Visual pathology reports for communication of final margin status in laryngeal cancer surgery
Background: Positive margins are frequently observed in total laryngectomy (TL) specimens. Effective communication of margin sampling sites and final margin status between surgeons and pathologists is crucial. In this study, we evaluate the utility of multimedia visual pathology reports to facilitat...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Pathology Informatics |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2153353924000439 |
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| author | Marina Aweeda Carly Fassler Alexander N. Perez Alexis Miller Kavita Prasad Kayvon F. Sharif James S. Lewis, Jr Kim A. Ely Mitra Mehrad Sarah L. Rohde Alexander J. Langerman Kyle Mannion Robert J. Sinard James L. Netterville Eben L. Rosenthal Michael C. Topf |
| author_facet | Marina Aweeda Carly Fassler Alexander N. Perez Alexis Miller Kavita Prasad Kayvon F. Sharif James S. Lewis, Jr Kim A. Ely Mitra Mehrad Sarah L. Rohde Alexander J. Langerman Kyle Mannion Robert J. Sinard James L. Netterville Eben L. Rosenthal Michael C. Topf |
| author_sort | Marina Aweeda |
| collection | DOAJ |
| description | Background: Positive margins are frequently observed in total laryngectomy (TL) specimens. Effective communication of margin sampling sites and final margin status between surgeons and pathologists is crucial. In this study, we evaluate the utility of multimedia visual pathology reports to facilitate interdisciplinary discussion of margin status in laryngeal cancer surgery. Methods: Ex vivo laryngeal cancer surgical specimens were three-dimensional (3D) scanned before standard of care pathological analysis. Using computer-aided design software, the 3D model was annotated to reflect inking, sectioning, and margin sampling sites, generating a visual pathology report. These reports were distributed to head and neck surgeons and pathologists postoperatively. Results: Fifteen laryngeal cancer surgical specimens were 3D scanned and virtually annotated from January 2022 to December 2023. Most specimens (73.3%) were squamous cell carcinomas (SCCs). Among the cases, 26.7% had final positive surgical margins, whereas 13.3% had close margins, defined as <5 mm. The visual pathology report demonstrated sites of close or positive margins on the 3D specimens and was used to facilitate postoperative communication between surgeons and pathologists in 85.7% of these cases. Visual pathology reports were presented in multidisciplinary tumor board discussions (20%), email correspondences (13.3%), and teleconferences (6.7%), and were referenced in the final written pathology reports (26.7%). Conclusions: 3D scanning and virtual annotation of laryngeal cancer specimens for the creation of visual pathology reports is an innovative approach for postoperative pathology documentation, margin analysis, and surgeon–pathologist communication. |
| format | Article |
| id | doaj-art-c2f9e7eeee744d11b9317dd1d5fcd5f4 |
| institution | OA Journals |
| issn | 2153-3539 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pathology Informatics |
| spelling | doaj-art-c2f9e7eeee744d11b9317dd1d5fcd5f42025-08-20T02:38:05ZengElsevierJournal of Pathology Informatics2153-35392024-12-011510040410.1016/j.jpi.2024.100404Visual pathology reports for communication of final margin status in laryngeal cancer surgeryMarina Aweeda0Carly Fassler1Alexander N. Perez2Alexis Miller3Kavita Prasad4Kayvon F. Sharif5James S. Lewis, Jr6Kim A. Ely7Mitra Mehrad8Sarah L. Rohde9Alexander J. Langerman10Kyle Mannion11Robert J. Sinard12James L. Netterville13Eben L. Rosenthal14Michael C. Topf15Department of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Mayo Clinic, Rochester, MN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, AZ, USADepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology – Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; School of Engineering, Vanderbilt University, Nashville, TN, USA; Corresponding author at: Department of Otolaryngology—Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Ave. S. Suite 7209, Nashville, TN 37232, USA.Background: Positive margins are frequently observed in total laryngectomy (TL) specimens. Effective communication of margin sampling sites and final margin status between surgeons and pathologists is crucial. In this study, we evaluate the utility of multimedia visual pathology reports to facilitate interdisciplinary discussion of margin status in laryngeal cancer surgery. Methods: Ex vivo laryngeal cancer surgical specimens were three-dimensional (3D) scanned before standard of care pathological analysis. Using computer-aided design software, the 3D model was annotated to reflect inking, sectioning, and margin sampling sites, generating a visual pathology report. These reports were distributed to head and neck surgeons and pathologists postoperatively. Results: Fifteen laryngeal cancer surgical specimens were 3D scanned and virtually annotated from January 2022 to December 2023. Most specimens (73.3%) were squamous cell carcinomas (SCCs). Among the cases, 26.7% had final positive surgical margins, whereas 13.3% had close margins, defined as <5 mm. The visual pathology report demonstrated sites of close or positive margins on the 3D specimens and was used to facilitate postoperative communication between surgeons and pathologists in 85.7% of these cases. Visual pathology reports were presented in multidisciplinary tumor board discussions (20%), email correspondences (13.3%), and teleconferences (6.7%), and were referenced in the final written pathology reports (26.7%). Conclusions: 3D scanning and virtual annotation of laryngeal cancer specimens for the creation of visual pathology reports is an innovative approach for postoperative pathology documentation, margin analysis, and surgeon–pathologist communication.http://www.sciencedirect.com/science/article/pii/S2153353924000439Surgical pathology3D scanningHead and neck cancerSurgical margins |
| spellingShingle | Marina Aweeda Carly Fassler Alexander N. Perez Alexis Miller Kavita Prasad Kayvon F. Sharif James S. Lewis, Jr Kim A. Ely Mitra Mehrad Sarah L. Rohde Alexander J. Langerman Kyle Mannion Robert J. Sinard James L. Netterville Eben L. Rosenthal Michael C. Topf Visual pathology reports for communication of final margin status in laryngeal cancer surgery Journal of Pathology Informatics Surgical pathology 3D scanning Head and neck cancer Surgical margins |
| title | Visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| title_full | Visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| title_fullStr | Visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| title_full_unstemmed | Visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| title_short | Visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| title_sort | visual pathology reports for communication of final margin status in laryngeal cancer surgery |
| topic | Surgical pathology 3D scanning Head and neck cancer Surgical margins |
| url | http://www.sciencedirect.com/science/article/pii/S2153353924000439 |
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