Haugen O A, Halvorsen T B, Aarset H, Ovrehus T A, Torp S H, Edna T H, Ruud S
Avdeling for Patologi Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1999 Jan 30;119(3):355-8.
Telepathology can provide frozen section service to hospitals without a pathology service of their own. Using a dynamic-robotic system with 6 ISDN B-channels (Telemed A200, AM Elektronikk A/S, Oslo, Norway), the pathologists at the University Hospital in Trondheim, Norway during a three-year period from 1995 successfully performed 116 diagnostic sessions for two rural Norwegian hospitals. In 90% of the cases a diagnosis was provided. There was no false positive diagnosis and only 3% false negative cases without clinical consequence. Deferred cases (10%) were mainly due to poor quality of the frozen sections and a conservative attitude among the pathologists. It is concluded that the diagnostic accuracy is good, but for safety reasons telepathology should be offered on a regular basis, so that the skills of the technicians and pathologists involved are kept up. In Mid-Norway, five more hospitals will be included in a telemedicine network comprising eight hospitals in the region.
远程病理学可为没有自身病理服务的医院提供冰冻切片服务。挪威特隆赫姆大学医院的病理学家使用具有6个ISDN B信道的动态机器人系统（Telemed A200，AM Elektronikk A/S，奥斯陆，挪威），在1995年起的三年时间里，成功地为挪威两家乡村医院进行了116次诊断会诊。90%的病例给出了诊断结果。没有假阳性诊断，只有3%的假阴性病例且无临床后果。延迟病例（10%）主要是由于冰冻切片质量差以及病理学家持保守态度。结论是诊断准确性良好，但出于安全考虑，应定期提供远程病理学服务，以便相关技术人员和病理学家的技能得以保持。在挪威中部，另外五家医院将被纳入一个由该地区八家医院组成的远程医疗网络。
