Low-cost tetepathology system for intraoperative frozen-section consultation: our experience and review of the literature

被引：24

作者：

Liang, Wen-Yih ^{[2
]}

Hsu, Chih-Yi ^{[2
]}

Lai, Chiung-Ru ^{[2
]}

Ho, Donald Ming-Tak ^{[2
,3
]}

Chiang, I-Jen ^{[1
]}

机构：

[1] Taipei Med Univ, Dept Med Informat, Taipei 110, Taiwan

[2] Taipei Vet Gen Hosp, Dept Pathol, Taipei, Taiwan

[3] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan

来源：

HUMAN PATHOLOGY | 2008年 / 39卷 / 01期

关键词：

telepathology; internet; frozen section; consultation;

D O I：

10.1016/j.humpath.2007.04.023

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

We have established a low-cost noncommercial system of dynamic real-time telepathology for light microscopic diagnosis that was used to aid intradepartmental consultation for frozen-section diagnosis. Fifty cases were performed. For each case, multiple diagnoses were made and compared, namely, those made by the pathologist on duty (D1), by a subspecialist or senior using telepathology (D2), by the same pathologist using a light microscope (133), and the final diagnosis (D4). A comparison of D1 and D2 revealed that 37 cases (74%) were diagnosed more precisely by D2. In 9 (18%) of 50 cases, there was a positive major impact on the operation as a result of teleconsultation. The results of D2 and D3 showed good agreement (kappa = 0.97). The average time span required for telepathology is short compared with routine intradepartmental consultation. Our experience showed that telepathology is a good tool for frozen-section consultation and imposes little additional cost. (c) 2008 Elsevier Inc. All rights reserved.

引用

页码：56 / 62

页数：7

共 22 条

[1] Frozen-section services by telepathology: Experience of 100 cases in the San-in district, Japan [J].