Advances in the coordinated development of digital cytopathology testing equipment and intelligent interpretation systems
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Digital cytopathology links specimen preparation, staining, imaging, quality control, and artificial intelligence (AI)-assisted interpretation. This narrative review compares how equipment conditions, annotation levels, and aggregation mechanisms ...
MoreDigital cytopathology links specimen preparation, staining, imaging, quality control, and artificial intelligence (AI)-assisted interpretation. This narrative review compares how equipment conditions, annotation levels, and aggregation mechanisms affect model performance and its clinical interpretation. Recent studies cover cervical screening as well as thyroid, urinary, pancreatic, and effusion cytology, but differences in specimen types, reference standards, and validation designs limit direct comparisons. We explain detection and segmentation, weakly supervised aggregation, self-supervised adaptation, and multimodal fusion, distinguishing technical endpoints from reader performance and patient benefit. Preparation-dependent morphology, sparse abnormal cells, overlapping groups, and focal-plane selection constrain transfer between laboratories. An equipment–quality control–AI–human review framework can organize error-specific corrective actions, but its overall safety and cost-effectiveness require prospective evaluation. Deployment must match the validated specimen, population, and assistive or autonomous role.
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Junnan Wang, ... Dongxu Zhang
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DOI: https://doi.org/10.70401/cbm.2026.0026 - October 30, 2026
