Ensuring remote diagnostics for pathologists: an open letter to the US Congress

Jochen K Lennerz¹, Liron Pantanowitz², Mitual B Amin³, Isam-Eldin Eltoum⁴, Meera R Hameed⁵, Alexana N Kalof⁶, Elham Khanafshar⁷, Lakshmi P Kunju⁸, Audrey J Lazenby⁹, Kathleen T Montone¹⁰, Christopher N Otis¹¹, Michelle D Reid¹², Paul N Staats¹³, Christa L Whitney-Miller¹⁴, Catherine S Abendroth¹⁵, Manju Aron¹⁶, George G Birdsong^{17

18}, Ira J Bleiweiss¹⁹, Mary P Bronner²⁰, Jennifer Chapman²¹, Nicole A Cipriani²², Gustavo de la Roza²³, Michael J Esposito²⁴, Oluwole Fadare²⁵, Karen Ferrer²⁶, Christopher D Fletcher^{27

28}, David P Frishberg²⁹, Fernando U Garcia³⁰, Laurette Geldenhuys³¹, Ryan M Gill³², Dorina Gui³³, Shams Halat³⁴, Omar Hameed³⁵, Jason L Hornick³⁶, Aaron R Huber³⁷, Dhanpat Jain³⁸, Nirag Jhala³⁹, Merce Jorda⁴⁰, Julie M Jorns⁴¹, Jeffrey Kaplan⁴², Mahmoud A Khalifa⁴³, Ashraf Khan¹¹, Grace E Kim⁴⁴, Eun Y Lee⁴⁵, Virginia A LiVolsi⁴⁶, Teri Longacre⁴⁷, Cristina Magi-Galluzzi⁴⁸, Shannon J McCall⁴⁹, Laron McPhaul⁵⁰, Vikas Mehta⁵¹, Mihai Merzianu⁵², Stacey B Miller⁵³, Kyle H Molberg⁵⁴, Andre L Moreira⁵⁵, Bita V Naini⁵⁶, Vania Nosé⁵⁷, Kathleen O'Toole⁵⁸, Maria Picken⁵⁹, Victor G Prieto⁶⁰, James M Pullman⁶¹, Charles M Quick⁶², Jordan P Reynolds⁶³, Andrew E Rosenberg⁶⁴, Stuart J Schnitt^{36

65}, Mary R Schwartz⁶⁶, Marin Sekosan²⁶, Michael T Smith⁶⁷, Aliyah Sohani⁶⁸, Anne Stowman⁶, Vijay K Vanguri⁶⁹, Beverly Wang⁷⁰, John C Watts⁷¹, Shi Wei⁷², Kathleen Whitney⁶¹, Mamoun Younes⁷³, Sui Zee⁵⁵, Erika R Bracamonte⁷⁴

