Automation in Anatomic Pathology
نویسنده
چکیده
What can we envision automating in the anatomic pathology laboratory? The big picture of animation in anatomic pathology is difficult to understand if we compare it to the way that we think about automation in clinical pathology using the typical concepts of pre-analytic, analytic and post-analytic processing. While anatomic pathology can be thought of as having analytic, post analytic as well as preanalytic phases these terms don’t necessarily apply clearly like they might in the clinical chemistry laboratory. For example where does the analytic process actually begin in anatomic pathology? Does it begin at the gross examination or is the gross examination actually a preanalytic process designed to pre-process tissue for the histology laboratory? What about histologic staining? Is histologic staining analytic or preanalytic? In many cases, histologic staining could be considered an analytic process because analysis is happening at the time the tissues are actually being stained. While this organization can help our thinking, it is not really a perfect match for anatomic pathology. There are exceptions to this in clinical pathology as well. For example when we look at a tube of blood we can notice that the tube of blood is actually lipemic (analytic). While it is easy to think of in terms of pre-analytic, analytic, and post-analytic, it is not really a good fit for thinking about automation in anatomic pathology.
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