Attended the HIMMS meeting in Chicago a few weeks ago. Ole Eichorn over at The Daily Scan has a very nice report as well (with better pictures). Enjoyed Ole's talk (one of the few related specifically to specialty of pathology). Lot of interest among hospital IT folks about capacity, bandwidth, security, archiving image needs and compatibility between different systems as well as DICOM compliance for whole slide images in pathology. From my perspective, they seem to understand this is technology they may need to support in their institutions and were asking very pertinent questions.
No discusion about image resolution for clinical use, images being too large to manage or ability to serve images. Discussion much more focused on understanding what needs to be done to support the technology.
Telemedicine was a large part of the program including the number and scale of exhibitor booths.
Can you imagine having mimes at the next USCAP meeting?
Harris Corporation had a booth and demonstrated their technology to move whole slide images and view them rapidly over satellite communication with BioImagene slides. Very fast viewing of whole slide images without any tiling or pixelation with satellite communication from remote serve.
Apollo PACS (who have recently re-designed their website) exhibited at the meeting as well as dozens of other PACS companies. I spoke with several and asked about what they were doing considering whole slide images in pathology. Most had no idea what I was talking about, what a pathology slide was and what whole slide scanning or digital pathology involves. Despite that they all said the same thing, "If it is DICOM, we can do it."
All in all, the highlight of the meeting for me was hearing Dr. Jerry Linenger speak who gave one of the closing keynotes (Alan Greenspan gave the other). Picked up one of Dr. Linenger's books since ("Off the Planet") and recommend if space travel interests you.
Attending the HIMSS meeting next week. This press release about Mayo and IBM was released in advance of the meeting but I gather we will all be hearing more about similar technlogies and initiatives as the meeting progresses through next week.
ROCHESTER, Minn., April 2 (AScribe Newswire) -- Biomedical informatics researchers at Mayo Clinic and IBM today launched a Web site for the newly founded Open Health Natural Language Processing (NLP) Consortium. The consortium is establishing the open-source space to promote past and current development efforts, including participation in information extraction from electronic medical records.
As part of the launch, Mayo Clinic and IBM released their clinical NLP technologies into the public domain. The site, http://www.ohnlp.org , will allow the approximately 2,000 researchers and developers working on clinical language systems worldwide to contribute code and further develop the systems.
"We are inviting our international colleagues to help continue development of these valuable tools," says Christopher Chute, M.D., Dr.P.H., (http://mayoresearch.mayo.edu/mayo/research/staff/chute_cg.cfm) Mayo Clinic bioinformatics expert and senior consultant on the project. "By making it an open-source initiative, we hope to enable wide use of these NLP tools so medical advancements can happen faster and more efficiently."
From Dark Daily:
Pathologists Soon to say Sayonara to Glass Slides! Digital Pathology Imaging: Coming Soon to a Pathology Group near You! Will pathologists soon say "sayonara" to glass slides? Plenty of smart money already bets the answer to that question is "yes"! Every pathologist in the United States and abroad should be watching developments in whole slide imaging and digital pathology systems. That's because digital pathology imaging is a trend with momentum-and it also has the potential to be disruptive, although probably not in the short term. One powerful sign that digital imaging in pathology is ready to go mainstream is the take-up of digital imaging solutions and digital pathology systems by leading pathology laboratories in the United States and developed countries across the globe. These are academic and tertiary center pathology labs, along with major private pathology companies. As the pathology profession's first-movers and early adopters, it is these laboratories which set the pace for the entire profession. Their acceptance and growing use of digital imaging and digital pathology systems can be taken as evidence that the current generation of imaging and informatics technologies perform adequately. However, there is another powerful force propelling digital imaging forward in anatomic pathology. It is the emergence of molecular assays which incorporate digital images and use either computer-aided diagnosis (CAD) or pattern recognition software to help the pathologist make a precise diagnosis. By design, these molecular tests require the pathologist to work from a digital image of the specimen. At The Dark Report's second annual Molecular Summit on the Integration of In Vivo and In Vitro Diagnostics, conducted last February in Philadelphia, examples of these types of emerging assays were abundant. Thus, the movement to adopt digital imaging and digital pathology systems is propelled forward by three