Affiliations

¹ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Center for Integrated Diagnostics, Boston, MA, USA. jlennerz@partners.org.
² University of Michigan Health, Department of Pathology, Anatomic Pathology, Ann Arbor, MI, USA.
³ Oakland University William Beaumont School of Medicine, Department of Pathology and Laboratory Medicine, Anatomical Pathology, Royal Oaks, MI, USA.
⁴ University of Alabama at Birmingham, Department of Pathology, Section of Cytopathology, Birmingham, AL, USA.
⁵ Memorial Sloan Kettering Cancer Center, Department of Pathology, Surgical Pathology Service, New York, NY, USA.
⁶ The University of Vermont Medical Center, Department of Pathology & Laboratory Medicine, Surgical Pathology, Burlington, VT, USA.
⁷ University of California San Francisco, Department of Pathology, Cytopathology, San Francisco, CA, USA.
⁸ University of Michigan Health, Department of Pathology, Genitourinary Pathology, Surgical Pathology, Histology Laboratory, and Image Analysis, Ann Arbor, MI, USA.
⁹ University of Nebraska Medical Center, College of Medicine, Department of Pathology, Anatomic Pathology, Omaha, NE, USA.
¹⁰ Hospital of the University of Pennsylvania, Department of Pathology and Laboratory Medicine, Division of Anatomic Pathology, Philadelphia, PA, USA.
¹¹ Pathology at UMass Chan Medical School, Baystate Health Medical Center, Department of Pathology, Springfield, MA, USA.
¹² Emory University School of Medicine, Winship Cancer Institute, Department of Pathology and Laboratory Medicine, Cytopathology and Anatomic Pathology/Cytopathology, Atlanta, GA, USA.
¹³ University of Maryland School of Medicine, Department of Pathology, Anatomic Pathology Laboratory Operations, Baltimore, MD, USA.
¹⁴ University of Rochester Medical Center, School of Medicine & Dentistry, Vice Chair, Department of Pathology and Laboratory Medicine, Anatomic Pathology, Rochester, NY, USA.
¹⁵ Penn State Health Hershey Medical Center, Department of Pathology, Anatomic Pathology and Cytopathology, Hershey, PA, USA.
¹⁶ Keck School of Medicine of University of Southern California, Clinical Pathology, Los Angeles, CA, USA.
¹⁷ Emory University School of Medicine, Department of Pathology & Laboratory Services, Atlanta, GA, USA.
¹⁸ Grady Memorial Hospital, Anatomic Pathology, Atlanta, GA, USA.
¹⁹ University of Pennsylvania, Perelman School of Medicine, Department of Pathology, Breast Pathology, Philadelphia, PA, USA.
²⁰ University of Utah, Department of Pathology, Anatomic Pathology, Salt Lake City, UT, USA.
²¹ University of Miami Health System, Department of Pathology, Division of Hematopathology, Miami, FL, USA.
²² The University of Chicago, Department of Pathology, Anatomic Pathology Informatics, Chicago, IL, USA.
²³ State University of New York-Upstate Medical University, Upstate University Hospital, Department of Pathology, Anatomic Pathology, Syracuse, NY, USA.
²⁴ Northwell Health, North Shore University Hospital and Long Island Jewish Medical Center, Department of Pathology, Anatomic Pathology, Greenvale, NY, USA.
²⁵ University of California San Diego Health, Department of Pathology, Anatomic Pathology, San Diego, CA, USA.
²⁶ Stroger Hospital of Cook County Health, Pathology & Laboratory Medicine, Surgical Pathology, Chicago, IL, USA.
²⁷ Brigham & Women's Hospital/Harvard Medical School, Department of Pathology, Anatomic Pathology, Boston, MA, USA.
²⁸ of Onco-Pathology, Dana Farber Cancer Institute, Boston, MA, USA.
²⁹ Cedars Sinai Medical Center, Department of Pathology and Laboratory Medicine, Los Angeles, CA, USA.
³⁰ Tower Health, Department of Pathology and Laboratory Medicine, West Reading, PA, USA.
³¹ Dalhousie University, Department of Pathology, Halifax, Nova Scotia, Canada.
³² University of California San Francisco, Moffitt-Long Hospital, Department of Pathology, Surgical Pathology, San Francisco, CA, USA.
³³ University of California Davis Health, Department of Pathology, Surgical Pathology, Davis, CA, USA.
³⁴ Tulane University School of Medicine, Lakeside Hospital Laboratory, Department of Pathology, Surgical Pathology, New Orleans, LA, USA.
³⁵ Hospital Corporation of America, Pathology and Lab Services, Kansas City, MO, USA.
³⁶ Brigham and Women's Hospital/Harvard Medical School, Department of Pathology, Boston, MA, USA.
³⁷ University of Rochester Medical Center, School of Medicine and Dentistry, Department of Pathology and Laboratory Medicine, Rochester, NY, USA.
