Journal Article
. 2019 Jan; 9:39.
doi: 10.4103/jpi.jpi_44_18.

The Use of Screencasts with Embedded Whole-Slide Scans and Hyperlinks to Teach Anatomic Pathology in a Supervised Digital Environment

Mary Wong 1 Joseph Frye 1 Stacey Kim 1 Alberto M Marchevsky 1 
Affiliations
  • PMID: 30607306
  •     42 References
  •     2 citations

Abstract

Background: There is an increasing interest in using digitized whole-slide imaging (WSI) for routine surgical pathology diagnoses. Screencasts are digital recordings of computer screen output with advanced interactive features that allow for the preparation of videos. Screencasts that include hyperlinks to WSIs could help teach pathology residents how to become familiar with technologies that they are likely to use in their future career.

Materials And Methods: Twenty screencasts were prepared with Camtasia 2.0 software (TechSmith, Okemos, MI, USA). They included clinical history, videos of chest X-rays and/or chest computed tomography images, links to WSI digitized with an Aperio Turbo AT scanner (Leica Biosystems, Buffalo Grove, IL, USA), pre- and posttests, and faculty-narrated videos of the WSI in a manner closely resembling a slide seminar and other educational materials. Screencasts were saved in a hospital network, Screencast.com, YouTube.com, and Vimeo.com. The screencasts were viewed by 12 pathology residents and fellows who made diagnoses, answered the quizzes, and took a survey with questions designed to evaluate their perception of the quality of this technology. Quiz results were automatically e-mailed to faculty. Pre- and posttest results were compared using a paired t-test.

Results: Screencasts can be viewed with Windows PC and Mac operating systems and mobile devices; only videos saved in our network and screencast.com could be used to generate quizzes. Participants' feedback was very favorable with average scores ranging from 4.5 to 4.8 (on a scale of 5). Mean posttest scores (87.0% [±21.6%]) were significantly improved over those in the pretest quizzes (48.5% [±31.2%]) (P < 0.0001).

Conclusion: Screencasts with WSI that allow residents and fellows to diagnose cases using digital microscopy may prove to be a useful technology to enhance the pathology education. Future studies with larger numbers of screencasts and participants are needed to optimize various teaching strategies.

Keywords: Digital microscopy; screencasts; teaching surgical pathology; whole-slide imaging.