discrete forces: *One, acceptance and adoption of digital imaging and digital pathology by larger pathology laboratories, with the goal of assisting pathologists' work flow, improving pathologist productivity and quality, and having digital images available to share with other clinicians and to populate an electronic patient record. *Two, as the foundation for emerging molecular assays and tests, where a digital image of the processed specimen is then assessed by computer-aided diagnosis or pattern recognition software that helps the pathologist make an accurate diagnosis. *Three, the major vendors of anatomic pathology laboratory information systems (LIS) have already written interfaces that allow the leading digital imaging and digital pathology systems to integrate with their pathology LIS products. These pathology LIS vendors recognize that digital pathology images are now "prime time" for their larger pathology customers. And don't forget! Last year, General Electric and the University of Pittsburgh Medical Center (UPMC) formed a joint venture. Each ponied up $20 million to create Omnyx, LLC, which is developing whole-slide imaging and a fully digital pathology system. At the press conference announcing the formation of Omnyx last spring, GE officials stated that they expect the market for whole slide imaging and digital pathology systems to be $2 billion. That is why the upcoming Executive War College on Laboratory and Pathology Management has organized a special, one-day workshop on Thursday, April 30, in New Orleans, titled: "Saying Sayonara to Glass Slides! Everything You Need to Know about Digital Imaging and Digital Pathology Systems." At one place and in one day, you'll hear case studies from pathology groups already using digital imaging and listen to one of the leading pathology LIS vendors discuss issues and opportunities when interfacing the pathology LIS with either or both digital imaging and digital pathology systems. Best of all, we've assembled six of the leading companies in digital pathology to introduce you to their products and discuss how they help improve the productivity of pathologists and the precision of diagnoses. Expected to participate, in alphabetical order, are Aperio Technologies, Inc. ; BioImagene, Inc. ; DMetrix, Inc. ; Milestone Medical, Inc. ; SlidePath, Inc. ; and Applied Spectral Imaging, Inc. (invited). There will also be a special two-hour exhibition where you can meet these vendors and explore the capabilities of their products and systems. For every pathology group practice and laboratory, this "Saying Sayonara to Glass Slides" event is the perfect opportunity! At one time, gathered in one place, you can learn from users like you, hear from the pathology IT vendors, and see the products and people from all the major companies in this fast-moving field. Is your group thinking about investing in digital imaging or a digital pathology system? Then this is your "must attend" opportunity! Kick the tires of the major vendors. Meet the important players in this field. Learn from pathology groups already using these solutions. Best of all, there is still time to take advantage of the early bird discount on registration. Use this registration and agenda link to guarantee your place at this vital event and benefit from the early-bird discount! Related Information: Convergence of In Vivo Imaging and Digitized Pathology Is Under Way Recent article entitled "Digital Pathology is Growing Despite Fears" Dark Report: Momentum Continues for Digital Pathology Brand new! Just released is a full color program agenda PDF. (or paste this URL into your browser: http://www.executivewarcollege.com/PDFs/09brochure.pdf ) Four Easy Ways to Register: THE DARK REPORT It is the first time all these major players in digital imaging and digital pathology systems have assembled in one place at one time, specifically to discuss the advances in this field. It is your perfect opportunity to gather all the information you need to develop your pathology group's strategy.
March 26, 2009
These are important reasons why every pathology practice should be tracking the profession's uptake of digital imaging and digital pathology systems. It is no longer a question of whether or not a group should acquire digital imaging capability. Digital imaging technology is now robust-and some digital systems are affordable even for two- and three-pathologist groups! Rather, today's question is "when" a pathology group will make the investment in capital and time to acquire and use digital imaging and/or a fully digital pathology system.
Early-Bird Discount Registration now available online
Visit http://www.executivewarcollege.com
1. Register ONLINE
2. Call 800-560-6363. Our friendly staff can register you quickly and easily, as well as answer any questions you may have.
3. Fax this complete registration form to 512-264-0969
4. Mail the one page form with payment to:
21806 Briarcliff Dr.
Spicewood, TX 78669
Several newsworthy items in this recent mailing from CAP.
Of note, a couple items pertinent to digital pathology including dermatopathology survey, a pre-conference workshop at the upcoming Futurescape meeting on digital pathology and early announcements for CAP '09.
