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[全玻片成像技术:从数字化到在线应用]

[Whole slide imaging technology: from digitization to online applications].

作者信息

Ameisen David, Le Naour Gilles, Daniel Christel

机构信息

Université Paris Diderot, Institut universitaire d'hématologie, Paris, France.

出版信息

Med Sci (Paris). 2012 Nov;28(11):977-82. doi: 10.1051/medsci/20122811017. Epub 2012 Nov 12.

Abstract

As e-health becomes essential to modern care, whole slide images (virtual slides) are now an important clinical, teaching and research tool in pathology. Virtual microscopy consists of digitizing a glass slide by acquiring hundreds of tiles of regions of interest at different zoom levels and assembling them into a structured file. This gigapixel image can then be remotely viewed over a terminal, exactly the way pathologists use a microscope. In this article, we will first describe the key elements of this technology, from the acquisition, using a scanner or a motorized microscope, to the broadcasting of virtual slides through a local or distant viewer over an intranet or Internet connection. As virtual slides are now commonly used in virtual classrooms, clinical data and research databases, we will highlight the main issues regarding its uses in modern pathology. Emphasis will be made on quality assurance policies, standardization and scaling.

摘要

随着电子健康成为现代医疗的重要组成部分,全切片图像(虚拟切片)如今已成为病理学领域重要的临床、教学和研究工具。虚拟显微镜技术是通过在不同放大倍数下获取数百个感兴趣区域的切片,并将它们组装成一个结构化文件,从而对玻璃切片进行数字化处理。然后,这幅数十亿像素的图像可以通过终端进行远程查看,其方式与病理学家使用显微镜完全相同。在本文中,我们将首先描述这项技术的关键要素,从使用扫描仪或电动显微镜进行采集,到通过局域网或互联网连接,通过本地或远程查看器广播虚拟切片。由于虚拟切片目前在虚拟教室、临床数据和研究数据库中普遍使用,我们将重点介绍其在现代病理学应用中的主要问题。重点将放在质量保证政策、标准化和规模化方面。

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