Tamai S
Department of Laboratory Medicine, National Defense Medical College, Tokorozawa.
Rinsho Byori. 1995 Oct;43(10):1017-23.
The "Quick Return Service" of laboratory information would be the service for patients and clinicians that supply the laboratory information the instance that the specimens and the requests of laboratory examinations are accepted by the laboratory on the basis of the hospital information system (HIS) and the high-speed hospital transportation system of the specimens. Is the "Quick Return Service" of the pathological diagnosis possible and necessary? This question led the author to review the technical environments of the pathological diagnosis, especially of the frozen section diagnosis through our experience at the surgical pathology division of the Department of Laboratory Medicine of National Defense Medical College (NDMC) Hospital. Through the review, it appears that the supporting system for surgical pathologists to frozen section diagnosis ("Quick Return Service") is essential. Pathologists often need clinical and radiological information at the pathological diagnosis. For quick gaining of the information by surgical pathologists on the "Quick Return Service", the efficient HIS including hospital PACS (picture archiving and communication system) is necessary. Standardization and quality assurance of images of frozen section are also necessary. The technical environments of telepathology are developing. The interinstitution consultation through the telepathology will be the indispensable help for the "general" surgical pathologists confronting the problematic cases in the small hospitals that are deficient of pathologists. With the help of staff of the surgical pathology division of the NDMC hospital and the technologists of Mitsubishi Electronics, Co, the author has tried to develop the archiving system of frozen section pictures on the digital image management system.(ABSTRACT TRUNCATED AT 250 WORDS)
实验室信息的“快速反馈服务”是一种面向患者和临床医生的服务,它基于医院信息系统(HIS)以及标本的高速院内传输系统,在实验室接收标本和实验室检查申请之时,即刻提供实验室信息。病理诊断的“快速反馈服务”是否可行且必要呢?基于我们在国防医科大学(NDMC)医院检验医学部外科病理科的经验,这个问题促使作者审视病理诊断的技术环境,尤其是冰冻切片诊断的技术环境。通过审视发现,为外科病理医生进行冰冻切片诊断提供支持的系统(“快速反馈服务”)至关重要。病理医生在病理诊断时常常需要临床和放射学信息。为使外科病理医生在“快速反馈服务”中能迅速获取信息,高效的HIS(包括医院图像存档与通信系统PACS)是必要的。冰冻切片图像的标准化和质量保证也不可或缺。远程病理学的技术环境正在发展。通过远程病理学进行机构间会诊,对于那些病理医生短缺的小医院中面对疑难病例的“普通”外科病理医生来说,将是不可或缺的帮助。在NDMC医院外科病理科工作人员和三菱电子公司技术人员的协助下,作者试图在数字图像管理系统上开发冰冻切片图片存档系统。(摘要截选至250词)