Desai Sangeeta, Patil Rajasa, Kothari Ashok, Shet Tanuja, Kane Shubhada, Borges Anita, Chinoy Roshni
Department of Pathology, Tata Memorial Hospital, Barshi.
Indian J Pathol Microbiol. 2004 Oct;47(4):480-5.
Telepathology is the practice of pathology at a distance. Static telepathology is employed to achieve teleconsultation between a tertiary cancer referral centre, Tata Memorial Centre and a sister concern in rural area viz. Nargis Dutt Memorial Cancer Hospital, Barshi, Solapur. This is an analysis of the first 102 cases. Two transcontinental consultations have not been included in statistical analysis. A diagnosis was offered in 99 (99%) cases; whereas it was deferred in only I (1%) case. Clinically important or relevant diagnosis were achieved in 93/ 99 (93.93%) of cases. Major discrepancies were encountered in 6/99 (6.06%) of cases. A total of 79% of cases were reported within 3 days, of which 32% were reported within 8 hours (a single working day) and 47% within 1-3 days. Telemedicine can be used effectively to bridge the gap between medically underprivileged, geographically distant rural areas and advanced centers with technical expertise using cheaper static store and forward methodology.
远程病理学是一种远程进行病理学诊断的实践方式。静态远程病理学用于在三级癌症转诊中心——塔塔纪念中心与农村地区的关联机构(即索拉布尔巴尔希的纳尔吉斯·杜特纪念癌症医院)之间实现远程会诊。这是对前102例病例的分析。两次跨大陆会诊未纳入统计分析。99例(99%)病例给出了诊断结果;而仅1例(1%)病例的诊断被推迟。93/99(93.93%)的病例得出了具有临床重要性或相关性的诊断结果。99例中有6例(6.06%)出现了重大差异。79%的病例在3天内完成报告,其中32%在8小时内(一个工作日)报告,47%在1 - 3天内报告。利用更廉价的静态存储和转发方法,远程医疗能够有效地弥合医疗条件差、地理位置偏远的农村地区与拥有技术专长的先进中心之间的差距。