Application of Telepathology for Neuropathologic Intraoperative Consultations

The demand for expert neuropathologic intraoperative diagnoses often exceeds the available supply and geographic distribution of neuropathology centers. Telepathology has therefore been implemented in recent years to meet this demand. Herein, we draw on our experience with 4 generations of telepathology systems over the past 8 years to discuss the design, initiation and maintenance of an effective telepathology service for neuropathologists, including when to change systems. In addition to workflow efficiency, unique advantages of telepathology include integration into other informatics modalities, quality assurance/quality control (QA/QC) maintenance and the potential for visual data to be readily available to clinicians. Given the improvements in technology and the multiple uses of telepathology, this method for delivering patient care will undoubtedly continue to grow over time.

[1]  Jiang Gu,et al.  Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China. , 2008, Human pathology.

[2]  L. Maher,et al.  A national survey of telemedicine in the Republic of Ireland , 2007, Journal of telemedicine and telecare.

[3]  Yukako Yagi,et al.  Telepathology for Intraoperative Neuropathologic Consultations at an Academic Medical Center: A 5-Year Report , 2007, Journal of neuropathology and experimental neurology.

[4]  B. Szende,et al.  Development of present and future of telepathology in Hungary , 2008, Pathology & Oncology Research.

[5]  R S Weinstein,et al.  Telepathology overview: from concept to implementation. , 2001, Human pathology.

[6]  Lech Banach,et al.  Dynamic active telepathology over National Health Laboratory service network, South Africa: feasibility study using Nikon Coolscope , 2008, Diagnostic pathology.

[7]  O. Dietze,et al.  Four years experience with teleneuropathology , 2006, Journal of telemedicine and telecare.

[8]  K. Kayser.  Analytical cellular pathology: molecular and genetic pathology diagnostic cytometry and histometry new media and technology. , 2000 .

[9]  M K Baruah.  The practice of telepathology in India. , 2005, Journal of postgraduate medicine.

[10]  P. Furness,et al.  A randomized controlled trial of the diagnostic accuracy of internet‐based telepathology compared with conventional microscopy , 2007, Histopathology.

[11]  K Morris,et al.  [Use of telepathology to provide rapid diagnosis of neurosurgical specimens]. , 2005, Neuro-Chirurgie.

[12]  Francesco Sicurello,et al.  Telepathology in emerging countries pilot project between Italy and Egypt , 2008, Diagnostic pathology.

[13]  R S Weinstein,et al.  Telepathology and the networking of pathology diagnostic services. , 1987, Archives of pathology & laboratory medicine.

[14]  K Kayser.  Telepathology in Europe. , 2000, Analytical cellular pathology : the journal of the European Society for Analytical Cellular Pathology.

[15]  Setsuya Fujita,et al.  Use of virtual slide system for quick frozen intra-operative telepathology diagnosis in Kyoto, Japan , 2008, Diagnostic Pathology.

[16]  I-Jen Chiang,et al.  Low-cost telepathology system for intraoperative frozen-section consultation: our experience and review of the literature. , 2008, Human pathology.

[17]  T J O'Leary,et al.  Use of remote video microscopy (telepathology) as an adjunct to neurosurgical frozen section consultation. , 1993, Human pathology.

[18]  Baruah Mk.  The practice of telepathology in India. , 2005 .

[19]  D. Crimmins,et al.  Intérêt de la télépathologie dans le diagnostic rapide des spécimens neurochirurgicaux , 2005 .

[20]  B E Dunn,et al.  Combined robotic and nonrobotic telepathology as an integral service component of a geographically dispersed laboratory network. , 2001, Human pathology.

[21]  Michael C Montalto,et al.  Pathology RE-imagined: the history of digital radiology and the future of anatomic pathology. , 2009, Archives of pathology & laboratory medicine.