Heudel Pierre, Amini-Adle Mona, Anriot Julien, Vaz Gualter, Laine Claire, Desoutter Aline, Crochet Hugo
Department of Medical Oncology, Centre Léon Bérard, Lyon, France.
Department of Surgical Oncology, Centre Léon Bérard, Lyon, France.
Front Digit Health. 2025 Aug 29;7:1552182. doi: 10.3389/fdgth.2025.1552182. eCollection 2025.
Tele-expertise, the asynchronous exchange of medical expertise via secured digital platforms, is revolutionizing healthcare delivery. By overcoming geographical and logistical barriers, it enables timely access to specialized care and supports multidisciplinary decision-making, particularly in oncology. Its adoption has accelerated with the COVID-19 pandemic and regulatory changes, improving patient outcomes by facilitating efficient diagnosis and treatment.
An anaysis of peer-reviewed studies published in the past decade was conducted using PubMed, MEDLINE, and the Cochrane Library. The inclusion criteria focused on studies evaluating tele-expertise for remote consultations, imaging interpretation, pathology evaluation, and multidisciplinary tumor boards. Methodological quality, including study design, sample size, and reliability of outcomes, was assessed. Cross-referencing and manual searches were performed to ensure comprehensive coverage.
The review demonstrated that tele-expertise improves access to specialized consultations, enhances diagnostic accuracy, and expedites clinical decision-making. Applications in oncology include remote imaging interpretation and support for multidisciplinary teams. Challenges identified include the transmission of large imaging files, the need for secure and robust IT infrastructure, and training healthcare providers. Ethical considerations, such as data privacy and medical liability, remain key barriers.
Tele-expertise is transforming healthcare by enabling equitable access to specialized care and fostering collaboration in oncology. Addressing challenges related to infrastructure, training, and ethical issues is critical to maximizing its potential. The integration of AI and further advancements in telemedicine platforms will enhance its role in delivering high-quality, timely care globally.
远程专家服务，即通过安全的数字平台进行医学专业知识的异步交流，正在彻底改变医疗服务的提供方式。通过克服地理和后勤障碍，它能够及时获得专科护理并支持多学科决策，尤其是在肿瘤学领域。随着新冠疫情和监管变化，其应用加速，通过促进高效诊断和治疗改善了患者预后。
使用PubMed、MEDLINE和考克兰图书馆对过去十年发表的同行评议研究进行分析。纳入标准集中于评估远程专家服务用于远程会诊、影像解读、病理评估和多学科肿瘤委员会的研究。评估了包括研究设计、样本量和结果可靠性在内的方法学质量。进行交叉引用和手动检索以确保全面覆盖。
综述表明，远程专家服务改善了专科会诊的可及性，提高了诊断准确性，并加快了临床决策。在肿瘤学中的应用包括远程影像解读和对多学科团队的支持。确定的挑战包括大型影像文件的传输、对安全且强大的信息技术基础设施的需求以及对医疗服务提供者的培训。诸如数据隐私和医疗责任等伦理考量仍然是关键障碍。
远程专家服务正在通过实现公平获得专科护理和促进肿瘤学领域的协作来改变医疗保健。应对与基础设施、培训和伦理问题相关的挑战对于最大限度发挥其潜力至关重要。人工智能的整合以及远程医疗平台的进一步发展将增强其在全球提供高质量、及时护理方面的作用。
