Whole Slide Imaging Based Digital Pathology Network between Pakistan and USA
Whole Slide Imaging Based Digital Pathology Network between Pakistan and USA
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DOI：
10.1155/2014/136838
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发表时间：
2014-01-01
影响因子：
3.2
通讯作者：
Wilbur, David
中科院分区：
文献类型：
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作者：
Absar, Syeda Fatima;Tahir, Mohammad;Wilbur, David
背景2007年，巴基斯坦拉瓦尔平迪的圣家医院（HFH）的远程医疗中心与美国波士顿的马萨诸塞州总医院（MGH）的病理科合作，设想了一种现代数字病理学设施[1]。HFH的一名病理学家在MGH接受了培训，并获得了安装了相关软件的设备。2011年12月至2012年8月，两个中心每周举行一次长达一小时的电话会议，使用PowerPoint讨论静态组织病理学图像。接下来的一个月，巴基斯坦的第一台全载玻片成像（WSI）扫描仪安装在HFH的远程医疗中心;然而，在它可以发挥作用之前，病理学家离开了该国。该项目的目的是让MGH为HFH和该国其他设施提供数字病理学支持;然而，训练有素的病理学家的过早退出导致沟通中断和活动中断。2013年初，我们利用远程医疗中心重新建立了连接，但这次是与伊斯兰堡联邦政府保利诊所（FGPC）医院的病理学家建立的。由于在巴基斯坦的远程会诊的需要，我们已经改变了协议，组织远程会诊，以适应目前的形势。这些病例来自泌尿生殖系统、中枢神经系统、胃肠道系统和软组织区域的组织。目前，来自FGPC医院的一名顾问组织病理学家和他的四名实习病理学家小组是巴基斯坦方面的参与者。相关病例幻灯片提前三天由专人送至HFH。使用全景台（40倍物镜透镜版本），3D Histech Ltd.，匈牙利，作为一个幻灯片扫描仪。扫描每张载玻片大约需要30分钟。每个病例扫描一到两个载玻片。当幻灯片准备好供讨论时，通过电子邮件通知MGH的协调员，然后协调员通过“GoToMeeting”（Citrix Online，CA，USA）安排电话会议。在会议期间，屏幕控制被移交给HFH，使用MIRAX查看器呈现病例并显示相关的WSI。来自MGH的病理学家讨论了该病例，并使用他的桌面捕获了相关区域的屏幕截图。HFH的远程医疗中心向MGH提供了一个网络服务器IP地址，以便随时访问WSI存储数据库。
BackgroundIn 2007, a modern digital pathology facility was conceived at the Telemedicine Center of the Holy Family Hospital (HFH), Rawalpindi, Pakistan, in collaboration with the Pathology Department of the Massachusetts General Hospital (MGH), Boston, USA [1]. A pathologist from HFH was trained at MGH and was provided equipment with the relevant software installed. Between December 2011 and August 2012, weekly hour-long teleconferences were held between the two centers, where static histopathology images were discussed using PowerPoint. The following month, Pakistan's first whole slide imaging (WSI) scanner was installed at the Telemedicine Center at HFH; however, before it could become functional, the pathologist left the country. The aim of the project had been for MGH to provide digital pathology support to HFH and other facilities in the country; however, the untimely exit of the trained pathologist had led to a breach in communication and a hiatus in the activities. In early 2013, we reestablished the connection, utilizing the Telemedicine Center but this time with pathologists from the Federal Government Poly Clinic (FGPC) Hospital, Islamabad. Due to the needs of teleconsultation in Pakistan, we have changed the protocol to organize teleconsultation to fit the current situation.MethodTo date, eight histopathology cases have been discussed. These cases were from tissues that ranged from the genitourinary system, central nervous system, gastrointestinal system, and soft tissue areas. At present, a consultant histopathologist and his team of four trainee pathologists from FGPC Hospital are the participants from Pakistan's side. The pertinent case slides are sent to HFH three days ahead of time by hand. They are scanned using the Panoramic Desk (40x objective lens version), 3D Histech Ltd., Hungary, as a slide scanner. Each slide takes approximately thirty minutes to be scanned. One to two slides are scanned per case. When slides are ready for discussion, a coordinator at MGH is notified via email, who then arranges a teleconference via “GoToMeeting,” Citrix Online, CA, USA. During the conference, the screen controls are handed over to HFH, presenting the case and displaying the related WSI using the MIRAX viewer. The pathologist from MGH discusses the case and captures screenshots of the relevant areas using his desktop. The Telemedicine Center at HFH has provided a network server IP address to MGH for accessing the WSI storage database at any time.