dr juan antonio retamero pathologist granada university
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Three Years of Digital Pathology at Granada University Hospitals: Our experience
Dr Juan Antonio Retamero – Pathologist Granada University Hospitals, Spain
juan-antonio-retamero @jretamerod
Granada, Spain – Please come and visit!
Central Pathology Lab, Granada: Histology specimens: 50,000 Cytology specimens : 50,000 Post mortems: 100
Baza General Hospital Histology specimens : 4,000 Cytology specimens : 5,000 Post mortems: Centralized
Motril General Hospital Histology specimens : 10,000 Cytology specimens : 8,000 Post mortems: Centralized
Circa 1 Million inhabitants (2014) 1948 hospital beds 64,000 specimens 6,500 Molecular biology tests (NGS, PCR, FISH…)
Granada Campus Hospital 17 Pathologists 8 Residents 26 Technicians 2 Porters 4 Clerical
Meet our team
Motril Hospital 2 Pathologists 3 Technicians
Baza Hospital 1 Pathologists 3 Technicians 1 Clerical
Fully Digital for Histopathology Diagnosis Since September 2016
A little bit about myself…
What do Pathologists do?
What do Pathologists do?
How do Pathologists do their job?
How do Pathologists do their job?
Welcome to the Pathology of the XXI Century!
What does 100% digital mean to Granada and our patients?
Ability to sort caseload according to specialties and
not geographical sites
Remote pathologists have access to instant expert
opinion, because all cases are available anywhere within our
network
Our pathologists have access to their caseload when on call,
at home…
Immediate access to previous cases
Alhambra, Granada
Digital Pathology makes your life easier
Courtesy of Dr Elena Brachtel, MD Massachusetts General Hospital
Full transition to digital in all Hospital sites April to August 2016
Did digitization deliver on improving
Pathology Services?
Does Digital Pathology deliver on its potential?
How has digitization impacted Pathologists?
Granada and Sierra Nevada mountains
Participants 23 Pathologists 23 respondents (100%)
Satisfaction Survey - Age Distribution of Participants
Age Group Respondents
≤ 30 1
30 – 40 4
40 – 50 7
50 – 60 5
> 60 6
Non respondents 0
≤ 30
31 – 40
41 – 50
51 – 60
> 60
Age Group of Pathologist
4%
17%
31%
22%
26%
0 10% 20% 30% 40% 50%
Age Distribution of Participants
Dr. Miguel Cámara Pathologist, Granada University Hospitals Age: 66 years old Granada’s most Senior Pathologist
Dr. Beatriz Rueda Pathologist, Granada University Hospitals Age: 29 years old Granada’s most Junior Pathologist
Survey results – Granada Pathologists Survey Results: Impact of going Digital in Granada
“After implementing Digital, my efficiency has…”
20% Self-reported increased in efficiency
96% Increased efficiency after moving to a digital
workflow
“After implementing Digital Pathology, the quality of my diagnosis is…·
100% Same or better than with a microscope (78% better,
22% same)
78% Working digitally helps
prevent errors in dealing with patient data due to the
integration with our LIS
Adoption universal, amongst all pathologists and all sample types 100%
Would rather continue working digitally than
return to the microscope
“After trying Digital, please mark your preference: ”
“In essence, we are doing more with less pathologists, at the same cost or lower
than before”
Please read more on our paper - Just out!
Digital journey in Granada
100% Digital
… but full digitization is only a stepping stone…
On the road to Computational Pathology
On the road to Computational Pathology
On the road to Computational Pathology
HISTOLOGIC SUBTYPE
TUMOUR THICKNESS
TUMOUR AREA
MARGIN STATUS
Computer Assisted Diagnosis of Basal Cell Carcinoma
AI WORKING AS AN ASSISTANT
Computer Assisted Mitotic Counting in Melanoma
Computational Pathology Project in colaboration with the
University of Granada
AI WORKING AS A TOOL
Key messages
Digital Pathology is here to stay…
Not the future but the present!
Digital Pathology is preferred to the microscope and results
in efficiency gains
Computational pathology will
change the profession
Digitization is the foundation of Computational Pathology
Generalife Gardens, Granada
Thank you
Are we ready to modernize Pathology?
juan-antonio-retamero @jretamerod