Using Digital Bone and Soft Tissue Tumor Pathology Teaching Library To Enhance Training of Future Pathologists
Xiaohui Zhang, Joseph J Johnson, Mark C Lloyd, Douglas Letson, Marilyn M Bui. University of South Florida College of Medicine, Tampa, FL; H. Lee Moffitt Cancer Center, Tampa, FL
Background: The training of residents in bone and soft tissue tumor pathology has been limited in most of the training programs due to the rarity of the tumor, difficulty in diagnosis, and lack of expertise. Whole slide digital imaging technology has increasing role in the education of pathologist trainees. We envision that a virtual bone and soft tissue tumor pathology teaching library will greatly enhance training. This study is to investigate the feasibility and effectiveness of this alternative paradigm for education and assessment.
Design: The project was done collaboratively by pathology residents, sarcoma pathologist, sarcoma surgeon, radiologist, and scientists at digital imaging lab. Representative glass slides were retrospectively selected using the WHO Bone and Soft Tissue Tumor Classification (2006). De-identified slides were scanned using AperioScanScope XT. The effectiveness between traditional method using glass slides and the alternative method using digital slides in sarcoma learning was evaluated.
Results: As one of the premier cancer centers and sarcoma programs, we are able to collect 2,000 cases of bone and soft tissue tumors listed in the WHO book which include 120 types. Currently 351 bone and soft tissue virtual slides are in the library. High-resolution digital images of whole slides can be viewed at any work station using a password protected server. The virtual images were organized and annotated to incorporate diagnosis, clinical information and key pathologic findings. A web browser based interface with search engine features is being constructed. The library can be accessed from the work stations outside Moffitt when residents are rotating in other hospitals or at home. Residents using the alternative leaning method scored higher than the residents using the traditional method.
Conclusions: A digital bone and soft tissue tumor pathology teaching library is feasible for both a sarcoma center and non-sarcoma centers via internet, thus beyond the limitation of resources. It is an effective tool in educating residents in bone and soft tissue pathology. It is one time investment which will last indefinitely. For the future, the library will be expanded to educate related specialties including orthopedic surgeons and musculoskeletal radiologists.
Monday, March 19, 2012 9:30 AM
Poster Session I Stowell-Orbison/Surgical Pathology/Autopsy Awards Poster Session # 92, Monday Morning