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  1. Article ; Online: Response to Letter to the Editor: "Remote Placental Sign-Out: What Digital Pathology Can Offer for Pediatric Pathologists".

    Marletta, Stefano / Pantanowitz, Liron / Santonicco, Nicola / Caputo, Alessandro / Bragantini, Emma / Brunelli, Matteo / Girolami, Ilaria / Eccher, Albino

    Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society

    2024  , Page(s) 10935266231225791

    Language English
    Publishing date 2024-03-11
    Publishing country United States
    Document type Letter
    ZDB-ID 1463498-3
    ISSN 1615-5742 ; 1093-5266
    ISSN (online) 1615-5742
    ISSN 1093-5266
    DOI 10.1177/10935266231225791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5063: Show issues Location:
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  2. Article ; Online: Artificial intelligence-based algorithms for the diagnosis of prostate cancer: A systematic review.

    Marletta, Stefano / Eccher, Albino / Martelli, Filippo Maria / Santonicco, Nicola / Girolami, Ilaria / Scarpa, Aldo / Pagni, Fabio / L'Imperio, Vincenzo / Pantanowitz, Liron / Gobbo, Stefano / Seminati, Davide / Dei Tos, Angelo Paolo / Parwani, Anil

    American journal of clinical pathology

    2024  

    Abstract: Objectives: The high incidence of prostate cancer causes prostatic samples to significantly affect pathology laboratories workflow and turnaround times (TATs). Whole-slide imaging (WSI) and artificial intelligence (AI) have both gained approval for ... ...

    Abstract Objectives: The high incidence of prostate cancer causes prostatic samples to significantly affect pathology laboratories workflow and turnaround times (TATs). Whole-slide imaging (WSI) and artificial intelligence (AI) have both gained approval for primary diagnosis in prostate pathology, providing physicians with novel tools for their daily routine.
    Methods: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was carried out in electronic databases to gather the available evidence on the application of AI-based algorithms to prostate cancer.
    Results: Of 6290 articles, 80 were included, mostly (59%) dealing with biopsy specimens. Glass slides were digitized to WSI in most studies (89%), roughly two-thirds of which (66%) exploited convolutional neural networks for computational analysis. The algorithms achieved good to excellent results about cancer detection and grading, along with significantly reduced TATs. Furthermore, several studies showed a relevant correlation between AI-identified histologic features and prognostic predictive variables such as biochemical recurrence, extraprostatic extension, perineural invasion, and disease-free survival.
    Conclusions: The published evidence suggests that AI can be reliably used for prostate cancer detection and grading, assisting pathologists in the time-consuming screening of slides. Further technologic improvement would help widening AI's adoption in prostate pathology, as well as expanding its prognostic predictive potential.
    Language English
    Publishing date 2024-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2944-0
    ISSN 1943-7722 ; 0002-9173
    ISSN (online) 1943-7722
    ISSN 0002-9173
    DOI 10.1093/ajcp/aqad182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Application of Digital Imaging and Artificial Intelligence to Pathology of the Placenta.

    Marletta, Stefano / Pantanowitz, Liron / Santonicco, Nicola / Caputo, Alessandro / Bragantini, Emma / Brunelli, Matteo / Girolami, Ilaria / Eccher, Albino

    Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society

    2022  Volume 26, Issue 1, Page(s) 5–12

    Abstract: Digital imaging, including the use of artificial intelligence, has been increasingly applied to investigate the placenta and its related pathology. However, there has been no comprehensive review of this body of work to date. The aim of this study was to ...