³⁸ Yale University School of Medicine, Department of Pathology, New Haven, CT, USA.
³⁹ Temple University Hospital/Lewis Katz School of Medicine, Department of Pathology and Laboratory Medicine, Anatomic Pathology/Cytology, Philadelphia, PA, USA.
⁴⁰ University of Miami Miller School of Medicine, Department of Pathology & Laboratory Medicine, Miami, FL, USA.
⁴¹ Medical College of Wisconsin, Department of Pathology and Laboratory Medicine, Breast & Women's Health, Milwaukee, WI, USA.
⁴² University of Colorado School of Medicine, Department of Pathology, Surgical Pathology and Anatomic Pathology Quality Management, Aurora, CO, USA.
⁴³ University of Minnesota, Department of Laboratory Medicine and Pathology, Surgical Pathology, Minneapolis, MI, USA.
⁴⁴ University of California San Francisco, Department of Pathology and Laboratory Medicine, San Francisco, CA, USA.
⁴⁵ University of Kentucky, Department of Pathology and Laboratory Medicine, Lexington, KY, USA.
⁴⁶ University of Pennsylvania, Perelman School of Medicine, Pathology and Laboratory Medicine, Surgical Pathology, Philadelphia, PA, USA.
⁴⁷ Stanford Medicine/Stanford Health Care/Stanford Medicine Children's Health, Surgical Pathology, Stanford, CA, USA.
⁴⁸ The University of Alabama at Birmingham, Heersink School of Medicine, Department of Pathology Anatomic Pathology, Birmingham, AL, USA.
⁴⁹ Duke University, Department of Pathology, Translational Research, Durham, NC, USA.
⁵⁰ Harbor-UCLA Medical Center, Department of Pathology, Anatomic Pathology & Molecular Pathology, Torrance, CA, USA.
⁵¹ University of Illinois Health at Chicago, Department of Pathology, Surgical Pathology, Chicago, IL, USA.
⁵² Roswell Park Comprehensive Cancer Center, Department of Pathology & Laboratory Medicine, Surgical Pathology, Buffalo, NY, USA.
⁵³ Allegheny Health Network (AHN), Allegheny General Hospital (Primary), AHN Wexford Hospital, Allegheny Pathology Associates, Pathology and Laboratory Medicine, Surgical Pathology, Pittsburgh, PA, USA.
⁵⁴ UT Southwestern Medical Center, Department of Pathology, Dallas, TX, USA.
⁵⁵ New York University (NYU) Grossman School of Medicine, NYU Langone Health, Department of Pathology, New York, NY, USA.
⁵⁶ University of California Los Angeles (UCLA) Health, David Geffen School of Medicine at UCLA, Clinical and Laboratory Pathology, Anatomic Pathology, Los Angeles, CA, USA.
⁵⁷ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Anatomic and Molecular Pathology, Boston, MA, USA.
⁵⁸ Columbia University Irving Medical Center, Department of Pathology and Cell Biology, Anatomic Pathology, New York, NY, USA.
⁵⁹ Loyola University Medical Center, Pathology and Laboratory Medicine, Surgical Pathology, Maywood, IL, USA.
⁶⁰ The University of Texas, MD Anderson Cancer Center, Department of Pathology, Pathology-Lab Medicine, Houston, TX, USA.
⁶¹ Albert Einstein College of Medicine, Montefiore Medical Center, Anatomic Pathology, Bronx, NY, USA.
⁶² University of Arkansas for Medical Sciences, College of Medicine, Department of Pathology, Anatomic Pathology, Little Rock, AR, USA.
⁶³ Mayo Clinic, Department of Pathology, Cytopathology, Jacksonville, FL, USA.
⁶⁴ University of Miami, Miller School of Medicine, Department of Pathology and Laboratory Medicine, Anatomic Pathology, Miami, FL, USA.
⁶⁵ Dana-Farber Cancer Institute, Breast Oncologic Pathology, Boston, MA, USA.
⁶⁶ Baylor College of Medicine, Houston Methodist Hospital, Anatomic Pathology, Houston, TX, USA.
⁶⁷ Medical University of South Carolina, College of Medicine, Pathology and Laboratory Medicine, Anatomic Pathology, Charleston, SC, USA.
⁶⁸ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Surgical Pathology and Clinical Affairs, Boston, MA, USA.
⁶⁹ UMass Memorial Health, UMass Chan Medical School, Department of Pathology, Surgical Pathology, Worcester, MA, USA.
⁷⁰ University of California Irvine Medical Center, Department of Pathology, Anatomic Pathology, Orange, CA, USA.
⁷¹ Beaumont Health, Surgical Pathology, Royal Oak, MI, USA.
⁷² University of Kansas Medical Center, Department of Pathology and Laboratory Medicine, Kansas City, KS, USA.
⁷³ The George Washington University School of Medicine and Health Sciences, Department of Pathology, Surgical Pathology, Washington, DC, USA.
⁷⁴ University of Arizona College of Medicine-Tucson, Department of Pathology, Anatomic Pathology, Tucson, AZ, USA.

