 2 Viewer 3

  11. Desktop Integration (continue) APLIS Client Digital Slides Viewer Initialization Data Operation Data Universal Communication Layer Images Meta Data

  12. Back End Integration Slide Status Update Digital Slide Server And Database Interface Agent Interface Agent APLIS Database Slide/Case Data

  13. Report integration • It is not enough to just collect the image and/or data associated with the image analysis • This data must be both stored and consumed in reports for effective communication with clinicians and patients • The integration of the images and associated data must not negatively imact workflow

  14. Other points of integration • There is a growing number of image-based technologies that provide unique/non-traditional data • Points of integration must bring in images with associated metadata (measurements, values, etc.) • This is similar to a molecular test where the image is equivalent or secondary to the analysis data • Data can be interpreted or raw • Search issues for data based on type and location • Issues regarding device class

  15. “Digital Pathology” Pathologist Console Integration Virtual Slides Barcoding/Tracking Cerner AP

  16. Roles that clients play • Every LIS company is market driven • The majority driver in the market are clients • Current clients with new needs • Prospective clients with unmet needs • Device manufacturers also play a key role • Networking • Peering • The best combination is a mutual point of interest between a client and device manufacture

  17. Mobile devices

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