Whole slide imaging for rapid treatment decision-making and education in renal pathology
- 05.06.2025
- Original article
Erschienen in:
- Verfasst von
- Emiko Otsuka
- Mineaki Kitamura
- Kiyokazu Tsuji
- Kenta Torigoe
- Ayuko Yamashita
- Nozomi Ueki
- Yuki Matsuoka
- Takahiro Takazono
- Noriho Sakamoto
- Kumiko Muta
- Hisayuki Hamada
- Masahiro Nakashima
- Hiroshi Mukae
- Tomoya Nishino
- Erschienen in
- Clinical and Experimental Nephrology | Ausgabe 11/2025
Abstract
Background
Whole slide imaging (WSI) is digital imaging technique that involves scanning glass slides. Although WSI is widely used in pathological diagnosis and education, its impact on nephrology education remains unknown. We clarified the usefulness of WSI in rapid treatment decision-making and education in renal pathology.
Methods
We included in patients undergoing renal biopsy at our facility and divided them into two groups: the WSI (–) group, underwent renal biopsy during (July, 2020–June, 2022), when WSI was not available, and the WSI (+) group (July, 2022–June, 2024), when WSI was available on electric medical record. The time from renal biopsy to the description of the pathological assessment, days to treatment initiation or modification, and the percentage of the assessment reported by nephrology trainees were compared between the two groups. Furthermore, this study included an inquiry about the usefulness of WSI from nephrologists who worked during these periods.
Results
The time until assessment description and treatment initiation or modification were shorter in the WSI (+) group (p < 0.001 for both). Multivariable Cox regression analysis showed that the use of WSI had the most significant impact on these outcomes (p < 0.001). Moreover, the percentage of first assessments reported by nephrology trainees increased from 25.8% to 53.2% (p < 0.001), and multivariable logistic analysis showed that WSI was the most associated factor (p < 0.001). In the questionnaire, most nephrologists cited the ease of access and sharing as the main advantages of WSI.
Conclusions
WSI is helpful for rapid treatment decision-making and education in renal pathology.
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- Titel
- Whole slide imaging for rapid treatment decision-making and education in renal pathology
- Verfasst von
-
Emiko Otsuka
Mineaki Kitamura
Kiyokazu Tsuji
Kenta Torigoe
Ayuko Yamashita
Nozomi Ueki
Yuki Matsuoka
Takahiro Takazono
Noriho Sakamoto
Kumiko Muta
Hisayuki Hamada
Masahiro Nakashima
Hiroshi Mukae
Tomoya Nishino
- Publikationsdatum
- 05.06.2025
- Verlag
- Springer Nature Singapore
- Erschienen in
-
Clinical and Experimental Nephrology / Ausgabe 11/2025
Print ISSN: 1342-1751
Elektronische ISSN: 1437-7799 - DOI
- https://doi.org/10.1007/s10157-025-02710-y
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