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| Titel: |
FIRST EXPERIENCES IN A TELEPATHOLOGY CONSULTATION SERVICE |
| Auteur: |
Janina Slodkowska Klaus Kayser Piotr Radomski Wielislaw Papierz |
| Verschenen in: |
Electronic journal of pathology and histopathology |
| Paginering: | Jaargang 6 (2002) nr. 3 pagina's 07 |
| Jaar: |
2002-03-25 |
| Inhoud: |
The authors present their first experience in an international and domestic telepathology consulting service using static image transmission. The study assessed the technical aspects of telepathology performance and examined the consultative accuracy of telepathology in difficult lung pathology and in neuropathology cases. The referring pathologist (RP) used the image analysis system "SAMBA 2005" with Telepath software (Unilog, France), prepared the files of microscopic images, and submitted the images together with scanned HRCT graphs and e-mail messages (patientsÂ’ information) via Internet to the expert telepathologist (TP). The 3CCD camera was operated at 768 x 576 pixels. A JPEG compression mode was implemented. The number of microscopic images varied from 14 to 21. The files ranged from 1,58 MB to 7,4 MB. The primary diagnoses were included in the transmitted static-image files. Simultaneously the glass slides were mailed to TP to be reviewed by the telepathologist for final diagnoses (RTD). The RP cases included: A/ pilocytic juvenile type astrocytoma, B/ desmoplastic medulloblastoma, C/ pilocytic astrocytoma, D/ pulmonary plasma cell granuloma with LIP (reactive interstitial lymphoid infiltrates), E/ pulmonary chondroides hamartoma with (?) parenchymal foci of smooth muscle proliferation. The e-mail process was successful in all cases. No technical errors occurred. The TP answers were faxed within 24 hrs. There was a high concordance for the important diagnosis made by RT, TP and RTD. The TP and RTD diagnoses extended RP diagnosis in case E by recognition of metastasising uterine benign leiomyoma in the lung. Additional immunostains were proposed for the therapeutic purpose. Our static-image study showed a high degree of the diagnostic accuracy in telepathology expert consultation. This diagnostic accuracy was related to the experience of the telepathologist and referring pathologist. Teleconsultations improved the quality of the diagnoses in the cases pulmonary presented. |
| Uitgever: |
IOS Press |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
Details van artikel 11 van 31 gevonden artikelen
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