Pathology Council Chair : Gerald Berry Incoming Chair : Patrick Bruneval Vice Chair : Pending Workforce leaders: 1.Standards & Guidelines: Joseph Maleszewski 2.Education Workforce Leader: Dylan Miller 3.Registries & Databases Workforce Leader: Robert F. Padera, 4.Communications Workforce Leader: James B. Atkinson

Accomplishments over past year 1. Publication of proposed ISHLT grading scheme for cardiac AMR. Berry et al J Heart Lung Transplant 2011; 30: Evaluation and refinement of pathological criteria for the diagnosis and reporting of cardiac AMR in pre-meeting session on (14 participants) and outline for manuscript development. 3. Utilization of web-based pathology survey using REDCap for validation of cardiac AMR criteria. This was performed in conjunction with Aperio SecondSlide web-based system for reviewing histopathology and immunohistochemical slides by virtual microscopy. 4. Survey of 38 programs in North America, Europe and Australia assessing current practices of histopathological and immunopathological aspects of pulmonary AMR. 5. Evaluation of survey results, examination of technical, interpretative and reporting issues and proposals for antibody selection, C4d staining distribution and intensity thresholds, terminology for reporting in Pre- meeting session on April 17, (14 participants)

Accomplishments over past year 6. Participation in symposia at Prague: Pre-meeting Symposium #2 (4/18), Concurrent Symposium #4 (4/19), Concurrent Symposium #15 (4/20) 7. Concurrent Session 18 (4/19) Pathology session- 175+attendees. Participation in Concurrent Session 23 (4/19)

Goals and plans for coming year 1. Publication of Cardiac AMR criteria and grading scheme 2. Expansion of survey of current practices for diagnosis and reporting of pulmonary AMR 3. Publication of results of survey and commentary of current concepts in pulmonary AMR and proposal for uniform assessment and reporting 4. Web-based creation and collection of cases of pulmonary AMR using Aperio SecondSlide virtual microscopy to enhance diagnostic experience and education 5. Expansion of membership in Pathology Council including junior members/trainees through mechanisms including pulmonary AMR projects.

Key discussion points and action items for the Board 1. Continued support of cardiac AMR pathology template and Second-Slide image (including financial) 2. Continued support of pulmonary AMR initiatives including follow-up pre-meeting on pulmonary AMR in Montreal 3. Provide organizational support for web- based atlas of cardiac & pulmonary AMR either through Pathology Council

Items needing budget consideration (include amount requested and rationale) Costs related to Second-Slide image repository Costs related to 2013 pre-meeting on pulmonary AMR