Diagnosis of Congenital Heart Malformations – Possibilities for the Employment of Telepathology

Tennstedt, C.; Sunkel-Wehrstedt, Kathrin; Vogel, Martin; Hufnagl, Peter

doi:10.1155/2000/768578

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…3,4 Previous publications on live video interpretations of gross autopsy findings were, however, limited to consultation and teaching on selected cases. 5,6 The slow implementation of digital pathology has been partly related to its initial costs. Technological advances introduced to mobile phones, however, have led to widespread consumer adoption, also changing the practice of medicine, including pathology.…”

Section: Introductionmentioning

confidence: 99%

Remote autopsy services: A feasibility study on nine cases

2017

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Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nine autopsies were performed by the autopsy technician or resident, supervised by the primary pathologist, through the secure, double encrypted video link using Jabber Video (Cisco) with a high-speed broadband connection. The primary pathologist and autopsy room each connected to the secure virtual meeting room using 14″ laptops with in-built cameras (Hewlett-Packard). A portable high-definition web camera (Cisco) was used in the autopsy room. Primary and secondary pathologists independently interpreted and later compared gross findings for the purpose of quality assurance. The video was streamed live only during consultations and interpretation. A satisfaction survey on technical and professional aspects of the study was conducted. Results Independent interpretations of gross findings between primary and secondary pathologists yielded full agreement. A definite cause of death in one complex autopsy was determined following discussions between pathologists and reviews of the clinical notes. Our satisfaction level with the technical and professional aspects of the study was 87% and 97%, respectively. Discussion Remote autopsy services are found to be feasible in the hands of experienced staff, with increased flexibility and interest of autopsy technicians in the service as a result.

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Section: Introductionmentioning

confidence: 99%

Remote autopsy services: A feasibility study on nine cases

2017

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“…Telepathology has been utilized for gross diagnosis as well as microscopic pathology. For example, Tennstedt et al (104) sent static gross images of hearts from 10 autopsy cases with congenital cardiac malformations to five experts in four countries for a second opinion. Between three and seven images were sent per case in the form of Microsoft PowerPoint (Microsoft Corp., Redmond, CA) presentations.…”

Section: Telepathologymentioning

confidence: 99%

Digital photography: A primer for pathologists

Riley

Ben‐Ezra

Massey

et al. 2004

Clinical Laboratory Analysis

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The computer and the digital camera provide a unique means for improving hematology education, research, and patient service. High quality photographic images of gross specimens can be rapidly and conveniently acquired with a high-resolution digital camera, and specialized digital cameras have been developed for photomicroscopy. Digital cameras utilize charge-coupled devices (CCD) or Complementary Metal Oxide Semiconductor (CMOS) image sensors to measure light energy and additional circuitry to convert the measured information into a digital signal. Since digital cameras do not utilize photographic film, images are immediately available for incorporation into web sites or digital publications, printing, transfer to other individuals by email, or other applications. Several excellent digital still cameras are now available for less than 2,500 dollars that capture high quality images comprised of more than 6 megapixels. These images are essentially indistinguishable from conventional film images when viewed on a quality color monitor or printed on a quality color or black and white printer at sizes up to 11x14 inches. Several recent dedicated digital photomicroscopy cameras provide an ultrahigh quality image output of more than 12 megapixels and have low noise circuit designs permitting the direct capture of darkfield and fluorescence images. There are many applications of digital images of pathologic specimens. Since pathology is a visual science, the inclusion of quality digital images into lectures, teaching handouts, and electronic documents is essential. A few institutions have gone beyond the basic application of digital images to developing large electronic hematology atlases, animated, audio-enhanced learning experiences, multidisciplinary Internet conferences, and other innovative applications. Digital images of single microscopic fields (single frame images) are the most widely utilized in hematology education at this time, but single images of many adjacent microscopic fields can be stitched together to prepare "zoomable" panoramas that encompass a large part of a microscope slide and closely simulate observation through a real microscope. With further advances in computer speed and Internet streaming technology, the virtual microscope could easily replace the real microscope in pathology education. Later in this decade, interactive immersive computer experiences may completely revolutionize hematology education and make the conventional lecture and laboratory format obsolete. Patient care is enhanced by the transmission of digital images to other individuals for consultation and education, and by the inclusion of these images in patient care documents. In research laboratories, digital cameras are widely used to document experimental results and to obtain experimental data.

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