Electronic Publication in Pathology

Kayser, Klaus; Szymaś, Janusz; Weinstein, Ronald S.

doi:10.1007/978-3-642-60055-5_4

Cited by 11 publications

(28 citation statements)

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“…The application of telediagnosis in the field of pathology is relatively advanced, and significant contributions to the development of telepathology have been made by Weinstein et al in the USA beginning in the early 1980s [23-25], Kaiser et al in Europe [26,27], and by Sawai et al in Japan from the early 1990s [28]. Along with the shift from static to robotic images and from analog to digital lines, recent developments in IT led to the emergence of the worldwide use of VS, especially in the fields of diagnosis and education [29,30], followed by diagnostic developments such as automated diagnosis of histological screening via the Internet [31].…”

Section: Discussionmentioning

confidence: 99%

Development of a teledermatopathology consultation system using virtual slides

et al. 2012

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BackgroundAn online consultation system using virtual slides (whole slide images; WSI) has been developed for pathological diagnosis, and could help compensate for the shortage of pathologists, especially in the field of dermatopathology and in other fields dealing with difficult cases. This study focused on the performance and future potential of the system.MethodIn our system, histological specimens on slide glasses are digitalized by a virtual slide instrument, converted into web data, and up-loaded to an open server. Using our own purpose-built online system, we then input patient details such as age, gender, affected region, clinical data, past history and other related items. We next select up to ten consultants. Finally we send an e-mail to all consultants simultaneously through a single command. The consultant receives an e-mail containing an ID and password which is used to access the open server and inspect the images and other data associated with the case. The consultant makes a diagnosis, which is sent to us along with comments.Because this was a pilot study, we also conducted several questionnaires with consultants concerning the quality of images, operability, usability, and other issues.ResultsWe solicited consultations for 36 cases, including cases of tumor, and involving one to eight consultants in the field of dermatopathology. No problems were noted concerning the images or the functioning of the system on the sender or receiver sides. The quickest diagnosis was received only 18 minutes after sending our data. This is much faster than in conventional consultation using glass slides. There were no major problems relating to the diagnosis, although there were some minor differences of opinion between consultants. The results of questionnaires answered by many consultants confirmed the usability of this system for pathological consultation. (16 out of 23 consultants.)ConclusionWe have developed a novel teledermatopathological consultation system using virtual slides, and investigated the usefulness of the system. The results demonstrate that our system can be a useful tool for international medical work, and we anticipate its wider application in the future.Virtual slidesThe virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1902376044831574

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Section: Discussionmentioning

confidence: 99%

Development of a teledermatopathology consultation system using virtual slides

et al. 2012

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“…This project would eventually extend into a larger initiative to connect smaller remote hospitals in South Africa and to similarly provide them with remote pathology, cytology, and hematology consultation. [236]…”

Section: Africamentioning

confidence: 99%

“…Even with the technological limitations (static telepathology only; relatively low-resolution images), an 88.3% absolute concordance between telepathologic diagnosis and glass slide diagnosis was seen – with an astonishing 96.5% concordance for clinically significant diagnoses. [36137]…”

Section: The Americasmentioning

confidence: 99%

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The history of pathology informatics: A global perspective

Park

Parwani

Aller

et al. 2013

Journal of Pathology Informatics

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Pathology informatics has evolved to varying levels around the world. The history of pathology informatics in different countries is a tale with many dimensions. At first glance, it is the familiar story of individuals solving problems that arise in their clinical practice to enhance efficiency, better manage (e.g., digitize) laboratory information, as well as exploit emerging information technologies. Under the surface, however, lie powerful resource, regulatory, and societal forces that helped shape our discipline into what it is today. In this monograph, for the first time in the history of our discipline, we collectively perform a global review of the field of pathology informatics. In doing so, we illustrate how general far-reaching trends such as the advent of computers, the Internet and digital imaging have affected pathology informatics in the world at large. Major drivers in the field included the need for pathologists to comply with national standards for health information technology and telepathology applications to meet the scarcity of pathology services and trained people in certain countries. Following trials by a multitude of investigators, not all of them successful, it is apparent that innovation alone did not assure the success of many informatics tools and solutions. Common, ongoing barriers to the widespread adoption of informatics devices include poor information technology infrastructure in undeveloped areas, the cost of technology, and regulatory issues. This review offers a deeper understanding of how pathology informatics historically developed and provides insights into what the promising future might hold.

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“…They signed an agreement with Telemedicine, Africa to provide the high quality and cost-effective health-care services and solutions to the medically underserved African populations using the health mobile web telemedicine extensions. [2223] This would enable better and timely health-care services to be extended to all Africa’s rural and urban marginalized communities using a few available resources especially through partnering together with respective peers in all African states toward the success implementation of telemedicine. Until recently, just a small part of Africa was able to realize and push for telemedicine.…”

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confidence: 99%

A meta-analysis of telemedicine success in Africa

Wamala

Augustine

2013

Journal of Pathology Informatics

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The use of information and communication technologies (ICT) tools to improve the efficiency of professionalism at work is increasing every time under the dynamic digital environment. Tools such as telemedicine, tele-education, and health informatics have of late been incorporated in the health sector to enable easy access to essential services, for example, in medical areas from referral centers by the patients on one hand and enabling the doctor to doctor consultations for the benefit of patients. Unfortunately, observations indicate dearth efforts and commitment to optimize use of the tools in the majority of the countries south of the Sahara. Sub-Saharan Africa has been left almost behind the rest of the world in terms of development going through decades of economic exploitation by especially the west through its natural and human resources. These factors, ethnic conflicts and endless wars have continued to ruin sub-Saharan Africa’s socio-economic development. Information was obtained through a network of telemedicine practitioners in different African countries using internet communication, through E-mail and reviewing existing literature of their activities. This information was compiled from representative countries in each African region and the previous authors’experiences as telemedicine practioners. Most of these countries have inadequate ICT infrastructure, which yet creates sub-optimal application. Sub-Saharan Africa, made up of 33 of the 48 global poorest countries has to extend its ICT diffusion and policy to match the ever developing global economy. In some countries such as Ethiopia and South Africa there is significant progress in Telemedicine while in countries such as Burkina Faso and Nigeria the progress is slow because of lack of political support. Almost all reference to Africa is made in due respect to sub-Saharan Africa, one with big social, economic, and political problems with resultant high morbidity and mortality rates. This also highlights the under-representation of African researchers in the global whelm of information system research. Telemedicine in Africa though has not attracted enough political support is potentially a very useful conduit of health-care given the fact that the continent is resource limited and still enduring the effects of scarce human resource especially in health.

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Electronic Publication in Pathology

Cited by 11 publications

References 0 publications

Development of a teledermatopathology consultation system using virtual slides

Development of a teledermatopathology consultation system using virtual slides

The history of pathology informatics: A global perspective

A meta-analysis of telemedicine success in Africa

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