Maiolino Paola, Restucci Brunella, Papparella Serenella, De Vico Gionata
Facoltà di Medicina Veterinaria, Università degli Studi di Napoli Federico II, Napoli, Italy.
Vet Clin Pathol. 2006 Sep;35(3):303-6. doi: 10.1111/j.1939-165x.2006.tb00135.x.
Telepathology is the process of diagnostic pathology performed on digital images viewed on a display screen rather than by conventional light microscopy with glass slides. At present, electronic mail (e-mail) attachment is the most common communication medium for telepathology, because it is relatively simple and incurs minimal cost.
Our objective was to test whether telediagnosis through Internet e-mail could be applied to veterinary diagnostic cytology.
Using 20 cytology cases, on which a consensus diagnosis was reached by 3 experienced pathologists, a total of 130 images were digitized and sent as e-mail attachments from the Unit of Anatomic Pathology of the Faculty of Veterinary Medicine of Naples to the Unit of Pathology of the Faculty of Veterinary Medicine of Messina, Italy. The images were reviewed at the Unit of Pathology of Messina, where the consulting pathologist formulated his diagnoses by visualizing the images on the monitor of a computer. The telediagnoses were compared with the consensus diagnoses and with the consulting pathologist's interpretation using conventional light microscopy at a later date.
The median time to capture images was approximately 30 minutes for each case. The median time to make a telecytodiagnosis was a few seconds for each case. Overall, there was good agreement (85%) between the consensus diagnosis and the consultant's telediagnosis. In 100% of the cases there was agreement between the consulting pathologist's telediagnosis and conventional glass slide diagnosis.
Telepathology by e-mail provides acceptable efficacy and a faster turnaround time than post and can be applied to veterinary diagnostic cytology.
远程病理学是指在显示屏上查看数字图像而非通过传统的玻璃载玻片光学显微镜进行诊断病理学的过程。目前，电子邮件附件是远程病理学最常用的通信媒介，因为它相对简单且成本极低。
我们的目的是测试通过互联网电子邮件进行的远程诊断是否可应用于兽医诊断细胞学。
使用20例细胞学病例，3位经验丰富的病理学家达成了共识诊断，共130张图像被数字化，并作为电子邮件附件从那不勒斯兽医学院解剖病理学单位发送至意大利墨西拿兽医学院病理学单位。这些图像在墨西拿病理学单位进行查看，咨询病理学家通过在计算机显示器上查看图像来做出诊断。随后将远程诊断结果与共识诊断以及咨询病理学家使用传统光学显微镜的诊断结果进行比较。
每个病例采集图像的中位时间约为30分钟。每个病例进行远程细胞诊断的中位时间为几秒。总体而言，共识诊断与咨询病理学家的远程诊断之间有良好的一致性（85%）。在100%的病例中，咨询病理学家的远程诊断与传统玻璃载玻片诊断结果一致。
通过电子邮件进行的远程病理学提供了可接受的效率，且周转时间比邮寄更快，可应用于兽医诊断细胞学。
