Experience with a dynamic inexpensive video-conferencing system for frozen section telepathology

Analytical Cellular Pathology : the Journal of the European Society for Analytical Cellular Pathology
J P BaakG A Meijer

Abstract

To evaluate the feasibility of an inexpensive, generally applicable video-conferencing system for frozen section telepathology (TP). A commercially widely available PC-based dynamic video-conferencing system (Picture-Tel LIVE, model PCS 100) has been evaluated, using two, four and six ISDN channels (128-384 kilobits per second (kbs)) bandwidths. 129 frozen sections have been analyzed which were classified by TP as benign, uncertain (the remark probably benign, or probably malignant was allowed), malignant, or not acceptable image quality. The TP results were compared with the original frozen section diagnosis and final paraffin diagnosis. Only 384 kbs (3 ISDN-2 lines) resulted in acceptable speed and quality of microscope images, and synchronous image/speech transfer. In one of the frozen section cases (0.7%), TP image quality was classified as not acceptable, leaving 128 frozen sections for the analysis. Five of these cases were uncertain by TP, and also deferred by frozen section procedure (FS). One more benign and three malignant FS cases were classified as uncertain by TP. Three additional cases were uncertain by FS, but benign according to TP (in agreement with the final diagnosis). In one case, FS diagnosis was uncertain ...Continue Reading

Citations

Jul 17, 2013·Journal of Pathology Informatics·Nikolas StathonikosPaul J van Diest
Nov 8, 2014·Journal of Pathology Informatics·Liron PantanowitzJordana Bernard
Feb 7, 2016·Clinics in Laboratory Medicine·Navid Farahani, Liron Pantanowitz
Feb 5, 2010·Human Pathology·André HuismanPaul J van Diest
Sep 18, 2007·Human Pathology·Xinxia LiJiang Gu
Apr 12, 2011·Histopathology·Shaimaa Al-JanabiPaul J Van Diest
Jun 15, 2010·Cancer Cytopathology·Mariam AlsharifJack Yang
Jun 13, 2015·Surgical Pathology Clinics·Navid Farahani, Liron Pantanowitz
Nov 11, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Liron PantanowitzJordana Bernard
Jul 30, 2019·Contrast Media & Molecular Imaging·Orazio SchillaciElena Bonanno
Oct 17, 2019·American Journal of Clinical Pathology·Robin L DietzLiron Pantanowitz

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