PMID: 36266514
DOI: 10.1038/s41591-022-02040-6

Ensuring remote diagnostics for pathologists: an open letter to the US Congress

Jochen K Lennerz et al. Nat Med. 2022 Dec.

. 2022 Dec;28(12):2453-2455.

doi: 10.1038/s41591-022-02040-6.

Authors

Affiliations

¹ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Center for Integrated Diagnostics, Boston, MA, USA. jlennerz@partners.org.
² University of Michigan Health, Department of Pathology, Anatomic Pathology, Ann Arbor, MI, USA.
³ Oakland University William Beaumont School of Medicine, Department of Pathology and Laboratory Medicine, Anatomical Pathology, Royal Oaks, MI, USA.
⁴ University of Alabama at Birmingham, Department of Pathology, Section of Cytopathology, Birmingham, AL, USA.
⁵ Memorial Sloan Kettering Cancer Center, Department of Pathology, Surgical Pathology Service, New York, NY, USA.
⁶ The University of Vermont Medical Center, Department of Pathology & Laboratory Medicine, Surgical Pathology, Burlington, VT, USA.
⁷ University of California San Francisco, Department of Pathology, Cytopathology, San Francisco, CA, USA.
⁸ University of Michigan Health, Department of Pathology, Genitourinary Pathology, Surgical Pathology, Histology Laboratory, and Image Analysis, Ann Arbor, MI, USA.
⁹ University of Nebraska Medical Center, College of Medicine, Department of Pathology, Anatomic Pathology, Omaha, NE, USA.
¹⁰ Hospital of the University of Pennsylvania, Department of Pathology and Laboratory Medicine, Division of Anatomic Pathology, Philadelphia, PA, USA.
¹¹ Pathology at UMass Chan Medical School, Baystate Health Medical Center, Department of Pathology, Springfield, MA, USA.
¹² Emory University School of Medicine, Winship Cancer Institute, Department of Pathology and Laboratory Medicine, Cytopathology and Anatomic Pathology/Cytopathology, Atlanta, GA, USA.
¹³ University of Maryland School of Medicine, Department of Pathology, Anatomic Pathology Laboratory Operations, Baltimore, MD, USA.
¹⁴ University of Rochester Medical Center, School of Medicine & Dentistry, Vice Chair, Department of Pathology and Laboratory Medicine, Anatomic Pathology, Rochester, NY, USA.
¹⁵ Penn State Health Hershey Medical Center, Department of Pathology, Anatomic Pathology and Cytopathology, Hershey, PA, USA.
¹⁶ Keck School of Medicine of University of Southern California, Clinical Pathology, Los Angeles, CA, USA.
¹⁷ Emory University School of Medicine, Department of Pathology & Laboratory Services, Atlanta, GA, USA.
¹⁸ Grady Memorial Hospital, Anatomic Pathology, Atlanta, GA, USA.
¹⁹ University of Pennsylvania, Perelman School of Medicine, Department of Pathology, Breast Pathology, Philadelphia, PA, USA.
²⁰ University of Utah, Department of Pathology, Anatomic Pathology, Salt Lake City, UT, USA.
²¹ University of Miami Health System, Department of Pathology, Division of Hematopathology, Miami, FL, USA.
²² The University of Chicago, Department of Pathology, Anatomic Pathology Informatics, Chicago, IL, USA.
²³ State University of New York-Upstate Medical University, Upstate University Hospital, Department of Pathology, Anatomic Pathology, Syracuse, NY, USA.
²⁴ Northwell Health, North Shore University Hospital and Long Island Jewish Medical Center, Department of Pathology, Anatomic Pathology, Greenvale, NY, USA.
²⁵ University of California San Diego Health, Department of Pathology, Anatomic Pathology, San Diego, CA, USA.
²⁶ Stroger Hospital of Cook County Health, Pathology & Laboratory Medicine, Surgical Pathology, Chicago, IL, USA.
²⁷ Brigham & Women's Hospital/Harvard Medical School, Department of Pathology, Anatomic Pathology, Boston, MA, USA.
²⁸ of Onco-Pathology, Dana Farber Cancer Institute, Boston, MA, USA.
²⁹ Cedars Sinai Medical Center, Department of Pathology and Laboratory Medicine, Los Angeles, CA, USA.
³⁰ Tower Health, Department of Pathology and Laboratory Medicine, West Reading, PA, USA.
³¹ Dalhousie University, Department of Pathology, Halifax, Nova Scotia, Canada.
³² University of California San Francisco, Moffitt-Long Hospital, Department of Pathology, Surgical Pathology, San Francisco, CA, USA.
³³ University of California Davis Health, Department of Pathology, Surgical Pathology, Davis, CA, USA.
³⁴ Tulane University School of Medicine, Lakeside Hospital Laboratory, Department of Pathology, Surgical Pathology, New Orleans, LA, USA.
³⁵ Hospital Corporation of America, Pathology and Lab Services, Kansas City, MO, USA.
³⁶ Brigham and Women's Hospital/Harvard Medical School, Department of Pathology, Boston, MA, USA.
