Patologi Oltre Frontiera, Desio Hospital, Desio, Italy.
Arch Pathol Lab Med. 2011 Feb;135(2):215-9. doi: 10.5858/135.2.215.
Only 1 surgical pathology laboratory is available in Zambia, a country with a population of 12 million people. Since 2004 the Italian association of pathologists Patologi Oltre Frontiera has been working to create a virtual laboratory through the use of telemedicine. The project has involved staining histologic preparations on site, with the interpretation of imaged slides performed abroad through telepathology. Starting in April 2007, all surgical specimens obtained in Mtendere Mission Hospital, Chirundu, Zambia, were submitted for microscopic examination through whole-slide scans. Two independent Italian pathologists evaluated the cases by means of satellite connection and the final diagnoses were sent to Zambian clinicians via the internet. This article describes the spectrum of diagnoses made via telepathology for the Zambian population. Also, we analyze the concordant and discordant data between this telepathology method and traditional microscopy in a developing country. Moreover, we provide possible solutions for providing pathology services in other underdeveloped countries.
赞比亚是一个拥有 1200 万人口的国家，仅有 1 家外科病理学实验室。自 2004 年以来，意大利的海外病理学家协会（Patologi Oltre Frontiera）一直致力于通过远程医疗创建虚拟实验室。该项目涉及现场对组织学标本进行染色，通过远程病理学对成像载玻片进行解读。从 2007 年 4 月开始，赞比亚 Chirundu 的 Mtendere 传教医院获得的所有外科标本都通过全切片扫描进行显微镜检查。两位意大利病理学家通过卫星连接对病例进行独立评估，并通过互联网将最终诊断结果发送给赞比亚临床医生。本文描述了通过远程病理学为赞比亚人群做出的诊断范围。此外，我们还分析了这种远程病理学方法与发展中国家传统显微镜检查之间的一致和不一致数据。此外，我们还为其他欠发达国家提供病理服务提供了可能的解决方案。
