a Department of Pathology , UPMC, UPMC Cancer Pavillion Suite 201 , Pittsburgh , PA , USA.
b Department of Pathology, Division of Pathology Informatics , UPMC Presbyterian Hospital , Pittsburgh , PA , USA.
Expert Rev Med Devices. 2018 Dec;15(12):883-890. doi: 10.1080/17434440.2018.1549987. Epub 2018 Nov 26.
The use of telepathology in intraoperative consultations has been increasing due to limited time and availability of pathologists, and the demand for increased access to pathology subspecialists in difficult cases. The five main categories of telepathology are (1) static, (2) dynamic, (3) robotic, (4) whole slide imaging (WSI), and (5) hybrid methods. The majority of these methods have been found to offer diagnostic accuracy rates similar to conventional microscopy, at the cost of slightly prolonged time to evaluate slides.
Herein we discuss the salient features of each telepathology method and provide examples of their performance reported in the literature.
Telepathology systems from any of the aforementioned categories can be employed to achieve timely and accurate diagnoses as long as they meet clinical needs and are validated for the intended use case. The decision to purchase a particular system depends on the clinical application, specific needs and budget of the laboratory, as well as the personal preference of the telepathologists involved. The adoption of telepathology practice is likely to expand in order to meet the increasing demand for subspecialist consultation and as technology advances to improve diagnostic accuracy and workflow.
由于时间有限且病理学家资源不足，以及在疑难病例中增加获得病理专家咨询的需求，术中咨询中使用远程病理学的情况日益增多。远程病理学的五个主要类别为：（1）静态，（2）动态，（3）机器人，（4）全切片成像（WSI）和（5）混合方法。这些方法中的大多数已被发现提供与传统显微镜相似的诊断准确率，但其评估切片的时间略有延长。
本文讨论了每种远程病理学方法的显著特点，并提供了文献中报道的其性能的示例。
只要远程病理学系统满足临床需求并针对预期的使用情况进行了验证，就可以从上述任何一个类别中采用远程病理学系统来实现及时和准确的诊断。购买特定系统的决定取决于临床应用、实验室的具体需求和预算，以及相关远程病理学家的个人偏好。为了满足对专科咨询的日益增长的需求，并随着技术的进步提高诊断准确性和工作流程效率，远程病理学实践的采用可能会扩大。
