Digital pathology in cardiac transplant diagnostics: from biopsies to algorithms
Language English Country United States Media print-electronic
Document type Journal Article, Review
PubMed
37926351
DOI
10.1016/j.carpath.2023.107587
PII: S1054-8807(23)00071-6
Knihovny.cz E-resources
- Keywords
- Cardiac allograft rejection, Computational pathology, Digital image analysis, Digital pathology, Endomyocardial biopsy, Machine learning,
- MeSH
- Algorithms * MeSH
- Biopsy MeSH
- Humans MeSH
- Pathologists MeSH
- Heart Transplantation * adverse effects MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
In the field of heart transplantation, the ability to accurately and promptly diagnose cardiac allograft rejection is crucial. This comprehensive review explores the transformative role of digital pathology and computational pathology, especially through machine learning, in this critical domain. These methodologies harness large datasets to extract subtle patterns and valuable information that extend beyond human perceptual capabilities, potentially enhancing diagnostic outcomes. Current research indicates that these computer-based systems could offer accuracy and performance matching, or even exceeding, that of expert pathologists, thereby introducing more objectivity and reducing observer variability. Despite promising results, several challenges such as limited sample sizes, diverse data sources, and the absence of standardized protocols pose significant barriers to the widespread adoption of these techniques. The future of digital pathology in heart transplantation diagnostics depends on utilizing larger, more diverse patient cohorts, standardizing data collection, processing, and evaluation protocols, and fostering collaborative research efforts. The integration of various data types, including clinical, demographic, and imaging information, could further refine diagnostic precision. As researchers address these challenges and promote collaborative efforts, digital pathology has the potential to become an integral part of clinical practice, ultimately improving patient care in heart transplantation.
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