    Abstract Digital imaging, including the use of artificial intelligence, has been increasingly applied to investigate the placenta and its related pathology. However, there has been no comprehensive review of this body of work to date. The aim of this study was to therefore review the literature regarding digital pathology of the placenta. A systematic literature search was conducted in several electronic databases. Studies involving the application of digital imaging and artificial intelligence techniques to human placental samples were retrieved and analyzed. Relevant articles were categorized by digital image technique and their relevance to studying normal and diseased placenta. Of 2008 retrieved articles, 279 were included. Digital imaging research related to the placenta was often coupled with immunohistochemistry, confocal microscopy, 3D reconstruction, and/or deep learning algorithms. By significantly increasing pathologists' ability to recognize potentially prognostic relevant features and by lessening inter-observer variability, published data overall indicate that the application of digital pathology to placental and perinatal diseases, along with clinical and radiology correlation, has great potential to improve fetal and maternal health care including the selection of targeted therapy in high-risk pregnancy.
    MeSH term(s) Female ; Pregnancy ; Humans ; Artificial Intelligence ; Placenta ; Algorithms ; Fetus
    Language English
    Publishing date 2022-11-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1463498-3
    ISSN 1615-5742 ; 1093-5266
    ISSN (online) 1615-5742
    ISSN 1093-5266
    DOI 10.1177/10935266221137953
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  4. Article ; Online: Artificial intelligence-based tools applied to pathological diagnosis of microbiological diseases.

    Marletta, Stefano / L'Imperio, Vincenzo / Eccher, Albino / Antonini, Pietro / Santonicco, Nicola / Girolami, Ilaria / Dei Tos, Angelo Paolo / Sbaraglia, Marta / Pagni, Fabio / Brunelli, Matteo / Marino, Andrea / Scarpa, Aldo / Munari, Enrico / Fusco, Nicola / Pantanowitz, Liron

    Pathology, research and practice

    2023  Volume 243, Page(s) 154362

    Abstract: Infectious diseases still threaten the global community, especially in resource-limited countries. An accurate diagnosis is paramount to proper patient and public health management. Identification of many microbes still relies on manual microscopic ... ...

    Abstract Infectious diseases still threaten the global community, especially in resource-limited countries. An accurate diagnosis is paramount to proper patient and public health management. Identification of many microbes still relies on manual microscopic examination, a time-consuming process requiring skilled staff. Thus, artificial intelligence (AI) has been exploited for identification of microorganisms. A systematic search was carried out using electronic databases looking for studies dealing with the application of AI to pathology microbiology specimens. Of 4596 retrieved articles, 110 were included. The main applications of AI regarded malaria (54 studies), bacteria (28), nematodes (14), and other protozoa (11). Most publications examined cytological material (95, 86%), mainly analyzing images acquired through microscope cameras (65, 59%) or coupled with smartphones (16, 15%). Various deep-learning strategies were used for the analysis of digital images, achieving highly satisfactory results. The published evidence suggests that AI can be reliably utilized for assisting pathologists in the detection of microorganisms. Further technologic improvement and availability of datasets for training AI-based algorithms would help expand this field and widen its adoption, especially for developing countries.
    MeSH term(s) Humans ; Artificial Intelligence ; Algorithms ; Databases, Factual ; Microscopy ; Pathologists
    Language English
    Publishing date 2023-02-06
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 391889-0
    ISSN 1618-0631 ; 0344-0338
    ISSN (online) 1618-0631
    ISSN 0344-0338
    DOI 10.1016/j.prp.2023.154362
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  5. Article ; Online: Value of a Multidisciplinary Approach in Sinonasal Inverted Papilloma with Extensive Ossification.

    Barioglio, Bianca / Paolino, Gaetano / Girolami, Ilaria / Bariani, Elena / Santonicco, Nicola / Marletta, Stefano / Ammendola, Serena / Brunelli, Matteo / Marchioni, Daniele / Pisapia, Pasquale / Eccher, Albino / Molteni, Gabriele

    The American journal of case reports

    2022  Volume 23, Page(s) e934149

    Abstract: BACKGROUND Inverted papilloma is a benign epithelial lesion of the nasal cavities. Although commonly encountered in clinical practice, it rarely presents with extensive ossification and few cases have been described in the literature. CASE REPORT Herein, ...

