1. A Digital Pathology Solution to Resolve the Tissue Floater Conundrum
- Author
-
Scott Hazelhurst, Morteza Babaie, Liron Pantanowitz, Shivam Kalra, Sultaan Shah, Charles Choi, Hamid R. Tizhoosh, and Pamela Michelow
- Subjects
0301 basic medicine ,Databases, Factual ,Computer science ,Image processing ,Troubleshooting ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Glass slide ,Image Processing, Computer-Assisted ,Humans ,High likelihood ,Computer vision ,Diagnostic Errors ,Hematoxylin ,Carcinoma, Renal Cell ,Pathology, Clinical ,Staining and Labeling ,Image matching ,business.industry ,Search engine indexing ,Digital pathology ,General Medicine ,Kidney Neoplasms ,Pathologists ,Medical Laboratory Technology ,030104 developmental biology ,030220 oncology & carcinogenesis ,Eosine Yellowish-(YS) ,Feasibility Studies ,Artificial intelligence ,Artifacts ,business ,Algorithms - Abstract
Context.— Pathologists may encounter extraneous pieces of tissue (tissue floaters) on glass slides because of specimen cross-contamination. Troubleshooting this problem, including performing molecular tests for tissue identification if available, is time consuming and often does not satisfactorily resolve the problem. Objective.— To demonstrate the feasibility of using an image search tool to resolve the tissue floater conundrum. Design.— A glass slide was produced containing 2 separate hematoxylin and eosin (H&E)-stained tissue floaters. This fabricated slide was digitized along with the 2 slides containing the original tumors used to create these floaters. These slides were then embedded into a dataset of 2325 whole slide images comprising a wide variety of H&E stained diagnostic entities. Digital slides were broken up into patches and the patch features converted into barcodes for indexing and easy retrieval. A deep learning-based image search tool was employed to extract features from patches via barcodes, hence enabling image matching to each tissue floater. Results.— There was a very high likelihood of finding a correct tumor match for the queried tissue floater when searching the digital database. Search results repeatedly yielded a correct match within the top 3 retrieved images. The retrieval accuracy improved when greater proportions of the floater were selected. The time to run a search was completed within several milliseconds. Conclusions.— Using an image search tool offers pathologists an additional method to rapidly resolve the tissue floater conundrum, especially for those laboratories that have transitioned to going fully digital for primary diagnosis.
- Published
- 2020
- Full Text
- View/download PDF