172: Why Structured Reporting Is the Future of Pathology | mTuitive on Workflow, Data & Compliance with Peter O'Toole

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If your pathology reports and other data could talk, what would they say about the future of precision medicine? The truth is, most labs already have the data—they’re just not having a conversation with it.

In this episode, I talk with Peter O’Toole, President and Chief Software Architect at mTuitive. We recorded live at Pathology Visions and are covering the power of structured data and how it’s redefining the future of pathology reporting, AI, and clinical decision support.

We explore how structured reporting evolved from checklists to intelligence, why data hygiene and workflow integration matter more than AI buzzwords, and how collaboration across companies like mTuitive is helping labs turn their reports into clinically actionable data.

Highlights with Timestamps

• [00:00–05:40] Data as the new currency in pathology — Why structured data is the foundation for clinical, research, and trial insights.
• [05:40–10:30] AI & Large Language Models (LLMs) — What AI can (and can’t) do when your data isn’t structured.
• [10:30–19:25] AI workflow integration & voice recognition — How AI and structured reporting work together inside the LIS and IMS.
• [19:25–25:27] Overcoming resistance — Why pathologists initially resisted structured reports and how perceptions are shifting globally.
• [25:27–29:53] Decision support & beyond cancer — Expanding structured data to liver, skin, and even mental health pathology.
• [29:53–34:15] Collaboration as the catalyst — How partnerships create seamless ecosystems for pathology data.
• [34:15–37:03] Demo: Synoptic reporting in action — Real-time staging, automation, and compliance made easy.
  
  

Resources from this Episode

• mTuitive website: https://mtuitive.com
• CAP Synoptic Reporting Protocols – Standardized templates for structured pathology reports.
• Pathology Visions Conference 2025 – Event where this discussion took place.
  
  

Key Takeaways

✅ Structured reporting transforms pathology data from static text into actionable intelligence.
✅ AI and LLMs complement structured data—but can’t replace its clinical readiness.
✅ Clean data in = clean data out—data hygiene defines AI reliability and efficiency.
✅ Workflow integration and user-friendly design drive real-world adoption.
✅ Structured data unlocks clinical trials access, research potential, and decision support tools.
✅ Collaboration is key to building the connected ecosystem pathology needs.

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