    Abstract BACKGROUND Inverted papilloma is a benign epithelial lesion of the nasal cavities. Although commonly encountered in clinical practice, it rarely presents with extensive ossification and few cases have been described in the literature. CASE REPORT Herein, we describe the case of a 51-year-old man who presented to clinical attention for persistent right nasal obstruction. Magnetic resonance imaging (MRI) and computed tomography (CT) scans of the facial bones showed a lobated lesion with ossification occupying most of the right nasal cavity. The lesion was removed by endoscopic sinus surgery, leaving the surrounding bone structures intact. On pathological examination, mature bone tissue was found within an inverted papilloma. The pathologist contacted the surgeon, who confirmed that no healthy bone tissue was removed during the procedure. Therefore, a diagnosis of inverted papilloma with ossification could be made without the use of ancillary techniques. CONCLUSIONS Inverted papilloma with ossification is a common lesion with a rare feature. Our report investigates the diagnostic difficulties of a paradigmatic case, highlighting the importance of multidisciplinary teamwork in reaching the final diagnosis.
    MeSH term(s) Humans ; Male ; Middle Aged ; Nose Neoplasms/diagnostic imaging ; Nose Neoplasms/surgery ; Osteogenesis ; Papilloma, Inverted/surgery ; Paranasal Sinus Neoplasms/diagnostic imaging ; Paranasal Sinus Neoplasms/surgery ; Tomography, X-Ray Computed
    Language English
    Publishing date 2022-02-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2517183-5
    ISSN 1941-5923 ; 1941-5923
    ISSN (online) 1941-5923
    ISSN 1941-5923
    DOI 10.12659/AJCR.934149
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Technical and Diagnostic Issues in Whole Slide Imaging Published Validation Studies.

    Rizzo, Paola Chiara / Girolami, Ilaria / Marletta, Stefano / Pantanowitz, Liron / Antonini, Pietro / Brunelli, Matteo / Santonicco, Nicola / Vacca, Paola / Tumino, Nicola / Moretta, Lorenzo / Parwani, Anil / Satturwar, Swati / Eccher, Albino / Munari, Enrico

    Frontiers in oncology

    2022  Volume 12, Page(s) 918580

    Abstract: Objective: Digital pathology with whole-slide imaging (WSI) has many potential clinical and non-clinical applications. In the past two decades, despite significant advances in WSI technology adoption remains slow for primary diagnosis. The aim of this ... ...

    Abstract Objective: Digital pathology with whole-slide imaging (WSI) has many potential clinical and non-clinical applications. In the past two decades, despite significant advances in WSI technology adoption remains slow for primary diagnosis. The aim of this study was to identify common pitfalls of WSI reported in validation studies and offer measures to overcome these challenges.
    Methods: A systematic search was conducted in the electronic databases Pubmed-MEDLINE and Embase. Inclusion criteria were all validation studies designed to evaluate the feasibility of WSI for diagnostic clinical use in pathology. Technical and diagnostic problems encountered with WSI in these studies were recorded.
    Results: A total of 45 studies were identified in which technical issues were reported in 15 (33%), diagnostic issues in 8 (18%), and 22 (49%) reported both. Key technical problems encompassed slide scan failure, prolonged time for pathologists to review cases, and a need for higher image resolution. Diagnostic challenges encountered were concerned with grading dysplasia, reliable assessment of mitoses, identification of microorganisms, and clearly defining the invasive front of tumors.
    Conclusion: Despite technical advances with WSI technology, some critical concerns remain that need to be addressed to ensure trustworthy clinical diagnostic use. More focus on the quality of the pre-scanning phase and training of pathologists could help reduce the negative impact of WSI technical difficulties. WSI also seems to exacerbate specific diagnostic tasks that are already challenging among pathologists even when examining glass slides with conventional light microscopy.
    Language English
    Publishing date 2022-06-16
    Publishing country Switzerland
    Document type Systematic Review
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2022.918580
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  7. Article ; Online: Relevance of the College of American Pathologists guideline for validating whole slide imaging for diagnostic purposes to cytopathology.

