History and structures of telecommunication in pathology, focusing on open access platforms
History and structures of telecommunication in pathology, focusing on open access platforms
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DOI：
10.1186/1746-1596-6-110
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发表时间：
2011-11-07
影响因子：
2.6
通讯作者：
Kayser, Gian
中科院分区：
文献类型：
--
作者：
Kayser, Klaus;Borkenfeld, Stephan;Kayser, Gian
背景资料：技术和系统：随着快速电子通信线路（综合数字网络服务（ISDN）、宽带连接和光纤以及数字成像技术（数码相机）的发展，基于组织的诊断（远程病理学）中的远程通信已经成熟。开放式访问（互联网）和基于服务器的通信已经引发了特定医疗信息平台的发展，例如iPATH、UICC-TPCC（国际抗癌联盟远程病理学咨询中心）或武装部队病理学研究所（AFIP）远程咨询系统。它们已被关闭，并将由特定的开放访问论坛（嵌入虚拟幻灯片（VS）技术的医疗电子专家交流系统（MECES））取代。MECES使用php语言，数据库驱动的mySqlarchitecture，X/L-AMPP基础设施，和浏览器友好的W3C符合标准。经验：基于服务器的医疗通信系统（AFIP，iPATH，UICC-TPCC）已被报道是一个有用的和易于操作的专家咨询工具。据报告，专家对传输的静止图像进行了正确的取样和评价，结果显示，与原始图像没有差异或只有微小差异，所涉专家的做法良好。新一代医学专家咨询系统（MECES）的beta测试在性能、静态图像查看和系统处理方面显示出了上级结果，特别是因为这与所谓的社交论坛（Facebook、YouTube等）的使用密切相关。好处和期望：除了以前建立的系统的公认优点（在发展中国家工作的病理学家的协助、诊断确认、国际信息交流等）之外，新一代提供了额外的好处，如声学信息传输，图像筛选，VS技术的援助，并在诊断采样，判断和验证教学。
Background: Telecommunication has matured to a broadly applied tool in diagnostic pathology.Technology and Systems: Contemporary with the development of fast electronic communication lines (Integrated digital network services (ISDN), broad band connections, and fibre optics, as well as the digital imaging technology (digital camera), telecommunication in tissue - based diagnosis (telepathology) has matured. Open access (internet) and server - based communication have induced the development of specific medical information platforms, such as iPATH, UICC-TPCC (telepathology consultation centre of the Union International against Cancer), or the Armed Forces Institute of Pathology (AFIP) teleconsultation system. They have been closed, and are subject to be replaced by specific open access forums (Medical Electronic Expert Communication System (MECES) with embedded virtual slide (VS) technology). MECES uses php language, data base driven mySqL architecture, X/L-AMPP infrastructure, and browser friendly W3C conform standards.Experiences: The server - based medical communication systems (AFIP, iPATH, UICC-TPCC) have been reported to be a useful and easy to handle tool for expert consultation. Correct sampling and evaluation of transmitted still images by experts reported revealed no or only minor differences to the original images and good practice of the involved experts. beta tests with the new generation medical expert consultation systems (MECES) revealed superior results in terms of performance, still image viewing, and system handling, especially as this is closely related to the use of so - called social forums (facebook, youtube, etc.).Benefits and Expectations: In addition to the acknowledged advantages of the former established systems (assistance of pathologists working in developing countries, diagnosis confirmation, international information exchange, etc.), the new generation offers additional benefits such as acoustic information transfer, assistance in image screening, VS technology, and teaching in diagnostic sampling, judgement, and verification.