Becker R L, Specht C S, Jones R, Rueda-Pedraza M E, O'Leary T J
Department of Cellular Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-600.
Hum Pathol. 1993 Aug;24(8):909-11. doi: 10.1016/0046-8177(93)90142-4.
We investigated the use of remote video microscopy (telepathology) to assist in the diagnosis of 52 neurosurgical frozen section cases. The TelMed system (Discovery Medical Systems, Overland Park, KS), in which the referring pathologist selects appropriate fields for transmission to the consultant, was used for the study. There was a high degree of concordance between the diagnosis rendered on the basis of transmitted video images and that rendered on the basis of direct evaluation of frozen sections; however, in seven cases there was substantial disagreement. Remote evaluation was associated with a more rapid consultation from the standpoint of the consultant, who spent approximately 2 minutes less per case when using remote microscopy; this was achieved at the expense of considerably greater effort on the part of the referring pathologist, who spent approximately 16 minutes per case selecting an average of 4.5 images for transmission to the consultant. The use of remote video microscopy for pathology consultation is associated with a complex series of tradeoffs involving cost, information loss, and timeliness of consultation.
我们研究了使用远程视频显微镜检查（远程病理学）辅助诊断52例神经外科冰冻切片病例。本研究使用了TelMed系统（发现医疗系统公司，堪萨斯州欧弗兰帕克），在该系统中，转诊病理学家选择合适的视野传输给会诊医生。基于传输的视频图像做出的诊断与基于直接评估冰冻切片做出的诊断之间存在高度一致性；然而，在7例病例中存在重大分歧。从会诊医生的角度来看，远程评估带来了更快的会诊，会诊医生使用远程显微镜时每例病例花费的时间约少2分钟；但这是以转诊病理学家付出相当大的额外努力为代价的，转诊病理学家每例病例花费约16分钟，平均选择4.5张图像传输给会诊医生。使用远程视频显微镜进行病理学会诊涉及一系列复杂的权衡，包括成本、信息损失和会诊及时性。
