Bhele Sanica, Jialdasani Rajasa, Kothari Ashok, Bhosale Smita, Desai Sangeeta
Department of Pathology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra.
Indian J Pathol Microbiol. 2007 Oct;50(4):749-53.
The objective of this study is to analyze the deferrals in static telepathology consultation service. A store and forward approach is used to transmit cases from two remotely located rural centers to Tata Memorial Hospital. A total of 346 tele-surgical pathology cases were accessioned for second opinion and were reported from January 2002 to August 2005. The glass slides and paraffin blocks were reviewed at a later date and the telepathology diagnosis was compared with the final diagnosis rendered on light microscopy. Of all 251 teleconsults referred from one of the referring centers, a telepathology diagnosis was rendered in 205 cases and 46 cases were deferred. The reasons for deferral were as follows: the requirement for ancillary studies (40 cases), clinical details (5 cases) and poor quality sections and images (1 case). In all these deferred cases, a probable diagnosis was rendered by the telepathologist and was compared with the final diagnosis after paraffin block evaluation. In 47% of the cases, the "probable" diagnosis on telepathology matched the final diagnosis.
本研究的目的是分析静态远程病理会诊服务中的延迟情况。采用存储转发方法将病例从两个偏远的农村中心传输至塔塔纪念医院。2002年1月至2005年8月期间，共接收了346例远程手术病理病例以获取二次诊断意见并进行报告。玻片和石蜡块在之后的日期进行复查，并将远程病理诊断与光学显微镜下的最终诊断进行比较。在从其中一个转诊中心转诊的所有251例远程会诊病例中，205例给出了远程病理诊断，46例被延迟。延迟的原因如下：需要辅助检查（40例）、临床细节（5例）以及切片和图像质量差（1例）。在所有这些延迟病例中，远程病理学家给出了可能的诊断，并在石蜡块评估后与最终诊断进行比较。在47%的病例中，远程病理的“可能”诊断与最终诊断相符。
