Thursday, October 9, 2025

Braxton Writes: Digital Pathology Will Be Impactful, and Soon

 I've been working more and more on digital pathology in the past year, and I'm looking forward to an AMA workshop on AI coding policy in Chicago on December 8 (hybrid/virtual), which will continue the discussion of September's "Tab 94" at the AMA CPT meeting.

Pathologist David Braxton has a cool essay posted at Linked-In today, discussing the recent Digital Pathology Association meeting and giving us some highlights.

AstraZeneca QCS (TROP2)

He writes, "AstraZeneca's QCS System for TROP2 was a standout."  This system for companion diagnostics is undergoing FDA review, and uses "normalized membrane ratio" as a biomarker.  As Braxton writes, this is new and important because, "It's literally impossible to score an NMR by eye."

PathAI and AIM-PD-L1 for rearding PDL1

Braxton then points us to PathAI's new algorithm for PDL1 ("AIM-PD-L1") which stratifies survival [due to drug response] better than human pathologists.  To achieve this, it reclassifies 30% of cases.  

See Braxton's full essay at Linked-In here:

https://www.linkedin.com/posts/davidbraxtonmd_digitalpathology-pathology-artificialintelligence-activity-7382117149567451136-0dKN/

## For Extra Reading

See my blog today on PathAI's and Artera's comments to CMS on how to valuation AI or SaaS-SaMD in pathology.