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Understanding the ethical and legal considerations of Digital Pathology

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Coulter, Cheryl, McKay, Francis, Hallowell, Nina, Browning, Lisa, Colling, Richard, Macklin, Philip, Sorell, Tom, Aslam, Muhammad, Bryson, Gareth, Treanor, Darren and Verrill, Clare (2022) Understanding the ethical and legal considerations of Digital Pathology. The Journal of Pathology: Clinical Research, 8 (2). pp. 101-115. doi:10.1002/cjp2.251 ISSN 2056-4538.

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Official URL: https://doi.org/10.1002/cjp2.251

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Abstract

Digital Pathology (DP) is a platform which has the potential to develop a truly integrated and global pathology community. The generation of DP data at scale creates novel challenges for the histopathology community in managing, processing, and governing the use of these data. The current understanding of, and confidence in, the legal and ethical aspects of DP by pathologists is unknown. We developed an electronic survey (e‐survey) comprising of 22 questions, which was developed with input from the Royal College of Pathologists (RCPath) Digital Pathology Working Group. The e‐survey was circulated via e‐mail and social media (Twitter) through the RCPath Digital Pathology Working Group network, RCPath Trainee Committee network, the Pathology image data Lake for Analytics, Knowledge and Education (PathLAKE) digital pathology consortium, National Pathology Imaging Co‐operative (NPIC), local contacts, and to the membership of both The Pathological Society of Great Britain and Ireland and the British Division of the International Academy of Pathology (BDIAP). Between 14 July 2020 and 6 September 2020, we collected 198 responses representing a cross section of histopathologists, including individuals with experience of DP research. We ascertained that in the UK, DP is being used for diagnosis, research, and teaching, and that the platform is enabling data sharing. Our survey demonstrated that there is often a lack of confidence and understanding of the key issues of consent, legislation, and ethical guidelines. Of 198 respondents, 82 (41%) did not know when the use of digital scanned slide images would fall under the relevant legislation and 93 (47%) were ‘Not confident at all’ in their interpretation of consent for scanned slide images in research. With increasing uptake of DP, a working knowledge of these areas is essential but histopathologists often express a lack of confidence in these topics. The need for specific training in these areas is highlighted by the findings of this study.

Item Type: Journal Article
Subjects: R Medicine > RB Pathology
Divisions: Faculty of Social Sciences > Politics and International Studies
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Pathology -- Data processing, Pathology -- Data processing -- Moral and ethical aspects, Histopathology -- Data processing, Histopathology -- Data processing -- Moral and ethical aspects
Journal or Publication Title: The Journal of Pathology: Clinical Research
Publisher: John Wiley & Sons, Inc.
ISSN: 2056-4538
Official Date: March 2022
Dates:
DateEvent
March 2022Published
18 November 2021Available
12 October 2021Accepted
Volume: 8
Number: 2
Page Range: pp. 101-115
DOI: 10.1002/cjp2.251
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 29 November 2021
Date of first compliant Open Access: 29 November 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDInnovate UKhttp://dx.doi.org/10.13039/501100006041
UNSPECIFIEDNIHR Oxford Biomedical Research Centrehttp://dx.doi.org/10.13039/501100013373
104687National Pathology Imaging Co-operativehttps://npic.ac.uk/
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