Virtual microscopy and the Internet as telepathology consultation tools. A study of gastrointestinal biopsy specimens.
R P Singson, S Natarajan, J K Greenson, A M Marchevsky.
Am J Clin Pathol, 1999 Jun 11; 111(6). PMID: 10361515
"Virtual microscopy" and the internet as telepathology consultation tools: diagnostic accuracy in evaluating melanocytic skin lesions.
D H Okada, S W Binder, +2 authors, A M Marchevsky.
Am J Dermatopathol, 1999 Dec 23; 21(6). PMID: 10608244
Virtual microscopy and public-key cryptography for Internet telepathology.
J S Strauss, C L Felten, D H Okada, A M Marchevsky.
J Telemed Telecare, 2000 Jan 11; 5(2). PMID: 10628020
Storage and distribution of pathology digital images using integrated web-based viewing systems.
Alberto M Marchevsky, Ronda Dulbandzhyan, +2 authors, Raymond G Duncan.
Arch Pathol Lab Med, 2002 Apr 18; 126(5). PMID: 11958657
Review.
Internet teleconferencing method for telepathology consultations from lung and heart transplant patients.
Alberto M Marchevsky, Sean K Lau, +4 authors, Michael C Fishbein.
Hum Pathol, 2002 Jun 11; 33(4). PMID: 12055675
Teaching pathology via online digital microscopy: positive learning outcomes for rurally based medical students.
Sundram Sivamalai, Shashidhar Venkatesh Murthy, Tarun Sen Gupta, Torres Woolley.
Aust J Rural Health, 2011 Jan 27; 19(1). PMID: 21265925
Standardization in digital pathology: Supplement 145 of the DICOM standards.
Rajendra Singh, Lauren Chubb, Liron Pantanowitz, Anil Parwani.
J Pathol Inform, 2011 Jun 03; 2. PMID: 21633489    Free PMC article.
Digital Imaging and Communications in Medicine (DICOM) as standard in digital pathology.
Thomas Kalinski, Ralf Zwönitzer, +3 authors, Thomas Guenther.
Histopathology, 2012 May 04; 61(1). PMID: 22551421
Cancer Digital Slide Archive: an informatics resource to support integrated in silico analysis of TCGA pathology data.
David A Gutman, Jake Cobb, +6 authors, Lee A D Cooper.
J Am Med Inform Assoc, 2013 Jul 31; 20(6). PMID: 23893318    Free PMC article.
Pathology: the last digital frontier of biomedical imaging.
Vitali Khvatkov, Evgenia Harris.
MLO Med Lab Obs, 2013 Dec 10; 45(11). PMID: 24313122
Review.
Evaluation of a teaching strategy based on integration of clinical subjects, virtual autopsy, pathology museum, and digital microscopy for medical students.
Julio A Diaz-Perez, Sharat Raju, Jorge H Echeverri.
J Pathol Inform, 2014 Sep 06; 5(1). PMID: 25191624    Free PMC article.
Concordance between digital pathology and light microscopy in general surgical pathology: a pilot study of 100 cases.
Joseph P Houghton, Aaron J Ervine, +5 authors, Peter W Hamilton.
J Clin Pathol, 2014 Sep 25; 67(12). PMID: 25248822
Towards better digital pathology workflows: programming libraries for high-speed sharpness assessment of Whole Slide Images.
David Ameisen, Christophe Deroulers, +6 authors, Jean-Baptiste Yunès.
Diagn Pathol, 2015 Jan 08; 9 Suppl 1. PMID: 25565494    Free PMC article.
Distance reporting in digital pathology: A study on 950 cases.
Aleksandar Vodovnik.
J Pathol Inform, 2015 May 15; 6. PMID: 25969793    Free PMC article.
Applications and challenges of digital pathology and whole slide imaging.
C Higgins.
Biotech Histochem, 2015 May 16; 90(5). PMID: 25978139
Review.
Diagnostic performance on briefly presented digital pathology images.
Joseph P Houghton, Bruce R Smoller, +2 authors, Tim Dornan.
J Pathol Inform, 2015 Nov 26; 6. PMID: 26605121    Free PMC article.
Automated Grading of Gliomas using Deep Learning in Digital Pathology Images: A modular approach with ensemble of convolutional neural networks.
Mehmet Günhan Ertosun, Daniel L Rubin.
AMIA Annu Symp Proc, 2015 Jan 01; 2015. PMID: 26958289    Free PMC article.
Comparison of the diagnostic utility of digital pathology systems for telemicrobiology.
Daniel D Rhoads, Nadia F Habib-Bein, +6 authors, Liron Pantanowitz.
J Pathol Inform, 2016 Apr 15; 7. PMID: 27076988    Free PMC article.
Deep learning for digital pathology image analysis: A comprehensive tutorial with selected use cases.
Andrew Janowczyk, Anant Madabhushi.
J Pathol Inform, 2016 Aug 27; 7. PMID: 27563488    Free PMC article.
Highly Cited.
A novel leadership fellowship in digital pathology.
Bethany Jill Williams, Darren Treanor.
J Pathol Inform, 2016 Oct 01; 7. PMID: 27688930    Free PMC article.
Deep Learning for Automated Extraction of Primary Sites From Cancer Pathology Reports.
John X Qiu, Hong-Jun Yoon, Paul A Fearn, Georgia D Tourassi.
IEEE J Biomed Health Inform, 2017 May 06; 22(1). PMID: 28475069
An efficient architecture to support digital pathology in standard medical imaging repositories.
Tiago Marques Godinho, Rui Lebre, Luís Bastião Silva, Carlos Costa.
J Biomed Inform, 2017 Jun 13; 71. PMID: 28602907
