Sawai T, Uzuki M, Watanabe M
Department of Pathology, Iwate Medical University, Morioka.
Rinsho Byori. 2000 May;48(5):458-62.
Telepathology is the performance of pathology at distance using available telecommunication links such as optic fiber, communication satellite, and integrated services digitized network (ISDN). The main applications of telepathology are to provide frozen section service, consultation between pathologists at a distance, and conducting conferences using displays. These activities are required due to the shortage and disproportional distribution of pathologists. Telepathology for frozen section service is fairly effective in providing indications for surgical procedures by discriminating malignant tumor from benign tumor, confirming metastasis to distant organs or lymph nodes, and decisions regarding the surgical margin. However, there are several public insurance problems in the spread and practice of telepathology. To solve these problems, not only from a medical approach but also from the development of mechanical engineering, economic and legal issues must be considered.
远程病理学是利用光纤、通信卫星和综合业务数字网（ISDN）等现有电信链路在远距离进行病理学操作。远程病理学的主要应用包括提供冰冻切片服务、远距离病理学家之间的会诊以及使用显示器召开会议。由于病理学家短缺和分布不均衡，这些活动是必要的。用于冰冻切片服务的远程病理学在通过区分恶性肿瘤和良性肿瘤、确认远处器官或淋巴结转移以及确定手术切缘来为手术程序提供指征方面相当有效。然而，远程病理学的推广和实践存在一些公共保险问题。为了解决这些问题，不仅要从医学角度，还必须考虑机械工程发展、经济和法律问题。