CAP Member Wins American Cancer Society’s Star of
Hope Award
Richard N. Eisen, MD, FCAP, was awarded the American Cancer Society’s Star of Hope award, which honors doctors who "demonstrate excellence in providing compassionate and skilled care for people facing cancer and their unyielding contribution in the cancer fight." The article illustrates how pathologists are an integral part of the medical team. The chief of oncology at Greenwich Hospital in Greenwich, Connecticut, said he’s worked with Dr. Eisen for 15 years and couldn’t image working without him at their hospital. Dr. Eisen’s recognition of his work is a great example of transformation of the specialty.
Read the full article
Revised Cancer Protocols—Coming Soon
Cancer protocols containing the 7th edition American Joint Committee on Cancer (AJCC)/International Union Against Cancer (UICC) cancer staging elements will be released by the CAP mid- to late- summer 2009. Let your IT staff know now to prepare for these upcoming changes.
Learn more about the Cancer Protocols
CAP ’09 Abstracts Program — Deadline Is March 27, 2009
With the deadline fast approaching, consider submitting an abstract or case study. Submissions to the Abstracts Program will be accepted through Friday, March 27, 2009, at 11:59 PM. The CAP ’09 Abstracts Program is a competitive program that is designed to promote a broad range of research in pathology. The program provides a unique opportunity to enhance research skills and contribute to the literature and advancement of pathology. Everyone is encouraged to submit abstracts, and CAP Junior Members are eligible for cash awards for their presentations. Visit the CAP ’09 website for more information.
New Addition to the CAP Transformation
Web Site
Don’t miss the latest pathologist story of
Dennis D. Reinke, MD, FCAP, whose dedication to the specialty of pathology led him to receive the Pathologist Spotlight Award from the College.
Stay tuned for new photos and additions to the Real Story featuring Yvonne R. Hearn, MD, FCAP.
New Dermatopathology Survey
The CAP online digital slide program in dermatopathology offers valuable benefits to assess and improve your diagnostic abilities:
Enroll in the Dermatopathology CAP Survey today. Call 800-323-4040
option 1.
Save the Date: Lab Week Is
April 19–25, 2009
National Medical Laboratory Professionals Week (April 19–25, 2009) is a special time set aside to recognize the important role that pathologists and other medical laboratory professionals play in treating patients. This year's theme is "Laboratory Professionals Get Results." Important information to help you promote National Medical Laboratory Professionals Week in your community and to your co–workers will be featured at the CAP website in April. Stay tuned to the CAP website for more information.
The CAP Foundation
Thinking about Digital Imaging for
Your Practice?
Attend the Digital Imaging Pre-Conference Workshop at Futurescape III—Transforming Pathology: Information as a Disruptive Technology, June 12–14 in Rosemont, Illinois. This hands-on experience will reveal how these systems can be used in your practice. For more information, contact Arlene Strong at 800-323-4040 ext. 7324.
New Pilot Program Available for Resident Research Grant Projects
A one-year pilot program created to provide financial resources for basic science and clinical research projects for residents and those in fellowships has been launched.
Learn more.
Call for Nominations Lansky Award for Leadership—Deadline:
May 1, 2009
Know a great candidate for the Lansky Award for Leadership? The CAP Foundation is currently accepting nominations.
Learn more.
Download the March NewsPath® Podcast and Article
Listen to the March NewsPath® podcast on "The Role of KRAS Mutation Testing in the Management of Colorectal Cancer," by special contributor, Mark D. Pool, MD, FCAP, and presented by CAP Spokesperson, Soon Bahrami, MD, FCAP. Both the article and podcast were based on the CAP POET report on the same topic. Share the information with your clinical colleagues during National Colorectal Cancer Awareness month in March.
Sign Up for CAP '09 and Take Advantage of the Early Bird Savings
Sign up now for CAP '09 – THE Pathologists' Meeting™, October 11–14 at the Gaylord National Resort in Washington, DC, and receive the best price guaranteed! Pay $899 and save 20% off the $1,125 global fee. No deposit required. Visit cap2009.org today and save!