³⁷ University of Rochester Medical Center, School of Medicine and Dentistry, Department of Pathology and Laboratory Medicine, Rochester, NY, USA.
³⁸ Yale University School of Medicine, Department of Pathology, New Haven, CT, USA.
³⁹ Temple University Hospital/Lewis Katz School of Medicine, Department of Pathology and Laboratory Medicine, Anatomic Pathology/Cytology, Philadelphia, PA, USA.
⁴⁰ University of Miami Miller School of Medicine, Department of Pathology & Laboratory Medicine, Miami, FL, USA.
⁴¹ Medical College of Wisconsin, Department of Pathology and Laboratory Medicine, Breast & Women's Health, Milwaukee, WI, USA.
⁴² University of Colorado School of Medicine, Department of Pathology, Surgical Pathology and Anatomic Pathology Quality Management, Aurora, CO, USA.
⁴³ University of Minnesota, Department of Laboratory Medicine and Pathology, Surgical Pathology, Minneapolis, MI, USA.
⁴⁴ University of California San Francisco, Department of Pathology and Laboratory Medicine, San Francisco, CA, USA.
⁴⁵ University of Kentucky, Department of Pathology and Laboratory Medicine, Lexington, KY, USA.
⁴⁶ University of Pennsylvania, Perelman School of Medicine, Pathology and Laboratory Medicine, Surgical Pathology, Philadelphia, PA, USA.
⁴⁷ Stanford Medicine/Stanford Health Care/Stanford Medicine Children's Health, Surgical Pathology, Stanford, CA, USA.
⁴⁸ The University of Alabama at Birmingham, Heersink School of Medicine, Department of Pathology Anatomic Pathology, Birmingham, AL, USA.
⁴⁹ Duke University, Department of Pathology, Translational Research, Durham, NC, USA.
⁵⁰ Harbor-UCLA Medical Center, Department of Pathology, Anatomic Pathology & Molecular Pathology, Torrance, CA, USA.
⁵¹ University of Illinois Health at Chicago, Department of Pathology, Surgical Pathology, Chicago, IL, USA.
⁵² Roswell Park Comprehensive Cancer Center, Department of Pathology & Laboratory Medicine, Surgical Pathology, Buffalo, NY, USA.
⁵³ Allegheny Health Network (AHN), Allegheny General Hospital (Primary), AHN Wexford Hospital, Allegheny Pathology Associates, Pathology and Laboratory Medicine, Surgical Pathology, Pittsburgh, PA, USA.
⁵⁴ UT Southwestern Medical Center, Department of Pathology, Dallas, TX, USA.
⁵⁵ New York University (NYU) Grossman School of Medicine, NYU Langone Health, Department of Pathology, New York, NY, USA.
⁵⁶ University of California Los Angeles (UCLA) Health, David Geffen School of Medicine at UCLA, Clinical and Laboratory Pathology, Anatomic Pathology, Los Angeles, CA, USA.
⁵⁷ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Anatomic and Molecular Pathology, Boston, MA, USA.
⁵⁸ Columbia University Irving Medical Center, Department of Pathology and Cell Biology, Anatomic Pathology, New York, NY, USA.
⁵⁹ Loyola University Medical Center, Pathology and Laboratory Medicine, Surgical Pathology, Maywood, IL, USA.
⁶⁰ The University of Texas, MD Anderson Cancer Center, Department of Pathology, Pathology-Lab Medicine, Houston, TX, USA.
⁶¹ Albert Einstein College of Medicine, Montefiore Medical Center, Anatomic Pathology, Bronx, NY, USA.
⁶² University of Arkansas for Medical Sciences, College of Medicine, Department of Pathology, Anatomic Pathology, Little Rock, AR, USA.
⁶³ Mayo Clinic, Department of Pathology, Cytopathology, Jacksonville, FL, USA.
⁶⁴ University of Miami, Miller School of Medicine, Department of Pathology and Laboratory Medicine, Anatomic Pathology, Miami, FL, USA.
⁶⁵ Dana-Farber Cancer Institute, Breast Oncologic Pathology, Boston, MA, USA.
⁶⁶ Baylor College of Medicine, Houston Methodist Hospital, Anatomic Pathology, Houston, TX, USA.
⁶⁷ Medical University of South Carolina, College of Medicine, Pathology and Laboratory Medicine, Anatomic Pathology, Charleston, SC, USA.
⁶⁸ Massachusetts General Hospital/Harvard Medical School, Department of Pathology, Surgical Pathology and Clinical Affairs, Boston, MA, USA.
⁶⁹ UMass Memorial Health, UMass Chan Medical School, Department of Pathology, Surgical Pathology, Worcester, MA, USA.
⁷⁰ University of California Irvine Medical Center, Department of Pathology, Anatomic Pathology, Orange, CA, USA.
⁷¹ Beaumont Health, Surgical Pathology, Royal Oak, MI, USA.
⁷² University of Kansas Medical Center, Department of Pathology and Laboratory Medicine, Kansas City, KS, USA.
⁷³ The George Washington University School of Medicine and Health Sciences, Department of Pathology, Surgical Pathology, Washington, DC, USA.
⁷⁴ University of Arizona College of Medicine-Tucson, Department of Pathology, Anatomic Pathology, Tucson, AZ, USA.

