Image quality issues in a static image-based telepathology consultation practice

Williams, Bruce H.; Hong, In Soon; Mullick, Florabel G.; Butler, Daniel R.; Herring, Roderick F.; O’Leary, Timothy J.

doi:10.1016/s0046-8177(03)00429-5

Cited by 20 publications

(14 citation statements)

References 42 publications

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“…Other TP services are active in the United States, including those at the Armed Forces Institutes of Pathology [9,10], the University of Arizona [11], Beckley-Richmond VAMCs [7], at least one Veterans outpatient clinic [12], and the US military [13]. Kaplan et al [13], using a MedMicroscopy robotic TP system (Trestle Corporation, Newport Beach, CA), reported 100% concordance between TP and LM diagnoses for 120 consecutive frozen section cases taken from a wide variety of specimens.…”

Section: Discussionmentioning

confidence: 99%

Robotic surgical telepathology between the Iron Mountain and Milwaukee Department of Veterans Affairs Medical Centers: a 12-year experience

et al. 2009

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Since mid-1996, we have operated a diagnostic robotic telepathology (TP) system at the Iron Mountain, MI, Department of Veterans Affairs Medical Center (VAMC) from the Milwaukee, WI, VAMC, located some 220 miles away. No on-site pathologist is present in Iron Mountain. Instead, an experienced, well-trained pathologist assistant, under direction of pathologists located in Milwaukee, is responsible for tissue grossing and sectioning. The pathologist assistant places slides onto the stage of the robotic microscope, which is then controlled by pathologists in Milwaukee. Each case read by TP is subsequently read by light microscopy (LM) by the same pathologist. Three distinct phases of TP have been recognized. Our experience during phase I (mid-1996 to early 1999) has been published previously. During phase II (early 1999 to mid-2004), 1 of the 2 senior telepathologists in phase I retired, and 3 junior pathologists were hired. During phase III (mid-2004 to June 2008), 2 new junior pathologists were hired, and ASAP Imaging (Apollo Telemedicine, Inc., Falls Church, VA) was implemented. The number of TP case opportunities in phases I, II, and III was 2200, 5841, and 3512, respectively, resulting in a total of 11 553. A total of 1834 cases were deferred to LM for a variety of reasons. The number of TP diagnoses rendered in phases I, II, and III was 2144, 4636, and 2939, respectively, resulting in a total of 9719. The major discordance rates in phases I, II, and III were 0.33%, 0.45%, and 0.20%, respectively, with an overall rate of 0.35%. Pathologist-specific discordance rates were not significantly different and ranged from a low of 0.12% to a high of 0.77%, whereas case deferral rates were significantly different (P < .0001) and ranged from 2.5% to 28.7%. In general, no relationship between deferral rate and discordance rate was noted. Iron Mountain clinicians have expressed great satisfaction with the services provided by their off-site pathologist colleagues.

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Section: Discussionmentioning

confidence: 99%

Robotic surgical telepathology between the Iron Mountain and Milwaukee Department of Veterans Affairs Medical Centers: a 12-year experience

et al. 2009

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“…It is worthwhile to learn from these early pioneers and see what application this can have in the field of DSD. The Armed Forces Institute of Pathology (AFIP) (Bethesda, USA), the iPATH, at the Institute of Pathology (University of Basel, Switzerland), and the UICC-TPCC at the Institute of Pathology Charité University Hospital (Berlin, Germany) all shared the same primary objective: webbased expert pathology consultation [Merz, 1989;Dietel et al, 2000;Williams et al, 2001Williams et al, , 2003Brauchli and Oberholzer, 2005].…”

Section: Examples Of Virtual Web-based Pathology Platforms: Applicatimentioning

confidence: 99%

Histological Assessment of Gonads in DSD: Relevance for Clinical Management

Spoor

Oosterhuis²,

Hersmus³

et al. 2017

Sex Dev

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Malignant gonadal germ cell tumors, referred to as germ cell cancers (GCC), occur with increased frequency in individuals who have specific types of differences (disorders) of sex development (DSD). Recent population-based studies have identified new environmental and genetic risk factors that have led to a ‘genvironment' hypothesis, which may potentially be helpful in risk assessment in DSD-related GCC. In DSD, the malignancy risk is highly heterogeneous, but recent studies allow now to discriminate between high- and low-risk conditions. Gonadal biopsy is in some cases the best procedure of choice to assess the risk, and with the availability of immunohistochemical biomarkers [OCT3/4 (POU5F1), TSPY, SOX9, FOXL2 and KITLG (SCF)], a reliable classification of GCC and its precursors can be made. The opportunities in the field of virtual diagnostic pathology will be presented, having possibilities for rare diseases in general and DSD specifically. It is expected that the International DSD Registry will stimulate international collaborations, facilitating better diagnostic procedures as well as research.

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“…1,2,4,6,8,9,25,26 Technical factors include field selection error, inadequate photographic sampling, and poor image quality. In our study, field selection error was identified as the major contributing factor in the initial misdiagnosis of the toxic epidermal necrolysis case (Table I, case 26), in which the diagnostic area was not present in static telepathology images submitted for review.…”

Section: Discussionmentioning

confidence: 99%

A static-image telepathology system for dermatopathology consultation in East Africa: The Massachusetts General Hospital Experience

Gimbel

Sohani

Busarla

et al. 2012

Journal of the American Academy of Dermatology

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Image quality issues in a static image-based telepathology consultation practice

Cited by 20 publications

References 42 publications

Robotic surgical telepathology between the Iron Mountain and Milwaukee Department of Veterans Affairs Medical Centers: a 12-year experience

Robotic surgical telepathology between the Iron Mountain and Milwaukee Department of Veterans Affairs Medical Centers: a 12-year experience

Histological Assessment of Gonads in DSD: Relevance for Clinical Management

A static-image telepathology system for dermatopathology consultation in East Africa: The Massachusetts General Hospital Experience

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