Della Mea V, Puglisi F, Forti S, Delendi M, Boi S, Mauri F, Dalla Palma P, Beltrami C A
Department of Pathology, University of Udine, Italy.
J Telemed Telecare. 1997;3 Suppl 1:17-9. doi: 10.1258/1357633971930841.
Twenty consecutive cases of melanocytic lesions were chosen from the archives of the archives of the institute of Anatomic Pathology at Santa Chiara Hospital, Trento. Representative images were acquired at a spatial resolution of 512 x 512 pixels, saved in IPEG format and delivered to the remote pathologist by multimedia internet electronic mail. Six cases were diagnosed as benign melanocytic lesions by the local pathologist. Of the 20 cases transmitted, each with an average of 5.3 images, the remote pathologist suggested a diagnosis of malignancy in nine cases while 10 cases were thought to be benign. In one case the images were not considered sufficient for diagnosis. Overall, the diagnostic agreement between local and remote pathologist was 79% (kappa = 0.58, P = 0.002). This preliminary study suggest that telepathology by internet electronic mail can be a valuable tool for remote consultation in dematopathology, as well as for other diagnostic fields where expert consultation is necessary.
从特伦托圣基亚拉医院解剖病理学研究所的档案中选取了连续20例黑素细胞病变病例。以512×512像素的空间分辨率获取代表性图像，保存为IPEG格式，并通过多媒体互联网电子邮件发送给远程病理学家。当地病理学家将6例诊断为良性黑素细胞病变。在传输的20例病例中，每例平均有5.3张图像，远程病理学家建议对9例诊断为恶性，而10例被认为是良性。有1例图像被认为不足以进行诊断。总体而言，当地和远程病理学家之间的诊断一致性为79%（kappa = 0.58，P = 0.002）。这项初步研究表明，通过互联网电子邮件进行远程病理学可以成为皮肤病理学远程会诊以及其他需要专家会诊的诊断领域的一种有价值的工具。
