Kaplan Keith J, Burgess Jeanette R, Sandberg Glenn D, Myers Cris P, Bigott Thomas R, Greenspan Renata B
Department of Pathology, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Mod Pathol. 2002 Nov;15(11):1197-204. doi: 10.1097/01.MP.0000033928.11585.42.
Telepathology is the practice of digitizing histological or macroscopic images for transmission along telecommunication pathways for diagnosis, consultation, or continuing medical education. Previous studies have addressed static versus dynamic imaging in several specimen types with a wide variety of systems and communication pathways. The goal of this paper was to assess the validity of a Web-based telepathology system for frozen section consultation within the Army Medical Department. The system provides real-time, dynamic remote control of a robotic microscope over standard Internet connections. Oftentimes, a solo pathologist is called on to provide diagnostic services without the support of immediate second or expert consultation during an intraoperative consultation. The use of telepathology is attractive because it provides an opportunity for pathologists to obtain immediate consultation. For purposes of the study, 120 consecutive frozen section cases were diagnosed at a distance using the system. Intraobserver agreement between the telepathology diagnosis and glass slide diagnosis was observed. Diagnostic agreement was 100% for a wide variety of specimens. This study suggests that such a system will help support pathologists located at distant sites.
远程病理学是指将组织学或大体图像数字化，通过电信途径传输以进行诊断、会诊或继续医学教育的实践。以往的研究已经探讨了在多种标本类型中使用各种系统和通信途径进行静态与动态成像的情况。本文的目的是评估陆军医务部基于网络的远程病理学系统在冰冻切片会诊中的有效性。该系统通过标准互联网连接对机器人显微镜进行实时、动态的远程控制。在术中会诊时，通常需要一名病理学家独自提供诊断服务，而没有即时的二次诊断或专家会诊支持。远程病理学的应用很有吸引力，因为它为病理学家提供了获得即时会诊的机会。为了这项研究，使用该系统对120例连续的冰冻切片病例进行了远程诊断。观察了远程病理学诊断与玻片诊断之间的观察者内一致性。对于各种标本，诊断一致性为100%。这项研究表明，这样的系统将有助于支持偏远地区的病理学家。
