Digital pathologyTransforming tissue diagnostics and enriching pathology education in Malaysia

Fast factsSubang Jaya Medical Center, Malaysia

• Private, hospital-based AP lab – The flagship medical institution of Ramsay Sime Darby Health

Care – Adopted Roche Digital Pathology in 2013– Uses digital pathology for primary diagnosis*, remote second

opinions, tumor boards, pathologist and technologist education, and archiving

• Only non-university institution in Malaysia accredited for post-graduate pathology training

– Operates in the very competitive markets of Subang Jaya and Penang, with a new site coming soon in East Malaysia

• Annual slide volume – 60,000-70,000 H&E– 12,000 IHC*The Roche Digital Pathology portfolio is not approved in the United States for primary diagnosis

Integrated Roche technologies Digital pathology supports positioning as “one-stop center” for IHC

• Digital pathology– VENTANA iScan HT slide scanner – VENTANA Virtuoso image and workflow analysis software

• Staining automation– VENTANA BenchMark ULTRA automated IHC/ISH staining system

Digital solutions transform anatomic pathologyMany benefits for the pathology community

Improves collaboration with clinicians, streamlines second opinions and enhances education

for junior pathologists and technologists

VIRTUAL CONSULTATION IMAGE ANALYSIS EDUCATION

Digital pathology enhances pathologist connectivityRapid second opinions enable same-day reporting, regardless of location

“A lot of our patients come to Subang Jaya from outstation. They don’t want to spend unnecessary time at the hospital waiting for results, so same-day reporting differentiates our services. The market in Penang is extremely competitive as well, which means rapid second opinions for our Penang pathologist are crucial to business growth.”– Dr. Pathmanathan Rajadurai, Consultant Pathologist and Laboratory Director

Quick reads and remote consults facilitate volume growth in highly competitive markets

Digital pathology decreases turnaround timeFaster results attract more referrals

“Hospitals that used to send specimens to other laboratories are now enjoying a turnaround time which they’d never envisioned. [With us] they have same-day reporting at a one-stop center for immunohistochemistry and expert second opinions.” – Dr. Pathmanathan

“Lab delivers a 6-8 hour turnaround time from biopsy to result for all onsite cases and most offsite

cases”- Dr. Pathmanathan

High quality digital imagesStrong concordance with optical slide image quality aids in primary diagnosis*

“Comparative studies conducted revealed nearly 100%** concordance

between digital slide images and traditional microscopy”- Dr Pathmanathan

“I am very comfortable making a primary diagnosis* with digital pathology. With the resolution we get from 40x scanned images, it’s actually better than a lot of microscopes.”– Dr. Pathmanathan

*The Roche Digital Pathology portfolio is not approved in the United States for primary diagnosis**Performance has not been independently verified by Roche

Enhances multidisciplinary teamworkDigital slide images replace microscope and optical slides at tumor boards

• Slides are more easily and clearly viewed at once by multiple participants• On-screen information: patient/clinical data, measurements, annotations and more • Presenting slides at tumor boards is now a simpler and more robust process

High quality slide images are instantly available for display in high definition and large format

Pathology education is enrichedDigital slide images improve the learning experience across many settings

• Post-graduate pathology teaching• Continuing medical education• Junior pathologist training and competence

building• Medical laboratory technologist training

“Student performance has improved 50-60% since introducing digital pathology as a training tool.” *

- Dr. Pathmanathan

* Based on evaluations designed to measure usefulness and efficacy of digital teaching by Dr. Pathmanathan's laboratory. Also add Performance has not been independently verified by

Roche

Image and workflow management is robustEnables digital archiving for streamlined case retrieval

DIGITAL CASE ARCHIVESFast, secure access to slide images and data

Digital images do not experience degradation as glass slides do in storagePermanent record for both originating institution and referring sites

“The digital image remains pristine, the way it was when the slide was first created.”– Dr. Pathmanathan

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