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The Interface Between Pathology and Clinical Medicine
Published in Jeremy R. Jass, Understanding Pathology, 2020
Telemedicine is the transfer of image and sound through computer networks and telepathology is a branch of telemedicine (Dervan & Wootton, 1998). Telemedicine may involve the transfer of static images or real-time dynamic interaction. Telepathology allows the pathologist to achieve remote control use of a distant microscope and this has been used to provide a diagnostic service in relatively sparsely populated countries such as Norway (Nordrum & Eide, 1995). Diagnostic use may be limited to the transfer of selected static images via the Internet to pathologists with special diagnostic expertise (Eusebi et al., 1997). Telepathology has been used less widely than teleradiology, presumably because clinicians like to view and interpret radiological images for themselves (whereas pathological images are left to the pathologist). Nevertheless, telepathology is likely to assume increasing importance in distance learning as well as diagnosis.
Telepathology and telecytology in developing countries
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
Telepathology is a combination of surgical pathology, information technology and imaging. All three processes lack defined standards. A few centres conduct accreditation for histopathology, but there are no standards laid down for telepathology in particular.
Routine and Special Techniques in Toxicologic Pathology
Published in Pritam S. Sahota, James A. Popp, Jerry F. Hardisty, Chirukandath Gopinath, Page R. Bouchard, Toxicologic Pathology, 2018
Daniel J. Patrick, Matthew L. Renninger, Peter C. Mann
Digital pathology has greatly advanced the current and potential status of “telepathology,” which is broadly defined as the practice of pathology at a distance. Telepathology allows a pathologist to evaluate microscopic images without being physically stationed at a microscope looking at tissue sections mounted on glass slides. This is especially promising for multisite institutions, including those that are international, and has the potential to improve cross-institutional communication, collaboration, consultation, and consistency. There are three major types of telepathology systems: static, dynamic (or real time), and virtual slide systems (McCullough et al. 2004). Static image systems involve the digital capture of microscopic image fields (photomicrographs) that are stored and then forwarded (usually by e-mail) for off-site access. Dynamic telepathology systems allow for online digital image exchange in real time. This can occur either by an off-site pathologist actively operating a robotically controlled motorized microscope or by viewing a live digital video feed controlled by a host pathologist. Static and dynamic telepathology systems are rapidly being replaced by virtual slides, which represent all of the information on an entire glass microscopic slide.
The Texas Society of Pathologists: molded by the legacy of pathology and focused on excellence in medicine for 100 years and beyond
Published in Baylor University Medical Center Proceedings, 2021
Applications of health informatics technology are making increasingly prevalent telecommunications between physicians and scientists and between professionals and patients and subject participants.166 Telepathology is being facilitated by advances in telecommunications coupled with advances in digital and quantitative morphology.164–167 Digital microscopy also is being coupled with artificial intelligence and deep computer learning.168,169 The latter is better termed augmented intelligence, representing a powerful adjunct for the human operator. The CAP has convened a series of Futurescape of Pathology Conferences to proactively address the challenges and opportunities for pathology provided by these scientific advances.170,171
Review of the use of telepathology for intraoperative consultation
Published in Expert Review of Medical Devices, 2018
Robin L. Dietz, Douglas J. Hartman, Liu Zheng, Clayton Wiley, Liron Pantanowitz
Telepathology is the use of telecommunications technology to send pathology images (e.g. gross specimens, microscopy) to be remotely interpreted on a computer screen rather than direct viewing through a microscope [6]. Geographic limitations and time restraints on pathologists, accompanied by advances in telecommunications and glass slide imaging technology have fueled an emergence of telepathology applications and techniques. The major advantages of telepathology are increased productivity of pathologists and surgeons due to decreased travel times between medical facilities, and access to subspecialty pathologists which can increase diagnostic accuracy [7].
Essential role of laboratory physicians in transformation of laboratory practice and management to a value-based patient-centric model
Published in Critical Reviews in Clinical Laboratory Sciences, 2020
Deirdre L. Church, Christopher Naugler
Telepathology, a component of laboratory medicine practice, is being realized by the advancement in digital imaging technology that allows capture, transmission, and remote or automated analysis of slides [76–79]. The use of digitized microscopic slides or whole-slide images in diagnostic pathology is being implemented increasingly across large laboratory networks [80]. Although there remain barriers to its widespread adoption, a fully digitized pathology workflow has been recognized medically to increase efficiency and ergonomics for laboratory physicians as well to deliver higher quality of diagnostics and improved patient safety [77]. Among the limitations to the widespread use of digital pathology are the high costs of acquiring the infrastructure for scanning slides and storing digital images, which includes the implementation of information technology (IT) capacity and systems to handle the large scale introduction of a completely digitized workflow [80]. To date, digital pathology services have been validated and used primarily by single healthcare facilities [78]. However, because rapid consultation on cases with extramural experts is one of the most important uses for digital pathology networks, recent studies have focused on validating a whole-slide image-based teleconsultation network among a few institutions [81], and even amongst pathology laboratories within a nation [80]. The Dutch digital pathology project created and implemented a vendor-independent software platform for the exchange of high-quality images that would not lead to patient privacy breaches; this was subsequently validated and implemented in pathology laboratories throughout the Netherlands to facilitate efficient teleconsultation, telerevision, and virtual slide panels [80]. These technology advances will allow specialized pathologist support to be rapidly and routinely provided within large laboratory networks.