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Tahir Pillay


Professor & Chair, School of Pathology, University of Pretoria, South Africa

Biggest challenge in pathology? The biggest challenge facing the pathology field right now is the integration of rapidly advancing technology, such as AI and digital pathology, into routine practice. This includes managing the high costs, ensuring interoperability between different systems, and training pathologists to effectively use these technologies. Additionally, there's the ongoing issue of a global shortage of pathologists, which exacerbates the pressure on existing practitioners and affects the quality and speed of diagnostic services.

Exciting developments and trends? One of the most exciting developments in pathology today is the advancement of precision medicine. This approach tailors treatment to the individual characteristics of each patient, often informed by detailed molecular and genetic analysis of their disease. Techniques such as next-generation sequencing and liquid biopsy are becoming more accessible and integrated into routine diagnostic processes, allowing for more personalized and effective treatment plans.

Controversial opinion? The traditional role of the pathologist as the primary diagnostician is being diminished by the increasing reliance on automated systems and AI. Some argue that these technologies may eventually replace pathologists for routine diagnostic tasks, while others believe that human expertise and oversight are irreplaceable and essential for accurate and nuanced diagnosis.


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