PMID: 36266514
DOI: 10.1038/s41591-022-02040-6

No abstract available

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References

1. US Department of Health & Human Services (HHS), Center for Clinical Standards and Quality/Survey & Certification Group Ref: QSO-20-21-CLIA. Clinical Laboratory Improvement Amendments (CLIA) Laboratory Guidance During COVID-19 Public Health Emergency (March 26, 2020); https://www.cms.gov/files/document/qso-20-21-clia.pdf-0 (accessed 7 September 2022).
1. Furness, P. N. & Bamford, W. M. Curr. Diagn. Pathol. 7, 281–291 (2001). - DOI
1. Dietz, R. L. et al. Am. J. Clin. Pathol. 153, 198–209 (2020). - DOI
1. HHS. Fiscal Year 2023: Budget in Brief; https://www.hhs.gov/sites/default/files/fy-2023-budget-in-brief.pdf (accessed 7 September 2022).
1. US Centers for Medicare & Medicaid Services (CMS). Strategic Plan; https://www.cms.gov/ (accessed 7 September 2022).

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Ensuring remote diagnostics for pathologists: an open letter to the US Congress

Affiliations

Ensuring remote diagnostics for pathologists: an open letter to the US Congress

Authors

Affiliations

References

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LinkOut - more resources

Full Text Sources

Medical