    Antonini, Pietro / Santonicco, Nicola / Pantanowitz, Liron / Girolami, Ilaria / Rizzo, Paola Chiara / Brunelli, Matteo / Bellevicine, Claudio / Vigliar, Elena / Negri, Giovanni / Troncone, Giancarlo / Fadda, Guido / Parwani, Anil / Marletta, Stefano / Eccher, Albino

    Cytopathology : official journal of the British Society for Clinical Cytology

    2022  Volume 34, Issue 1, Page(s) 5–14

    Abstract: Whole slide imaging (WSI) allows pathologists to view virtual versions of slides on computer monitors. With increasing adoption of digital pathology, laboratories have begun to validate their WSI systems for diagnostic purposes according to reference ... ...

    Abstract Whole slide imaging (WSI) allows pathologists to view virtual versions of slides on computer monitors. With increasing adoption of digital pathology, laboratories have begun to validate their WSI systems for diagnostic purposes according to reference guidelines. Among these the College of American Pathologists (CAP) guideline includes three strong recommendations (SRs) and nine good practice statements (GPSs). To date, the application of WSI to cytopathology has been beyond the scope of the CAP guideline due to limited evidence. Herein we systematically reviewed the published literature on WSI validation studies in cytology. A systematic search was carried out in PubMed-MEDLINE and Embase databases up to November 2021 to identify all publications regarding validation of WSI in cytology. Each article was reviewed to determine if SRs and/or GPSs recommended by the CAP guideline were adequately satisfied. Of 3963 retrieved articles, 25 were included. Only 4/25 studies (16%) satisfied all three SRs, with only one publication (1/25, 4%) fulfilling all three SRs and nine GPSs. Lack of a suitable validation dataset was the main missing SR (16/25, 64%) and less than a third of the studies reported intra-observer variability data (7/25, 28%). Whilst the CAP guideline for WSI validation in clinical practice helped the widespread adoption of digital pathology, more evidence is required to routinely employ WSI for diagnostic purposes in cytopathology practice. More dedicated validation studies satisfying all SRs and/or GPSs recommended by the CAP are needed to help expedite the use of WSI for primary diagnosis in cytopathology.
    MeSH term(s) Humans ; Microscopy/methods ; Image Interpretation, Computer-Assisted/methods ; Observer Variation ; Cytodiagnosis/methods ; Laboratories
    Language English
    Publishing date 2022-09-26
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1034190-0
    ISSN 1365-2303 ; 0956-5507 ; 1350-4037
    ISSN (online) 1365-2303
    ISSN 0956-5507 ; 1350-4037
    DOI 10.1111/cyt.13178
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    Zs.A 2926: Show issues Location:
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  8. Article ; Online: "Pure" hepatoid tumors of the pancreas harboring CTNNB1 somatic mutations: a new entity among solid pseudopapillary neoplasms.

    Mattiolo, Paola / Mafficini, Andrea / Lawlor, Rita T / Marchegiani, Giovanni / Malleo, Giuseppe / Pea, Antonio / Salvia, Roberto / Piccoli, Paola / Sciammarella, Concetta / Santonicco, Nicola / Parisi, Alice / Silvestris, Nicola / Milella, Michele / Adsay, Volkan / Scarpa, Aldo / Luchini, Claudio

    Virchows Archiv : an international journal of pathology

    2022  Volume 481, Issue 1, Page(s) 41–47

    Abstract: Hepatoid tumors (HTs) represent a rare group of neoplasms that are histologically similar to hepatocellular carcinoma but arise outside the liver. The current World Health Organization classification recognizes the hepatoid morphology of pancreatic ... ...

