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van Diest PJ, Flach RN, van Dooijeweert C, Makineli S, Breimer GE, Stathonikos N, Pham P, Nguyen TQ, Veta M. Pros and cons of artificial intelligence implementation in diagnostic pathology. Histopathology 2024; 84:924-934. [PMID: 38433288 DOI: 10.1111/his.15153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/29/2023] [Accepted: 01/19/2024] [Indexed: 03/05/2024]
Abstract
The rapid introduction of digital pathology has greatly facilitated development of artificial intelligence (AI) models in pathology that have shown great promise in assisting morphological diagnostics and quantitation of therapeutic targets. We are now at a tipping point where companies have started to bring algorithms to the market, and questions arise whether the pathology community is ready to implement AI in routine workflow. However, concerns also arise about the use of AI in pathology. This article reviews the pros and cons of introducing AI in diagnostic pathology.
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Affiliation(s)
- Paul J van Diest
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Rachel N Flach
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
- Department of Oncological Urology, University Medical Center Utrecht, Utrecht, the Netherlands
| | | | - Seher Makineli
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
- Department of Surgical Oncology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Gerben E Breimer
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Nikolas Stathonikos
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Paul Pham
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Tri Q Nguyen
- Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Mitko Veta
- Department of Oncological Urology, University Medical Center Utrecht, Utrecht, the Netherlands
- Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands
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Flach RN, Fransen NL, Sonnen AFP, Nguyen TQ, Breimer GE, Veta M, Stathonikos N, van Dooijeweert C, van Diest PJ. Implementation of Artificial Intelligence in Diagnostic Practice as a Next Step after Going Digital: The UMC Utrecht Perspective. Diagnostics (Basel) 2022; 12:diagnostics12051042. [PMID: 35626198 PMCID: PMC9140005 DOI: 10.3390/diagnostics12051042] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 01/31/2023] Open
Abstract
Building on a growing number of pathology labs having a full digital infrastructure for pathology diagnostics, there is a growing interest in implementing artificial intelligence (AI) algorithms for diagnostic purposes. This article provides an overview of the current status of the digital pathology infrastructure at the University Medical Center Utrecht and our roadmap for implementing AI algorithms in the next few years.
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Affiliation(s)
- Rachel N. Flach
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Nina L. Fransen
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Andreas F. P. Sonnen
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Tri Q. Nguyen
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Gerben E. Breimer
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Mitko Veta
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
- Department of Biomedical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands
| | - Nikolas Stathonikos
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Carmen van Dooijeweert
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
| | - Paul J. van Diest
- Department of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands; (R.N.F.); (N.L.F.); (A.F.P.S.); (T.Q.N.); (G.E.B.); (M.V.); (N.S.); (C.v.D.)
- Correspondence:
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