TY - JOUR
T1 - Use of robotic telepathology for frozen-section diagnosis
T2 - A retrospective trial of a telepathology system for intraoperative consultation
AU - Kaplan, Keith J.
AU - Burgess, Jeanette R.
AU - Sandberg, Glenn D.
AU - Myers, Cris P.
AU - Bigott, Thomas R.
AU - Greenspan, Renata B.
N1 - Funding Information:
Copyright © 2002 by The United States and Canadian Academy of Pathology, Inc. VOL. 15, NO. 11, P. 1197, 2002 Printed in the U.S.A. Date of acceptance: July 20, 2002. This project was funded by Telemedicine & Advanced Technology Research Center (TATRC)/United States Army Medical Research and Materiel Command (USAMRMC) HSRRB Log No. A-10244. The selection, installation, and use of the Trestle Corporation MedMicros-copy system does not imply an endorsement thereof. The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the official views of the United States Department of the Army or Department of Defense. Address reprint requests to: Keith J. Kaplan, M.D., Department of Pathology, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307-5001; e-mail: [email protected]; fax: 202-782-3217.
PY - 2002/11/1
Y1 - 2002/11/1
N2 - Telepathology is the practice of digitizing histological or macroscopic images for transmission along telecommunication pathways for diagnosis, consultation, or continuing medical education. Previous studies have addressed static versus dynamic imaging in several specimen types with a wide variety of systems and communication pathways. The goal of this paper was to assess the validity of a Web-based telepathology system for frozen section consultation within the Army Medical Department. The system provides real-time, dynamic remote control of a robotic microscope over standard Internet connections. Oftentimes, a solo pathologist is called on to provide diagnostic services without the support of immediate second or expert consultation during an intraoperative consultation. The use of telepathology is attractive because it provides an opportunity for pathologists to obtain immediate consultation. For purposes of the study, 120 consecutive frozen section cases were diagnosed at a distance using the system. Intraobserver agreement between the telepathology diagnosis and glass slide diagnosis was observed. Diagnostic agreement was 100% for a wide variety of specimens. This study suggests that such a system will help support pathologists located at distant sites.
AB - Telepathology is the practice of digitizing histological or macroscopic images for transmission along telecommunication pathways for diagnosis, consultation, or continuing medical education. Previous studies have addressed static versus dynamic imaging in several specimen types with a wide variety of systems and communication pathways. The goal of this paper was to assess the validity of a Web-based telepathology system for frozen section consultation within the Army Medical Department. The system provides real-time, dynamic remote control of a robotic microscope over standard Internet connections. Oftentimes, a solo pathologist is called on to provide diagnostic services without the support of immediate second or expert consultation during an intraoperative consultation. The use of telepathology is attractive because it provides an opportunity for pathologists to obtain immediate consultation. For purposes of the study, 120 consecutive frozen section cases were diagnosed at a distance using the system. Intraobserver agreement between the telepathology diagnosis and glass slide diagnosis was observed. Diagnostic agreement was 100% for a wide variety of specimens. This study suggests that such a system will help support pathologists located at distant sites.
KW - AFIP
KW - Diagnosis
KW - Frozen section
KW - Telepathology
UR - http://www.scopus.com/inward/record.url?scp=0036860516&partnerID=8YFLogxK
U2 - 10.1097/01.MP.0000033928.11585.42
DO - 10.1097/01.MP.0000033928.11585.42
M3 - Article
C2 - 12429799
AN - SCOPUS:0036860516
SN - 0893-3952
VL - 15
SP - 1197
EP - 1204
JO - Modern Pathology
JF - Modern Pathology
IS - 11
ER -