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Implementing digital pathology: qualitative and financial insights from eight leading European laboratories.

Matias-Guiu, Xavier
Temprana-Salvador, Jordi
Garcia Lopez, Pablo
Kammerer-Jacquet, Solene-Florence
Rioux-Leclercq, Nathalie
Clark, David
Schürch, Christian M
Fend, Falko
Mattern, Sven
Snead, David
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Abstract
Digital Pathology (DP) revolutionizes the diagnostic workflow. Digitized scanned slides enhance operational efficiency by facilitating remote access, slide storage, reporting and automated AI image analysis, and enabling collaboration and research. However, substantial upfront and maintenance costs remain significant barriers to adoption. This study evaluates DP's financial and qualitative value, exploring whether the long-term financial benefits justify investments and addressing implementation challenges in large public and private European laboratory settings. A targeted literature review, semi-structured interviews, surveys, and a net present value (NPV) model were employed to assess DP's impact on clinical practice and laboratory financials. Qualitative findings validate the key benefits of DP, including optimized workflow, enhanced logistics, and improved laboratory organization.
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Matias-Guiu X, Temprana-Salvador J, Garcia Lopez P, Kammerer-Jacquet SF, Rioux-Leclercq N, Clark D, Schürch CM, Fend F, Mattern S, Snead D, Fusco N, Guerini-Rocco E, Rojo F, Brevet M, Salto Tellez M, Dei Tos A, di Maio T, Ramírez-Peinado S, Sheppard E, Bannister H, Gkiokas A, Arpaia M, Ben Dhia O, Martino N. Virchows Arch. 2025 Mar 8. doi: 10.1007/s00428-025-04064-y. Online ahead of print.
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