Takahashi M, Mernyei M, Shibuya C, Toshima S
Department of Pathology, SRL, Inc., Hachioji.
Rinsho Byori. 1999 Jan;47(1):27-30.
Nearly ten years have passed since telepathology was introduced and real-time pathology consultations were conducted. Long distance consultations in pathology, cytology, computed tomography and magnetic resonance imaging, which are referred to as telemedicine, clearly enhance the level of medical care in remote hospitals where no full-time specialists are employed. To transmit intraoperative frozen section images, we developed a unique hybrid system "Hi-SPEED". The imaging view through the CCD camera is controlled by a camera controller that provides NTSC composite video output for low resolution motion pictures and high resolution digital output for final interpretation on computer display. The results of intraoperative frozen section diagnosis between the Gihoku General Hospital 410 km from SRL showed a sensitivity of 97.6% for 82 cases of breast carcinoma and a false positive rate of 1.2%. This system can be used for second opinions as well as for consultations between cytologists and cytotechnologists.
自远程病理学被引入并进行实时病理会诊以来，近十年已经过去了。病理学、细胞学、计算机断层扫描和磁共振成像方面的远程会诊，即所谓的远程医疗，显然提高了那些没有聘请全职专家的偏远医院的医疗水平。为了传输术中冰冻切片图像，我们开发了一种独特的混合系统“Hi-SPEED”。通过CCD相机的成像视图由相机控制器控制，该控制器为低分辨率动态图像提供NTSC复合视频输出，并为计算机显示器上的最终解读提供高分辨率数字输出。距离SRL 410公里的北东北综合医院术中冰冻切片诊断结果显示，82例乳腺癌的敏感度为97.6%，假阳性率为1.2%。该系统可用于二次诊断以及细胞学家和细胞技术人员之间的会诊。