CMS Technical Problem with New PQRI Code
The Center for Medicare and Medicaid Services (CMS) has identified a technical problem with the new PQRI 2009 Physician Quality Reporting Initiative (PQRI) CPT II code. For pathologists, the PQRI code affected is 3250F, which non-primary site specimens for the Breast and Colorectal Cancer reporting measures. CMS carriers rejected these line items as unprocessable. More information is available on the CMS website.
View the New and Updated Practice Management Resources
The following is a list of new and updated practice management resources and each resource is listed by practice management topic area.
Suite of SNOMED CT Courses Now Available in Self–Directed Format
SNOMED Terminology Solutions™ (STS™) now offers many of the popular, core SNOMED CT classes—SNOMED CT: An Introduction; SNOMED CT: Concept Model; SNOMED CT: Data Structure (Relational) Model, and SNOMED CT: An Introduction to Nursing Content in the new self–directed format. The new platform allows users a convenient way to learn about SNOMED CT at their own pace (or when their motivation is at its highest), without being tied to a scheduled time or place. It also gives students an economical option for learning, since it eliminates the traditional costs associated with travel and instructor expenses. To enroll in the self–directed courses, users should visit the STS online course catalog and create an account to register. STS also offers classroom sessions and Web teleconferences, and all education services can be customized.
Please note: The CAP Education activities will be unavailable March 14 through March 22 while the learning management system is upgraded. Please enroll after March 23, 2009.
SNOMED CT in Pathology and Cancer Work Registry Scheduled for May
The SNOMED CT in Pathology and Cancer Work Registry Web Teleconference will be offered 10:00–11:30 AM CST, May 18, 2009. This introductory 90–minute Web–based program will address SNOMED CT's structure and content coverage and its use in the surgical pathology cancer checklists as adapted from the College of American Pathologist's Cancer Protocols. The presenter also will review US government initiatives in biomedical informatics as related to SNOMED CT. For more information, call 800-323-4040 ext. 7700 or 847–832–7700, or contact snomedsolutions@cap.org.
Please note: The CAP Education activities will be unavailable March 14 through March 22 while the learning management system is upgraded.
Residents Forum Meeting in Boston–Resounding Success
Resident colleagues headed to Boston the weekend of March 6–7 to the Welcome Reception on Friday evening and for the all-day Saturday session. Transformation was a key theme. Visit CAP for Residents at the CAP website for the latest information.
SPOKESPERSONS NETWORK IN THE MEDIA AND
IN THE COMMUNITY
Pathologist Takes Steps to Keep Local Hospital Free from MRSA Infections
James R. Miller, MD, FCAP, is featured by the Salem Times Commoner Newspaper in Salem, Illinois, demonstrating a new technology, GeneXpert, which he is using to keep his local hospital free from MRSA infections. The article is a great example of how a pathologist is recognized for using technology to help transform the role of specialty in the media as well as in preventing the spread of MRSA.
Read the full article.
Attended the USCAP meeting in Boston over the weekend. On Saturday attended the DICOM Working Group 26 (WG 26) meeting. A copy of the document discussed is available here. This was my first DICOM WG 26 meeting (as an observer) and my sense is they are close to getting the document into a DICOM format within a year with some assistance in the actual writing of the document in DICOM format. The committee has certainly made great strides. Will provide updates as more information gets released following the meeting.
On Sunday gave a talk about digital pathology at an evening seminar hosted by BioImagene along with Jared Schwartz, MD, PhD, CAP President, Mahul Amin MD, Chairman of Pathology and Laboratory Medicine at Cedars Sinai & Ajit Singh PhD, CEO of BioImagene.
Spoke briefly on use of pathology images in our hospital PACS, image analysis and what I am calling Pathology 2.0 - that is the use of Web 2.0 technology in the surgical pathology practice. Blogging aside, gave several examples of using the tools of technology of Web 2.0 to harness collective intelligence in simple terms where anyone can participate, share, exchange and collaborate.
People have already moved on to Web 3.0 where anyone can innovate but that is for another post...
The meeting was well attended in record number this year with over 4,000 registrants. I saw several excellent scientific sessions and posters with continued focus on molecular pathogenesis and less direct observation or correlation with immunohistochemistry.
My sense of the attendance at the meeting with a large number of housestaff is a reflection of travel budgets. I think budgets for meetings and conferences are being scaled back (including at my institution) and if given a meeting to attend, this is it.
