Department of Pathology, Robert Bosch Hospital, Stuttgart, Germany.
Department of Internal Medicine and Nephrology, Robert Bosch Hospital, Stuttgart, Germany.
J Telemed Telecare. 2020 Aug-Sep;26(7-8):488-494. doi: 10.1177/1357633X19840475. Epub 2019 Apr 21.
We describe the use of telepathology in countries with restricted resources using two diagnosis assistance systems (Isabel and Memem7) in addition to the diagnoses made by experts in pathology via the iPath-Network.
A total of 156 cases, largely from Afghanistan, were analysed; 18 cases had to be excluded because of poor image quality.
Of the remaining 138 cases (100%), a responsible physician provided a tentative diagnosis for 61.6% of them. With a diagnosis from a consultant pathologist, it was then possible to make a definite diagnosis in 84.8% of cases on the basis of images taken from hematoxylin and eosin staining sections alone. The use of the diagnosis assistance systems resulted in an ordered list of differential diagnoses in 82.6% (IsabelHealth) and in 74.6% (Memem7) of cases, respectively. Adding morphological terminology reduced the list of possible diagnoses to 52.2% (72 cases, Memem7), but improved their quality.
In summary, diagnosis assistance systems are promising approaches to provide physicians in countries with restricted resources with lists of probable differential diagnoses, thus increasing the plausibility of the diagnosis of the consultant pathologist.
我们描述了在资源有限的国家中使用远程病理学的情况，方法是除了通过 iPath-Network 让病理专家进行诊断外，还使用了两个诊断辅助系统（Isabel 和 Memem7）。
共分析了 156 例病例，主要来自阿富汗，其中 18 例因图像质量差而被排除。
在剩余的 138 例（100%）中，有一位负责的医生对其中 61.6%的病例做出了初步诊断。有了顾问病理学家的诊断，然后仅根据苏木精和伊红染色切片的图像就可以对 84.8%的病例做出明确诊断。使用诊断辅助系统分别导致 82.6%（IsabelHealth）和 74.6%（Memem7）的病例的鉴别诊断列表有序排列。添加形态学术语将可能的诊断数量减少到 52.2%（72 例，Memem7），但提高了其质量。
总之，诊断辅助系统是为资源有限的国家的医生提供可能的鉴别诊断列表的有前途的方法，从而提高顾问病理学家诊断的可信度。
