Diagnosis of congenital heart malformations--possibilities for the employment of telepathology

Analytical Cellular Pathology : the Journal of the European Society for Analytical Cellular Pathology
C TennstedtP Hufnagl

Abstract

In a study of 10 autopsy cases with congenital cardiac malformations we investigated whether obtaining a second opinion by means of telepathology could satisfy quality standards for the diagnosis of cardiac malformations and what the advantages and disadvantages of such a procedure might be. The investigatory samples were 10 formalin-fixed hearts with complex malformations from 9 fetuses and one newborn on which autopsies had been performed at the Pathological Institute of the Charité Hospital. The requests for a second opinion, which included text and image data, were sent in the form of Microsoft PowerPoint presentations to 5 experts in 4 countries. Per case the number of images that were sent was between 3 and 7. The size of the files was between 439 and 942 kb. The time required for preparation of the cases for sending them to the specialists was between 1 and 2 hours: this encompassed the time for putting the notation on the images, compressing them, creating a file that included both the images and the clinical data and then sending the case file. All 10 cardiac malformations were correctly identified. In 8 of the 10 cases at least one expert had questions. After these questions had been answered and further images had be...Continue Reading

Citations

Apr 6, 2004·Journal of Clinical Laboratory Analysis·Roger S RileyGina Romagnoli
May 26, 2017·Journal of Telemedicine and Telecare·Aleksandar VodovnikDan Gøran Espedal
Jun 22, 2011·Obstetrical & Gynecological Survey·Everett F MagannCurtis L Lowery
Jul 2, 2002·American Journal of Clinical Pathology·Katherine ChorneykoRobert Riddell

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