On the exhibit floor there were many notable products and services displayed among just over 100 vendors. Here is a short review (in alpabetical order) of some of my observations:
Aperio showed me a demo of their SecondSlide sharing service for pathology and their application for referring and consulting pathologists to share whole slide images.
BioImagene released several new products including a family of scanners on the heels of a recent flurry of activity and press releases. Their booth showcased several new applications including PathXchange, an online professional networking portal for pathologists worldwide. This is another example of Web 2.0 and of course joined the community - look for my cases soon. I did not get a chance to see PathSearch, their product in collaboration with Visuvi for content based image retrieval (CBIR).
Clarient continues to bring to market innovative products and services in cancer diagnostics.
DMetrix did not exhibit at the meeting. You can still check out their comments on other vendors over at their blog, Virchow's Pixel (great name - why didn't I think of that?)
Quest Diagnostics showcased their virtual IHC service, InScape (video link).
Lastly, SlidePath demonstrated their products for use in the clinical space, including their Digital Slide Server which is compliant with Aperio Scanscope, Hamamatsu Nanozoomer and Zeiss Mirax digital slides.
Clearly digital pathology vendors have increased their footprint at this meeting with the largest showing to date and I expect this to continue for some time at other similar clinically-oriented pathology meetings.
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Dennis D. Reinke, MD, FCAP, was recognized as the first recipient of the College's Pathologist Spotlight Service Award at the Council on Membership and Professional Development luncheon in Austin, Texas, on January, 17, 2009. He was nominated by colleague Yvonne Hearn, MD, FCAP. When presented with the award, Dr. Reinke said, "I never imagined being recognized for the work I do everyday." Read about Dr. Reinke's recognition. Learn more about the CAP Pathologist Spotlight Service Award at cap.org or send your nominations to publicaffairs@cap.org. Second Laboratory in the United States Becomes Accredited | ||
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2009 CAP Meritorious Service Awards Program—Call for Nominations
Award criteria as well as instructions and a nomination form are available on the CAP Web site in either Microsoft Word or PDF formats. Nominations are due on or before March 9, 2009. Recipients will be invited to accept their awards in person during CAP '09 – THE Pathologists' Meeting™, which will take place October 11-14 at the Gaylord National Resort in Washington, DC.
Renew Your 2009 Membership Dues
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CAP ’09 Abstracts Program | ||
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CMS Announces Internet-Based Medicare Enrollment Available in View the New and Updated Practice Management Resources
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Attend Residents Forum Meeting in Boston on March 7 | ||
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SPOKESPERSONS NETWORK IN THE MEDIA AND
Forensic Pathologist Stresses Importance of Recognizing Signs of Depression in Children |
Pathology Visions brings together members of the healthcare and scientific community to discuss real-world, practical applications and learn about the latest advances in digital pathology for research, clinical, education, IT, and veterinary pathology applications.
Next year's meeting will take place September 13-15, 2009 at the Marriott Hotel and Marina in San Diego, CA.
Registration is now open and attendees who register before January 31 are being offered the 2008 rate of $399.
This year's meeting will feature poster sessions new this year as well. Click here to submit a poster or abstract for consideration. I would encourage anyone interested in digital pathology to consider attending this meeting. I thought this year's meeting had an excellent program with several networking opportunities as well as multiple vendors in this space to meet with. More information is available on the meeting website at www.pathologyvisions.com or e-mail
From Bruce Friedman over at www.labsoftnews.com:
The brochure for the upcoming Lab InfoTech Summit 2009 to be held on March 16-18, 2009, at the Venetian Resort Hotel in Las Vegas is now available. A PDF version of the brochure can be viewed here. Copies will shortly be mailed to pathologists, lab professionals, and industry representatives around the country. The conference web site will be ready to accept on-line conference registrations in about a week. Meanwhile, you can grab a first look at the lecture and workshop topics and participating faculty.
A total of 33 exhibitors have agreed to participate thus far with several more anticipated prior to the start date. This is the largest exhibition of its kind in the country. If you are considering the purchase or upgrade of your LIS, AP-LIS, lab middleware, lab portal software, or digital pathology imaging equipment, this is the conference for you. The upcoming event marks the 27th consecutive year of continuing medical education for the Lab InfoTech Summit.