patients are clamoring for convenience and the arizona ... · robotic microscopy virtual microscopy...
TRANSCRIPT
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Patients are clamoringfor convenience and theArizona TelemedicineProgram is answeringthe call. What will therepercussions be for thehealthcare industry?
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The S-Curve Framework:Predicting the Future in Anatomic Pathology
Ronald S. Weinstein, M.D., F.C.A.P.Professor and Head
Department of PathologyDirector
Arizona Telemedicine Program
University of ArizonaCollege of Medicine
Tucson, AZ
Disclosures: UltraClinics®, DMetrix, Apollo
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S-Curve of InnovationPe
rfor
man
ce
Effort (funds)
S-CURVE
Thomas W. Lawson 19021 2
3
4
5
6
7
1 2 3 4 5 6 7
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Perf
orm
ance
Effort (funds)
S-Curve of InnovationS-CURVE
Over-optimistic
Under-optimistic
One tends to be over-optimistic in the short run and
under-optimistic in the long run,
because we can only extrapolate linearly
and progress is always an
exponential curve.
- Arthur C. Clarke
One tends to be over-optimistic in the short run and
under-optimistic in the long run,
because we can only extrapolate linearly
and progress is always an
exponential curve.
- Arthur C. Clarke
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NATIONAL BLADDER CANCER PROGRAMCentral Pathology Laboratory
4540
643
3530252015105
521 7 8
Major Discrepancy
Minor Discrepancy
186 118
75
154 185
58
7070
INTER-INSTITUTIONAL QA
1983
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College of American PathologistsFoundation Conference IVPathology Practice in a World ofChanging TechnologyJanuary 16-18, 1987 - Hawaii
First use of the word“telepathology” in a
scientific paper.
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No.
Site
s/N
o. C
ases
Years
S-Curve of InnovationTelepathology/Digital Pathology
2007
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S-Curves of Innovation
Robotic Microscopy Virtual Microscopy
Telepathology/Digital Pathology
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Site #3Internet
Virtual Slide Processor
ClientSite #2
Site #1
Virtual slide network1999
Whole slide digital imaging
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Virtual Slide Image Acquisition
Raster scanning
Single optical axis light microscope
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Virtual Slide Telepathology
TelepathologyReport
Fully Digitized Slide Server
workstation
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Aperio virtual slide scanner
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Aperio virtual slide scanner
Lab Services Education
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What’s next?
• 1987 to 2007• 2007 to 2027
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2001
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Arizona College of Optical SciencesUltra-Rapid Virtual Slide Processor Program
Working Group: Michael R. Descour, Ph.D, Peter Bartels, Ph.D. Chen Liang, René Slack, Ph.D., Ronald S. Weinstein, M.D.
Aim: Increase the field-of-view of the light microscopeDeliverable: Miniaturized microscope array digital imaging engine
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Miniaturized microscope
• Miniaturization• Array microscope• Parallel processing
ArizonaProgram
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Conventional Optics vs. Array Microscope OpticsConventional Optics vs. Array Microscope Optics
ArizonaProgram
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9 mm
Weinstein et al, Human Pathology, 2001
Miniaturized Microscope ArrayConcept rendering
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field-of-view
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FOV 1 to 25 FOV 1 to 7
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tissue
glass slide
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MiniaturizedOptical Bench
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Lenslet Array U.S. Quarter Coin
Invention of the lenslet array ensemble
ArizonaProgram
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3 stacked lenslet arrays = 1 lenslet array ensemble
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Patient Name
S-14926-06
University Physicians HospitalTucson, Arizona
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Virtual Slide Breast core biopsy
Scan time - ~ 1 minute
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Virtual Slide
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S-Curves of Innovation
Single axis LM Array microscopy
Virtual Microscopy
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College of MedicineUniversity of Arizona
Tucson, Arizona
University of Arizona Virtual Slide Applications
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Virtual Slides in Diagnostic Pathologyat the University of Arizona
DMetrix Virtual Slides
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U of A Pathology Quality Assurance Program
DMetrix Virtual Slides
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®
SameSame--day Breast Care Servicesday Breast Care Services
•• ““One stop shoppingOne stop shopping””
•• TelemedicineTelemedicine--enabledenabled
•• UltraUltra--rapid labs and radiology servicesrapid labs and radiology services
•• OnOn--line second opinions line second opinions
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IBM SYSTEMS JOURNAL 46: 69-84, 2007
®
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NBC Tucson, AZ UltraClinics®
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Susan G. Komen Race for the Cure - Tucson, Arizona – April 15, 2007
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Tucson CitizenApril 16, 2007
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Susan G. Komen Race for the Cure - Tucson, Arizona – April 15, 2007
“Patients Vote With Their Feet”
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Perf
orm
ance
Effort
Robotic Telepathology Virtual Microscopy
Digital Pathology Laboratories
Discontinuity
? Retail Clinics
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