Telepathology by the Internet

Petersen, Iver; Wolf, Günter; Roth, K.; Schlüns, Karsten

doi:10.1002/(sici)1096-9896(200005)191:1<8::aid-path558>3.0.co;2-9

Cited by 44 publications

(9 citation statements)

References 3 publications

(4 reference statements)

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“…Della Mea et al 103,104 have described the use of the agent paradigm in the development of a universal internet-based telepathology application in Java language which provides static telepathology within a World Wide Web (WWW) browser. Another internet-based system has been developed by Wolf et al, 105,106 which again runs within a WWW browser and includes robotic microscope control, 107 and one to many connections which is ideal for postgraduate educational purposes (Figure 4). A similar system has been reported by Brauchli et al 108 integration with videoconferencing Telepathology has arisen within the confines of the histopathology service, but it could be usefully expanded and integrated into the whole health care service.…”

Section: Low-cost Internet Solutionsmentioning

confidence: 99%

Telepathology: current status and future prospects in diagnostic histopathology

2002

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Telepathology is the process of diagnostic histopathology performed on digital images viewed on a display screen rather than by conventional glass slide light microscopy. The technology of telepathology has radically improved over the past 5 years so that it is no longer the limiting factor in the diagnostic process. This review looks at the resources needed for dynamic and static telepathology, including image quality, computers and software interfaces, means of transmission and human resources. It critically analyses 32 published trials of telepathology, including some large prospective studies, in all areas of diagnostic histopathology including intraoperative frozen sections, routine and referral cases. New developments, including internet solutions and virtual microscopy, are described and there is analysis of the economics of telepathology within health care systems. The review concludes that all the necessary technology for telepathology is available, there is strong published evidence for a diagnostic accuracy comparable with glass slide diagnosis, in many contexts there is a clear-cut economic argument in favour of telepathology, and that the technique should now be integrated into mainstream diagnostic histopathology.

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Section: Low-cost Internet Solutionsmentioning

confidence: 99%

Telepathology: current status and future prospects in diagnostic histopathology

2002

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“…Fully robotic systems represent the high-end of telepathology, offering complete remote control over all aspects of the distant microscope and a more sophisticated, specialized software interface than that seen with store-and-forward systems [3][4][5]. Robotic telepathology has been used extensively in general histopathology practice [3,4,[6][7][8][9][10][11][12][13][14][15]. Previous studies have addressed its functionality in relation to frozen section diagnosis and panel discussions of difficult cases of lung cancer [16][17][18][19], using robotic telepathology or store-and-forward telepathology.…”

Section: Introductionmentioning

confidence: 99%

Robotic telepathology: efficacy and usability in pulmonary pathology

Leong

Nicholson

McGee

2002

The Journal of Pathology

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Robotic telepathology is well established in the USA as a method of case referral, but is less frequently used in the UK. Using cases covering a broad spectrum of pulmonary pathology, this study assessed its application in primary diagnosis and its functionality in terms of accuracy of diagnosis and time per case, for both small biopsies and open lung biopsies/resections. Forty cases (20 bronchoscopic and 20 surgical lung biopsy/resection specimens) were reviewed in blinded fashion by a single pathologist using robotic telepathology. Connection between the John Radcliffe and Royal Brompton Hospitals was via 10 Mb/s LAN to the Internet (supported by the Joint Academic Network). The cases were then randomized and reviewed a second time with conventional light microscopy. Diagnosis, initial time to reach diagnosis, and overall time per case were recorded. In two bronchoscopic biopsy cases, there were clinically significant differences between telepathology and conventional light microscopy, one probably attributable to user inexperience and the other to either speed of image capture or digital image quality. In the surgical lung biopsies and resections, there was one variation of opinion: with telepathology a case was considered to be probably mesothelioma, whereas this was thought less likely on light microscopy. In both instances, immunohistochemistry was requested prior to clinical management. Telepathology was 14 times slower than conventional light microscopy when examining bronchoscopic biopsies. The average time spent per slide was 7 min 21 s, compared with 32 s per slide with conventional light microscopy. When assessing open lung biopsies and resections, telepathology was five times slower, at 6 min 13 s compared with 1 min 10 s with conventional light microscopy. This study showed that robotic telepathology is accurate for primary diagnosis in pulmonary histopathology, but modifications in both laboratory protocols and telepathology hardware are needed to decrease the time difference between telepathology and conventional light microscopy, for telepathology to be usable within the framework of a busy referral practice.

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“…Of major significance are the establishment of fast telephone lines starting with ISDN, the mass production of digital cameras, and the standardization of the open access network (internet) [4-6,8,10,11,14,19,22-26]. Based upon these three components several telemedicine systems have been constructed at the end of last century [7,8].…”

Section: History and Mile Stones Of Telemedicine/telepathologymentioning

confidence: 99%

“…Although some of the "older" systems (iPATH) claim to be applicable for all these different purposes they are most frequently used for expert consultation, and rarely for other aims such as education [14,18-21]. …”

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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Telepathology by the Internet

Cited by 44 publications

References 3 publications

Telepathology: current status and future prospects in diagnostic histopathology

Telepathology: current status and future prospects in diagnostic histopathology

Robotic telepathology: efficacy and usability in pulmonary pathology

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

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