The document discusses how Birmingham Heartlands Hospital in the United Kingdom has implemented digital pathology solutions from Roche to improve workflows and collaboration. The hospital scans over 175,000 slides annually and pathologists can now access virtual slides instantly for consultations, tumor boards, and teaching. This streamlines processes and saves time compared to retrieving physical slides. The digital tools also enhance education and quality assurance.
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Digital pathology transforms tissue diagnostics at Birmingham Hospital
1. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
The future of pathology
Digital solutions transform tissue diagnostics in the United Kingdom
2. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Fast facts
Birmingham Heartlands Hospital
• Hospital of Excellence
– Largest hospital at Heart of England NHS Foundation Trust
– Solid reputation for breast, skin, uropathology, lung and heart care
• Centralized AP lab for the Trust
– Three hospitals (1,600+ beds) and one chest clinic
– Serving a population of 1,000,000, caring for 750,000 annually
– Lab volume: 175,000 slides per year
• 135,000 H&E
• 33,000 IHC
• 7,000 Special Stains
3. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Integrated Roche technologies
Lab most recently implemented the Roche Digital Pathology portfolio
• Digital pathology
– VENTANA iScan HT slide scanner
– VENTANA Virtuoso image and workflow management software
• Staining automation
– VENTANA BenchMark ULTRA staining system
– VENTANA BenchMark XT system
– VENTANA BenchMark Special Stains slide stainer
• Barcode tracking and workflow automation
– VENTANA VANTAGE workflow solution
4. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Digital pathology transforms tissue diagnostics at
Birmingham Hospital
Many benefits for the pathology community
Improves collaboration with clinicians and education for junior
pathologists while streamlining lab workflow
VIRTUAL CONSULTATION EDUCATION
5. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Pathologists experience time savings
Future potential: digital images offer access in seconds
“Before digital pathology, my staff would ask me 2-3
times per week to locate slides needed for an
multidisciplinary team meeting, which involved a
considerable amount of my time. Digital pathology
now provides us with a robust mechanism for easy
slide storage and retrieval.”
— Dr. Simon Trotter, Histopathologist
“Once your workload is scanned in, then it will be
available instantly — to report, to present at a tumor
board meeting or to request a second opinion. What
used to take days to get across to an expert will take
seconds with digital pathology.”
— Martin Collard, Technical Laboratory Lead
6. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
More efficient tumor boards and second opinions
Reduces time spent fetching cases
• Slides are more easily circulated to a greater number of consultants
• Multidisciplinary meetings are more effective and efficient
Slides are instantly available on consultants’
desktops
7. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Pathology education is now fully digital
Pathologists and students no longer tethered to microscope
“One of the great advantages of digital pathology is its role in education. We have
numerous conditions, tumors, and everything to diagnose under our microscope. We
needed to find some way of having slides that our junior staffs can easily access to
actually see firsthand what the tissue is, what the diagnosis is, and also to arrange
interaction —which the digital platform will very easily do.”
— Dr. Simon Trotter, Histopathologist
Aligns with junior staff expectationsfor a digital future…
8. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Digital measurements easier, more accurate
Results in “the WOW factor” from colleagues
The software automatically notes measurements and saves annotations on slide images. These
annotations equip pathologists to show resection margin clearance with ease, resulting in what
histopathologist Dr. Simon Trotter describes as “the wow factor” — positive reactions from
colleagues and clinicians when viewing annotated digital slide images.
“ZERO
diagnostic discrepancies
between glass and digital slides”
— Dr. Simon Trotter, Histopathologist
9. Confidential and proprietary to Ventana Medical Systems, Inc. Do not copy. Do not distribute.
Image and workflow management is robust
Saves pathologists considerable time in reporting
WORKFLOW GAINS
for pathologists and quality assurance department
Virtuoso image and workflow management software provides a “robust mechanism for slide storage and retrieval” that saves considerable time, explains Dr. Trotter, adding that the framework enables them to log information and pull up reports very quickly.
Quality in the department I think can be assisted significantly by digital pathology. Slides can be circulated to a greater number of consultants for their opinions, and anonymized answers can be given; but also digital pathology enables an audit trail of who saw the slide, what they saw, and how they measured and what they measured. So it is a huge improvement on what we have at the moment.