Visions Talk

Alex Medas, MS

John David Larkin Nolen, MD/PhD/MSPH

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LIS evolution

Billing

Workflow

Advanced

Diagnostics

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The digitization of the slide

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Areas of Impact

Workflow

“Replacement” of glass slidesAdvanced diagnostics

Automated scoring of markersNew diagnostics markers (quantum dots, etc.)

New lines of business

Remote consults (frozen section)Virtual pathology

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Start at the nexus

Pathologist-centric approach for digital pathology

Unifying point of integrationGathers data via slides and generates reportPathologist user interface is key for maintaining workflow

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Pathologist Console

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Pathologist Console

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Points of Integration

Front end (Desktop)

User interface integrationSingle application, single sign-on

Desktop integrationCollaborationQCPatient safety (matching between case and images)Seamless operation (exchanging of metadata)

Back end

Communication between LIS image store and digital pathology solution image storeUnified storage solution, enterprise-wide with DICOM standards

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Desktop Integration

APLISClient

Pathology Workstation

Grossing

Application

RoboticMicrosco

peApplicati

on

SlideScannerApplicati

on

ImageAnalysis Applicati

on

Integration

Layer

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Desktop Integration (continue)

Viewer 1

Viewer 2

Viewer 3

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Desktop Integration (continue)

Universal Communication Layer

DigitalSlidesViewer

APLISClient

Initialization Data

Images

Operation Data

Meta Data

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Back End Integration

Digital Slide

ServerAnd

Database

APLIS

Database

Slide Status Update

Slide/Case Data

Interface

Agent

Interface

Agent

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Report integration

It is not enough to just collect the image and/or data associated with the image analysisThis data must be both stored and consumed in reports for effective communication with clinicians and patientsThe integration of the images and associated data must not negatively imact workflow

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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

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“Digital Pathology”

Cerner AP

Barcoding/Tracking

Virtual Slides

Integration

Pathologist Console

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Roles that clients play

Every LIS company is market drivenThe majority driver in the market are clients

Current clients with new needsProspective clients with unmet needs

Device manufacturers also play a key role

NetworkingPeering

The best combination is a mutual point of interest between a client and device manufacture

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Mobile devices