Beyond the Slide
Pathologist & PhD in oncology. Expert in digital pathology, AI and diagnostics. Writing to decode the present — and build what’s next.
- Indexed issues, last 90 days
- 12
- Latest publication
- Sep 25, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 10, 2026
Latest issues
The FDA’s Framework Measures How Autonomous the AI Is, Not Whether the Doctor Is Still Thinking. (opens the original)
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A friend sent me a working paper a few days ago that genuinely grabbed my attention. It’s from the FDA, and its purpose is ... to collect ideas and opinions to help shape what will become the new way of integrating AI into digital pathology (and into medicine as a whole, to be more precise). I obviously couldn’t let it pass, so I sat down to read it as if I had nothing else to do. And what I found, I don’t know how to classify. I don’t even know where to start ... there’s so much, and the docume
Who Needs Whom? AI and Pathologists: A Love Story (opens the original)
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<img alt="" class="sizing-normal" height="971" src="https://substackcdn.com/image/fetch/$s_!K4Aj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3e06be57-6e3a-4384-b403-9ff569e6f1a2_1536x1024.pn
Credential Theater: Should a pathologist learn to code? (opens the original)
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The Perfect PrecedentSomeone once asked me: “Dr. Cano, could you teach me how to become a digital pathologist? What do I need to do? Do I need to learn to code?”With as much humility as I could manage, I said: I’m not a digital pathologist. I’m just a pathologist who got interested in the digital side. I can code and build algorithms because I like computing, and because I have trouble sleeping at night.I could see, on my listener’s face, a look of broken expectations; he felt lost, again. That
The diagnosis no one can sign: Digital Pathology's global blind spot (opens the original)
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A patient once arrived, during my residency, carrying his own histology slides for review. His home hospital had given him a diagnosis that raised more doubts than certainties. The decision to seek an expert’s second opinion was immediate. That first diagnosis was already a month old, a month he had spent raising money for the trip. He waited two more weeks for the review. The trip home would take a couple of days, and a new appointment with his treating physician would take, at best, another we
The Dark Genome and the Two Clocks of Innovation (opens the original)
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<img alt="" class="sizing-normal" height="382.7980769230769" src="https://substackcdn.com/image/fetch/$s_!4jke!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0d1e9773-b9b3-4fd6-9ecf-f11d52ea15e
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