Low-cost telepathology system for intraoperative frozen-section consultation: our experience and review of the literature

Wen Yih Liang, Chih Yi Hsu, Chiung Ru Lai, Donald Ming Tak Ho, I-Jen Chiang

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

We have established a low-cost noncommercial system of dynamic real-time telepathology for light microscopic diagnosis that was used to aid intradepartmental consultation for frozen-section diagnosis. Fifty cases were performed. For each case, multiple diagnoses were made and compared, namely, those made by the pathologist on duty (D1), by a subspecialist or senior using telepathology (D2), by the same pathologist using a light microscope (D3), and the final diagnosis (D4). A comparison of D1 and D2 revealed that 37 cases (74%) were diagnosed more precisely by D2. In 9 (18%) of 50 cases, there was a positive major impact on the operation as a result of teleconsultation. The results of D2 and D3 showed good agreement (κ = 0.97). The average time span required for telepathology is short compared with routine intradepartmental consultation. Our experience showed that telepathology is a good tool for frozen-section consultation and imposes little additional cost.

Original languageEnglish
Pages (from-to)56-62
Number of pages7
JournalHuman Pathology
Volume39
Issue number1
DOIs
Publication statusPublished - Jan 2008

Keywords

  • Consultation
  • Frozen section
  • Internet
  • Telepathology

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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