Martin E, Dusserre P, Fages A, Hauri P, Vieillefond A, Bastien H
Department of Pathology, Hôpital Bicêtre, Université Paris-Sud, France.
Zentralbl Pathol. 1992 Dec;138(6):419-23.
The field of pathology is constantly growing and the responsibility of the pathologists has progressively increased in the decision of application of some efficient but aggressive therapies. They justify the increasing necessity of discussion between pathologists about the diagnoses of difficult or rare or severe lesions. It is now possible to discuss at distance on good definition digitized images transmitted through I.S.D.N. A French experimental network between 12 workstations has been introduced since 2 years. Difficult or severe diagnoses have been immediately solved in 85% of the discussed cases. It remain legal problems and the necessity of an evaluation protocol which could be discussed at a European level. The increase of technical progress and, above all, the decrease of the costs might favour the development of telepathology. The workstation of the pathologist in the year 2000 could be the combination of a microscope, a HD-TV-camera and a personal computer with many softwares allowing treatment and transmission of numerous pictures.
病理学领域在不断发展，病理学家在决定应用一些有效但激进的治疗方法时的责任也在逐步增加。这证明了病理学家之间就疑难、罕见或严重病变的诊断进行讨论的必要性日益增加。现在可以通过综合业务数字网（ISDN）传输的清晰数字化图像进行远程讨论。一个法国的实验性网络已在12个工作站之间运行了两年。在85%的讨论病例中，疑难或严重的诊断立即得到了解决。但仍存在法律问题以及制定一个可在欧洲层面讨论的评估方案的必要性。技术进步的增加，尤其是成本的降低，可能会促进远程病理学的发展。2000年病理学家的工作站可能是显微镜、高清电视摄像机和个人计算机的组合，并配备许多允许处理和传输大量图片的软件。