Virtual digital pathology: The future is near.
Saurabh Juneja, Manjushree Juneja.
Indian J Pathol Microbiol, 2017 Jun 21; 60(2). PMID: 28631669
Computer-aided diagnostics in digital pathology.
Ewert Bengtsson, Håvard Danielsen, +3 authors, Béla Molnár.
Cytometry A, 2017 Jun 24; 91(6). PMID: 28640523
Future-proofing pathology: the case for clinical adoption of digital pathology.
Bethany Jill Williams, David Bottoms, Darren Treanor.
J Clin Pathol, 2017 Aug 07; 70(12). PMID: 28780514
Review.
Teaching Digital Pathology: The International School of Digital Pathology and Proposed Syllabus.
Vincenzo Della Mea, Antonino Carbone, +17 authors, Liron Pantanowitz.
J Pathol Inform, 2017 Aug 23; 8. PMID: 28828198    Free PMC article.
Integrated Pathology Informatics Enables High-Quality Personalized and Precision Medicine: Digital Pathology and Beyond.
Zoya Volynskaya, Hung Chow, +3 authors, Sylvia L Asa.
Arch Pathol Lab Med, 2017 Aug 30; 142(3). PMID: 28849944
Digital pathology for the primary diagnosis of breast histopathological specimens: an innovative validation and concordance study on digital pathology validation and training.
Bethany Jill Williams, Andrew Hanby, +3 authors, Darren Treanor.
Histopathology, 2017 Sep 25; 72(4). PMID: 28940580
Digital image analysis in breast pathology-from image processing techniques to artificial intelligence.
Stephanie Robertson, Hossein Azizpour, Kevin Smith, Johan Hartman.
Transl Res, 2017 Nov 28; 194. PMID: 29175265
Review.
Digital pathology access and usage in the UK: results from a national survey on behalf of the National Cancer Research Institute's CM-Path initiative.
Bethany Jill Williams, Jessica Lee, Karin A Oien, Darren Treanor.
J Clin Pathol, 2018 Jan 11; 71(5). PMID: 29317516    Free PMC article.
Not Just Digital Pathology, Intelligent Digital Pathology.
Balazs Acs, David L Rimm.
JAMA Oncol, 2018 Feb 03; 4(3). PMID: 29392271
Routine Digital Pathology Workflow: The Catania Experience.
Filippo Fraggetta, Salvatore Garozzo, +2 authors, Esther Diana Rossi.
J Pathol Inform, 2018 Feb 09; 8. PMID: 29416914    Free PMC article.
Noninferiority Diagnostic Value, but Also Economic and Turnaround Time Advantages From Digital Pathology.
Anna Vergani, Barbara Regis, +2 authors, Giulio Rossi.
Am J Surg Pathol, 2018 Feb 14; 42(6). PMID: 29438166
Interobserver variation in the diagnosis of fibroepithelial lesions of the breast: a multicentre audit by digital pathology.
Benjamin F Dessauvagie, Andrew H S Lee, +8 authors, Rebecca Millican-Slater.
J Clin Pathol, 2018 Feb 15; 71(8). PMID: 29440134
The Use of Central Pathology Review With Digital Slide Scanning in Advanced-stage Mycosis Fungoides and Sézary Syndrome: A Multi-institutional and International Pathology Study.
Alejandro A Gru, Jinah Kim, +20 authors, Youn H Kim.
Am J Surg Pathol, 2018 Mar 16; 42(6). PMID: 29543675
Future-proofing pathology part 2: building a business case for digital pathology.
Bethany Jill Williams, David Bottoms, David Clark, Darren Treanor.
J Clin Pathol, 2018 Mar 20; 72(3). PMID: 29549217
Advocating a Laboratory Information System-Centric Approach to Digital Pathology.
Filippo Fraggetta, Esther Diana Rossi, Liron Pantanowitz.
Arch Pathol Lab Med, 2018 Mar 23; 142(4). PMID: 29565205
Digital Imaging and Communications in Medicine Whole Slide Imaging Connectathon at Digital Pathology Association Pathology Visions 2017.
David Clunie, Dan Hosseinzadeh, +16 authors, Liron Pantanowitz.
J Pathol Inform, 2018 Apr 06; 9. PMID: 29619278    Free PMC article.
Management of oncological patients in the digital era: anatomic pathology and nuclear medicine teamwork.
Manuel Scimeca, Nicoletta Urbano, +2 authors, Elena Bonanno.
Future Oncol, 2018 Apr 07; 14(11). PMID: 29623724
Digital pathology: quo vadis?
Eric F Glassy.
Pathology, 2018 Apr 08; 50(4). PMID: 29625709
Anatomical pathology is at a crossroads.
Thomas James Flotte, Debra Ann Bell.
Pathology, 2018 Apr 19; 50(4). PMID: 29665965
A resolution adaptive deep hierarchical (RADHicaL) learning scheme applied to nuclear segmentation of digital pathology images.
Andrew Janowczyk, Scott Doyle, Hannah Gilmore, Anant Madabhushi.
Comput Methods Biomech Biomed Eng Imaging Vis, 2018 May 08; 6(3). PMID: 29732269    Free PMC article.
A Taxonomic Index for Retrieval of Digitized Whole Slide Images from an Electronic Database for Medical School and Pathology Residency Education.
Agnes G Loeffler, Mark Smith, +2 authors, Daniel F I Kurtycz.
J Pathol Inform, 2019 Dec 05; 10. PMID: 31799019    Free PMC article.
Modifications to dermatology residency education during the COVID-19 pandemic.
Asfandyar Mufti, Khalad Maliyar, Muskaan Sachdeva, Phillip Doiron.
J Am Acad Dermatol, 2020 Jun 05; 83(3). PMID: 32497696    Free PMC article.