Telepathology at the Armed Forces Institute of Pathology: A Retrospective Review of Consultations From 1996 to 1997

Ghosh, Arunima; Brown, G. Thomas; Fontelo, Paul

doi:10.5858/arpa.2017-0055-oa

Cited by 18 publications

(17 citation statements)

References 12 publications

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“…4,5 Dynamic telepathology enables pathologists to examine whole histological sections or cytological smears over any distance. 6–8 The promising application of these approaches in countries with restricted resources is well documented. 9,10 “Hybrid telepathology” combines video consultations and store-and-forward communication.…”

Section: Introductionmentioning

confidence: 99%

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Experience with telepathology in combination with diagnostic assistance systems in countries with restricted resources

Fritz

Kleinhans

Hubler³

et al. 2019

J Telemed Telecare

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Introduction We describe the use of telepathology in countries with restricted resources using two diagnosis assistance systems (Isabel and Memem7) in addition to the diagnoses made by experts in pathology via the iPath-Network. Methods A total of 156 cases, largely from Afghanistan, were analysed; 18 cases had to be excluded because of poor image quality. Results Of the remaining 138 cases (100%), a responsible physician provided a tentative diagnosis for 61.6% of them. With a diagnosis from a consultant pathologist, it was then possible to make a definite diagnosis in 84.8% of cases on the basis of images taken from hematoxylin and eosin staining sections alone. The use of the diagnosis assistance systems resulted in an ordered list of differential diagnoses in 82.6% (IsabelHealth) and in 74.6% (Memem7) of cases, respectively. Adding morphological terminology reduced the list of possible diagnoses to 52.2% (72 cases, Memem7), but improved their quality. Discussion In summary, diagnosis assistance systems are promising approaches to provide physicians in countries with restricted resources with lists of probable differential diagnoses, thus increasing the plausibility of the diagnosis of the consultant pathologist.

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Section: Introductionmentioning

confidence: 99%

“…9,10 “Hybrid telepathology” combines video consultations and store-and-forward communication. 10,11 On the whole, telepathology, including teleteaching, 7–13 is a promising method to connect the knowledge of consultant pathologists with the requirements of a physician in an underserved country.…”

Section: Introductionmentioning

confidence: 99%

Experience with telepathology in combination with diagnostic assistance systems in countries with restricted resources

Fritz

Kleinhans

Hubler³

et al. 2019

J Telemed Telecare

View full text Add to dashboard Cite

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“…WSI, captured on slide scanners, can be stored, organized, annotated, and transmitted digitally, even to remote areas. The contribution of telepathology is especially relevant in remote locations that lack specialists and/or access to advanced testing methods (eg, special stains, IHC) [28], and provides opportunities for pathologists to participate in collaborative review of cases and research over distances. While several studies have demonstrated the utility of telepathology using WSI as an effective diagnostic modality in surgical pathology, mostly for neoplastic diseases, only rare studies have evaluated its utility for infectious disease diagnoses [27,[29][30][31][32].…”

Section: Telepathology: Virtual Discussion To Achieve Consensus Diagmentioning

confidence: 99%

Pathology and Telepathology Methods in the Child Health and Mortality Prevention Surveillance Network

Martines

Ritter

Gary

et al. 2019

Clinical Infectious Diseases

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This manuscript describes the Child Health and Mortality Prevention Surveillance (CHAMPS) network approach to pathologic evaluation of minimally invasive tissue sampling (MITS) specimens, including guidelines for histopathologic examination and further diagnostics with special stains, immunohistochemistry, and molecular testing, as performed at the CHAMPS Central Pathology Laboratory (CPL) at the Centers for Disease Control and Prevention, as well as techniques for virtual discussion of these cases (telepathology) with CHAMPS surveillance locations. Based on review of MITS from the early phase of CHAMPS, the CPL has developed standardized histopathology-based algorithms for achieving diagnoses from MITS and telepathology procedures in conjunction with the CHAMPS sites, with the use of whole slide scanners and digital image archives, for maximizing concurrence and knowledge sharing between site and CPL pathologists. These algorithms and procedures, along with lessons learned from initial implementation of these approaches, guide pathologists at the CPL and CHAMPS sites through standardized diagnostics of MITS cases, and allow for productive, real-time case discussions and consultations.

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“…Remote intraoperative consultation was one of the first use cases for digital pathology and arguably one of the most widely cited reasons for the adoption of WSI. 42 This allows for pathologists to be located in a centralized location in order to support peripheral sites (subject of course to licensing requirements), for example, in subspecialized signout, where intraoperative consultations are exclusively performed by subspecialized pathologists. 43,44 Remote consultation for routine cases is an additional use case that has been demonstrated in a few specific scenarios.…”

Section: Remote Consultation and Telepathologymentioning

confidence: 99%

A Practical Guide to Whole Slide Imaging: A White Paper From the Digital Pathology Association

Zarella

Bowman

Aeffner

et al. 2018

Archives of Pathology &Amp; Laboratory Medicine

272

228

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Context.— Whole slide imaging (WSI) represents a paradigm shift in pathology, serving as a necessary first step for a wide array of digital tools to enter the field. Its basic function is to digitize glass slides, but its impact on pathology workflows, reproducibility, dissemination of educational material, expansion of service to underprivileged areas, and intrainstitutional and interinstitutional collaboration exemplifies a significant innovative movement with far-reaching effects. Although the benefits of WSI to pathology practices, academic centers, and research institutions are many, the complexities of implementation remain an obstacle to widespread adoption. In the wake of the first regulatory clearance of WSI for primary diagnosis in the United States, some barriers to adoption have fallen. Nevertheless, implementation of WSI remains a difficult prospect for many institutions, especially those with stakeholders unfamiliar with the technologies necessary to implement a system or who cannot effectively communicate to executive leadership and sponsors the benefits of a technology that may lack clear and immediate reimbursement opportunity. Objectives.— To present an overview of WSI technology—present and future—and to demonstrate several immediate applications of WSI that support pathology practice, medical education, research, and collaboration. Data Sources.— Peer-reviewed literature was reviewed by pathologists, scientists, and technologists who have practical knowledge of and experience with WSI. Conclusions.— Implementation of WSI is a multifaceted and inherently multidisciplinary endeavor requiring contributions from pathologists, technologists, and executive leadership. Improved understanding of the current challenges to implementation, as well as the benefits and successes of the technology, can help prospective users identify the best path for success.

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Telepathology at the Armed Forces Institute of Pathology: A Retrospective Review of Consultations From 1996 to 1997

Abstract: - Using commercial off-the-shelf technology and despite telecommunication challenges during that time, the AFIP demonstrated that telepathology could be conducted reliably.

Cited by 18 publications

References 12 publications

Experience with telepathology in combination with diagnostic assistance systems in countries with restricted resources

Experience with telepathology in combination with diagnostic assistance systems in countries with restricted resources

Pathology and Telepathology Methods in the Child Health and Mortality Prevention Surveillance Network

A Practical Guide to Whole Slide Imaging: A White Paper From the Digital Pathology Association

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