    Abstract Hepatoid tumors (HTs) represent a rare group of neoplasms that are histologically similar to hepatocellular carcinoma but arise outside the liver. The current World Health Organization classification recognizes the hepatoid morphology of pancreatic tumors only as a possible variant of pancreatic ductal adenocarcinoma (PDAC). Here, we describe two cases of "pure" HT of the pancreas showing common features and characterized by indolent biological behavior. These tumors were roundish nodules with pushing borders, hyaline globules, and pure hepatoid histology; they were diffusely positive for β-catenin and LEF1 on immunohistochemistry. At next-generation sequencing, both neoplasms harbored only one pathogenic somatic mutation that affected the CTNNB1 gene at exon 3 and showed a loss of heterozygosity on chromosomes 18 and 21. By integrating macroscopic and microscopic features, along with their molecular profiles, we advocate that such tumors represent a distinct entity from PDAC and should be considered a new variant of solid pseudopapillary neoplasms. The recognition of this new neoplastic category may have immediate implications not only for tumor taxonomy but also for clinical practice.
    MeSH term(s) Biomarkers, Tumor/genetics ; Carcinoma, Pancreatic Ductal/genetics ; Carcinoma, Pancreatic Ductal/pathology ; Humans ; Liver Neoplasms/genetics ; Liver Neoplasms/pathology ; Mutation/genetics ; Pancreas/pathology ; Pancreatic Neoplasms/genetics ; Pancreatic Neoplasms/pathology ; beta Catenin/genetics ; Pancreatic Neoplasms
    Chemical Substances Biomarkers, Tumor ; CTNNB1 protein, human ; beta Catenin
    Language English
    Publishing date 2022-03-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1184867-4
    ISSN 1432-2307 ; 0945-6317
    ISSN (online) 1432-2307
    ISSN 0945-6317
    DOI 10.1007/s00428-022-03317-4
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  9. Article ; Online: Impact of mobile devices on cancer diagnosis in cytology.

    Santonicco, Nicola / Marletta, Stefano / Pantanowitz, Liron / Fadda, Guido / Troncone, Giancarlo / Brunelli, Matteo / Ghimenton, Claudio / Antonini, Pietro / Paolino, Gaetano / Girolami, Ilaria / Eccher, Albino

    Diagnostic cytopathology

    2021  Volume 50, Issue 1, Page(s) 34–45

    Abstract: Background: Digital pathology has widened pathologists' opportunities to examine both surgical and cytological samples. Recently, portable mobile devices like tablets and smartphones have been tested for application with digital technologies including ... ...

    Abstract Background: Digital pathology has widened pathologists' opportunities to examine both surgical and cytological samples. Recently, portable mobile devices like tablets and smartphones have been tested for application with digital technologies including static, dynamic, and more recently whole slide imaging. This study aimed to review the published literature on the impact of mobile devices on cancer diagnoses in cytology. This analysis focused on their diagnostic potential, technical details, critical issues and pitfalls, and economical aspects.
    Methods: A systematic search was carried out in the electronic databases Embase and PubMed. Studies dealing with the application of mobile devices for diagnosing cancer on cytological specimens were included. The quality of studies was assessed with the QUADAS-2 tool. The main themes addressed were the comparison of manual examination with light microscopy and the use of mobile tools for primary diagnosis. The technical features of different models of smartphones and tablets, software, and adapters were also studied in terms of feasibility and costs-analysis.
    Results: Of 2458 retrieved articles, 18 were included. Concordance with light microscopy was good and diagnostic performance comparable with an expert pathologist's diagnosis. The mobile devices studied differed, sometimes significantly, in terms of speed and cost. The utility was improved by employing specifically designed adapters. Image acquisition and transmission represent the main critical points in almost all studies.
    Conclusion: The use of mobile devices demonstrated promising results regarding the digital evaluation of cytological samples. Widespread adoption even in underserved areas is anticipated following validation studies, technology improvements, and reduction in the costs.
    MeSH term(s) Computers, Handheld ; Cytodiagnosis ; Humans ; Image Interpretation, Computer-Assisted/methods ; Microscopy/methods ; Neoplasms/diagnosis
    Language English
    Publishing date 2021-10-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632710-2
    ISSN 1097-0339 ; 8755-1039
    ISSN (online) 1097-0339
    ISSN 8755-1039
    DOI 10.1002/dc.24890
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