Della Mea V, Cataldi P, Boi S, Finato N, Della Palma P, Beltrami C A
Department of Pathology, University of Udine, Italy.
J Telemed Telecare. 1998;4 Suppl 1:20-2. doi: 10.1258/1357633981931920.
A telepathology study was carried out to examine the differences occurring when the images were selected by an experienced pathologist, a junior pathologist and a first-year resident. One hundred and fifty-five consecutive frozen-section pathology cases were collected and sent for consultation to a remote experienced pathologist using multimedia email. Local diagnoses (as reported in the files of the Institute, not from the image selector) and remote diagnoses (based on the images) were compared with those performed on paraffin-embedded sections. Acquisition time and number of selected images were recorded for each case and used to compare the different behaviour of the three local pathologists. Of the 155 cases sent by telepathology, four were considered insufficient for a diagnosis by the remote pathologist and thus the diagnosis was postponed. In the remaining 151 cases, the overall diagnostic agreement between remote and definitive diagnosis was 96.7%. The results indicate that in the routine diagnostic work of a frozen-section service, an inexperienced pathologist can select images which are sufficiently informative for a remote diagnosis, in a sufficiently short time.
开展了一项远程病理学研究，以检查由经验丰富的病理学家、初级病理学家和一年级住院医师选择图像时出现的差异。收集了155例连续的冰冻切片病理病例，并通过多媒体电子邮件将其发送给远程的经验丰富的病理学家进行会诊。将本地诊断（如研究所档案中报告的，而非图像选择者做出的）和远程诊断（基于图像）与在石蜡包埋切片上做出的诊断进行比较。记录每个病例的采集时间和所选图像数量，并用于比较三位本地病理学家的不同表现。在通过远程病理学发送的155例病例中，远程病理学家认为有4例不足以做出诊断，因此诊断被推迟。在其余151例病例中，远程诊断与最终诊断之间的总体诊断一致性为96.7%。结果表明，在冰冻切片服务的常规诊断工作中，经验不足的病理学家可以在足够短的时间内选择出对远程诊断具有足够信息量的图像。
