Telepathology for Intraoperative Consultations and Expert Opinions The Experience of the Eastern Quebec Telepathology Network
Telepathology for Intraoperative Consultations and Expert Opinions The Experience of the Eastern Quebec Telepathology Network
复制标题
DOI：
10.5858/arpa.2013-0466-oa
复制
发表时间：
2014-09-01
影响因子：
4.6
通讯作者：
Tetu, Bernard
中科院分区：
文献类型：
--
作者：
Perron, Emilie;Louahlia, Said;Tetu, Bernard
背景。-东部魁北克远程病理学网络的创建是为了在人口密度低的广阔领土上提供统一的诊断远程病理学服务。为了评估诊断一致性和周转时间的术中咨询（IOCs）和周转时间的专家意见的telepathology. Design。对于研究的IOC部分，将来自单个医院的前104个IOC诊断与最终病理报告中的诊断进行比较。IOC的周转时间计算为从标本到达病理学实验室到呼叫外科医生的时间。对于本研究的专家意见部分，通过比较最初请求的时间到最终报告的时间，对来自5家医院的前94份专家意见进行了审查。在IOC研究的104例病例中，8例（77%）诊断因术语差异而略有差异，但仍属于同一解释类别。2例（1.9%）明显不一致。因此，102例病例（98.1%）一致或无临床显著差异。国际奥委会的平均周转时间为20分钟（范围，8-43）。对于研究的专家意见部分，64例（68%）在24小时内签署了报告，80例（85.1%）在72小时内签署了报告。东魁北克远程病理学网络可为没有病理学家的医院提供快速、高质量的国际奥委会服务。它还为单独工作的病理学家提供快速，专家意见服务。
Context.-The Eastern Quebec Telepathology Network was created to provide uniform diagnostic telepathology services in a huge territory with a low population density.Objectives.-To evaluate the diagnostic concordance and turnaround times of intraoperative consultations (IOCs) and the turnaround time of expert opinions by telepathology.Design.-For the IOC part of the study, the first 104 IOC diagnoses from a single hospital were compared with those in the final pathology report. The turnaround time of the IOC was calculated from the arrival of the specimen at the pathology laboratory until the time of the call to the surgeon. For the expert opinion part of this study, the first 94 expert opinions from 5 hospitals were reviewed by comparing the time of the initial request until the time of the final report.Results.-Of the 104 cases in the IOC study, 8 diagnoses (77%) were slightly discrepant because of differences in terminology but remained in the same category of interpretation. Two cases (1.9%) were significantly discordant. Therefore, 102 cases (98.1%) were either concordant or had no clinically significant discrepancies. The average turnaround time for IOCs was 20 minutes (range, 8-43). For the expert opinion part of the study, reports were signed out within 24 hours in 64 cases (68%) and within 72 hours in 80 cases (85.1%).Conclusions.-The Eastern Quebec Telepathology Network allows a rapid, high-quality IOC service to be maintained for a hospital where no pathologist was available on site. It also provides a fast, expert opinion service to pathologists working alone.