Cost-Effective Dynamic Telepathology in the Mohs Surgery Laboratory Utilizing iChat AV Videoconferencing Software

McKENNA, Jeffrey K.; Florell, Scott R.

doi:10.1111/j.1524-4725.2007.33008.x

Cited by 8 publications

(5 citation statements)

References 6 publications

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“…The study found complete concordance between telepathology and conventional light microscopy for all 110 slides, underscoring the accuracy of telepathology [ 12 ]. Further validation came from a study utilizing iChat AV video conferencing for real-time transmission of histologic images and audio from a MMS lab to a remote dermatopathologist [ 16 ]. This setup, compatible with Apple Macintosh platforms, allowed for immediate consultation.…”

Section: Teledermatology and Mmsmentioning

confidence: 99%

“…There was a 95% (19/20) agreement in tumor diagnosis between dynamic telepathology and conventional microscopy, and a 100% agreement for all 20 Mohs frozen section consultations. The ability of this system to capture and transmit both video and audio was crucial in ensuring high-quality, accurate histologic evaluations and effective communication between the surgeon and the dermatopathologist [ 16 ]. Additionally, telepathology has practical applications in urban settings where it overcomes logistical challenges like specimen transport delays, as highlighted by Nehal and colleagues [ 12 ].…”

Section: Teledermatology and Mmsmentioning

confidence: 99%

See 1 more Smart Citation

The role of teledermatology in Mohs micrographic surgery: a review

Algarin,

Jaalouk,

Pulumati

et al. 2024

Arch Dermatol Res

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This paper explores the role of teledermatology (TD) in Mohs micrographic surgery (MMS) at various stages of patient care. The study aims to assess the benefits, limitations, and patient experiences surrounding TD integration into MMS practices. We conducted a PubMed search using keywords related to TD and MMS, categorizing selected articles into pre-operative, intra-operative, and post-operative stages of MMS. TD reduced waiting times (26.10 days for TD compared to 60.57 days for face-to-face [FTF]) and consultation failure rates (6% for TD vs. 17% for FTF) for MMS preoperative consultations. It also shortened time to treatment by two weeks and led to notable travel savings (162.7 min, 144.5 miles, and $60.00 per person). Telepathology facilitated communication and decision-making during MMS, improving accuracy and efficiency, especially in challenging cases requiring collaboration where physical presence of another surgeon or pathologist is not feasible. Telepathology definitively diagnosed benign lesions and malignant tumors in 81.8% of cases (18/22). Additionally, there was a 95% agreement between conventional light microscopy diagnosis and telepathology in tumors (19/20), and 100% agreement for all 20 Mohs frozen section consultations. For post-operative follow-up, telephone follow-up (TFU) and text messaging proved effective, cost-efficient alternatives with high patient satisfaction (94% in New Zealand and 96% in the U.K.) and early complication identification. This study underscores TD’s multifaceted benefits in MMS: enhanced patient experience preoperatively, improved communication during surgery, and cost-effective postoperative follow-up. Limitations include the financial expense and technical issues that can arise with TD (connectivity problems, delays in video/audio transmission, etc.). Further studies are needed to explore emerging TD modalities in post-operative patient management. The integration of TD into MMS signifies a progressive step in dermatological care, offering convenient, cost-effective, and better solutions with the potential to enhance patient experiences and outcomes.

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Section: Teledermatology and Mmsmentioning

confidence: 99%

Section: Teledermatology and Mmsmentioning

confidence: 99%

The role of teledermatology in Mohs micrographic surgery: a review

Algarin,

Jaalouk,

Pulumati

et al. 2024

Arch Dermatol Res

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“…The video codecs involved introduce large delays in order to match the bandwidth limitations in conventional home consumer networks, which can often transfer less than 1 Mbps. Examples are the iChat software [42] or its successor Facetime, which implements the well-known H.264 standard [31], or Skype [50]. In that context it is mainly the large compression delay of several hundred milliseconds [32] which prevents conventional AV-conferencing systems from being applied in network music performances.…”

Section: Low-latency Videomentioning

confidence: 99%

Results of the Fast-Music Project—Five Contributions to the Domain of Distributed Music

Carôt

Hoene²,

Busse³

et al. 2020

IEEE Access

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“…In addition, they might be adjusted to a panel of distinct aims. These include performance of primary diagnosis at potentially multiple places separated from tissue examination, processing and image acquisition from glass slides (frozen section service), confirmation, refinement of primary diagnoses (secondary diagnoses and diagnostic quality assurance by expert consultation), teaching and education of students and young colleagues (e-learning, education, and training), and on-line (live) teleconferencing [15-17]. …”

Section: Introductionmentioning

confidence: 99%

History and structures of telecommunication in pathology, focusing on open access platforms

Kayser

Borkenfeld²,

Djenouni³

et al. 2011

Diagn Pathol

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BackgroundTelecommunication has matured to a broadly applied tool in diagnostic pathology.Technology and SystemsContemporary with the development of fast electronic communication lines (Integrated digital network services (ISDN), broad band connections, and fibre optics, as well as the digital imaging technology (digital camera), telecommunication in tissue - based diagnosis (telepathology) has matured. Open access (internet) and server - based communication have induced the development of specific medical information platforms, such as iPATH, UICC-TPCC (telepathology consultation centre of the Union International against Cancer), or the Armed Forces Institute of Pathology (AFIP) teleconsultation system. They have been closed, and are subject to be replaced by specific open access forums (Medical Electronic Expert Communication System (MECES) with embedded virtual slide (VS) technology). MECES uses php language, data base driven mySqL architecture, X/L-AMPP infrastructure, and browser friendly W3C conform standards.ExperiencesThe server - based medical communication systems (AFIP, iPATH, UICC-TPCC) have been reported to be a useful and easy to handle tool for expert consultation. Correct sampling and evaluation of transmitted still images by experts reported revealed no or only minor differences to the original images and good practice of the involved experts. β tests with the new generation medical expert consultation systems (MECES) revealed superior results in terms of performance, still image viewing, and system handling, especially as this is closely related to the use of so - called social forums (facebook, youtube, etc.).Benefits and ExpectationsIn addition to the acknowledged advantages of the former established systems (assistance of pathologists working in developing countries, diagnosis confirmation, international information exchange, etc.), the new generation offers additional benefits such as acoustic information transfer, assistance in image screening, VS technology, and teaching in diagnostic sampling, judgement, and verification.

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Cost-Effective Dynamic Telepathology in the Mohs Surgery Laboratory Utilizing iChat AV Videoconferencing Software

Abstract: Dynamic telepathology can be accomplished accurately and inexpensively by use of readily available consumer products and software.

Cited by 8 publications

References 6 publications

The role of teledermatology in Mohs micrographic surgery: a review

The role of teledermatology in Mohs micrographic surgery: a review

Results of the Fast-Music Project—Five Contributions to the Domain of Distributed Music

History and structures of telecommunication in pathology, focusing on open access platforms

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