Telemicroscopic Conferences for Children of the Perm Territory with Suspected or Proven Malignant Solid Tumors

Рыскаль, О. В.; Muschinskaja, M.; Göbel, U.; Loose, K.-H.; Brand, H.; Никонова, О. Е.; Патлусова, Е. С.; Gnevshev, M.; Harms, D

doi:10.1055/s-0030-1251987

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…All of them were of real time (RT) teleconsultation type. In one case, the consultation was performed as a multicenter cooperation to obtain second opinions about cancer ( 26 ).…”

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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Background:The goal of teleconsultation is to omit geographical and functional distance between two or more geographically separated health care providers. The purpose of present study is to review and analyze physician-physician teleconsultations. Method: The PubMed electronic database was searched. The primary search was done on January 2015 and was updated on December 2015. A fetch and tag plan was designed by the researchers using an online Zotero library. Results: 174 full-text articles of 1702 records met inclusion criteria. Teleconsultation for pediatric patients accounts for 14.36 percent of accepted articles. Surgery and general medicine were the most prevalent medical fields in the adults and pediatrics, respectively. Most teleconsultations were inland experiences (no=135), and the USA, Italy and Australia were the three top countries in this group. Non-specialists health care providers/centers were the dominant group who requested teleconsultation (no=130). Real time, store and forward, and hybrid technologies were used in 50, 31, and 16.7 percent of articles, respectively. The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, educational effects, and rapid decision making. Use of structured or semi-structured template had been noticed only in a very few articles. Conclusion: The present study focused on the recent ten years of published articles on physician-physician teleconsultations. Our findings showed that although there are positive impacts of teleconsultation as improving patient management, still have gaps that need to be repaired.

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“…All of them were of real time (RT) teleconsultation type. In one case, the consultation was performed as a multicenter cooperation to obtain second opinions about cancer ( 26 ).…”

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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“…The German study (n = 26) investigated the feasibility of ''telemicroscopic conferences'' for children with suspected or proven malignant solid tumors in the Perm Territory (Russian Federation). 81 A microscope and a video camera in Perm captured the images, which were subsequently transmitted to four cooperating institutions in Germany through Internet at low bandwidth (54 kilobits per second capacity). This international cooperative project demonstrated ''.…”

Section: Telepathology Evidence: Feasibility and Acceptancementioning

confidence: 99%

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

Bashshur

Krupiński

Weinstein

et al. 2017

Telemedicine and e-Health

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The evidence regarding feasibility/acceptance of telepathology and related information technology applications has been well documented for several decades. The majority of evidentiary studies focused on intermediate outcomes, as indicated by comparability between telepathology and conventional light microscopy. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include use of telepathology and whole slide imaging for teaching, research, and outreach to resource-limited countries. Challenges still exist, however, in terms of use of telepathology as an effective diagnostic modality in clinical practice.

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“…The training of local pathologists in these countries is therefore imperative. Telepathological conferences with consultant pathologists can then lead to a real improvement of the situation [12][13][14][15] . Until these structures are fully developed the drawbacks of static telepathology, especially in the complex field of pediatric diagnostics, must be acknowledged by treating clinicians and integrated into therapeutic decisions.…”

Section: Resultsmentioning

confidence: 99%

Telepathological evaluation of paediatric histological specimens in support of a hospital in Tanzania

Voelker¹,

Poetzl²,

Strehl³

et al. 2020

Afr H. Sci.

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Background/Objective: In a project of telepathology (TP) between German pathologists and a hospital in Tanzania, trained technical assistants have uploaded digital histological images onto the internet-based platform ipath. The diagnoses from 486 paediatric specimens were analysed. Methods: The investigation included diagnoses, either primarily done via TP or secondarily after a further workup of the paraffin-embedded tissue, which was sent to Germany for cases which could not be solved via TP. In the latter, the initial TP-diagnoses were compared with the results after re-evaluation. Results: The median age was 11 years. The cohort comprised 390 benign diseases (80.2%) and 96 malignant diseases (19.8%). For benign diseases, the most frequent anatomic sites were lymph nodes, skin, and soft tissue, breast, and head&- neck. Frequent diagnoses were non-specific inflammations and benign tumors. In malignant diseases, the most sites were lymph nodes, skin, soft tissue, head&neck, and ovary and the most frequent diseases sarcomas and lymphomas. The paraffin embedded tissue of 179 cases (36.3%) was shipped to Germany. With the concordance analysis, we could discover the man- datory necessity for the possibility of second opinion in difficult cases. Conclusion: An exclusively TP-support cannot meet all requirements of modern medical diagnostics. The education of local pathologists is imperative. Keywords: Telepathology; low income country; ipath; paediatric.

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Telemicroscopic Conferences for Children of the Perm Territory with Suspected or Proven Malignant Solid Tumors

Abstract: This cooperation demonstrates the proof of principle to obtain second opinions in short time over far distances for seldom diseases on a scientific level.

Cited by 8 publications

References 6 publications

Teleconsultation and Clinical Decision Making: a Systematic Review

Teleconsultation and Clinical Decision Making: a Systematic Review

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

Telepathological evaluation of paediatric histological specimens in support of a hospital in Tanzania

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