Development of a teledermatopathology consultation system using virtual slides.
Development of a teledermatopathology consultation system using virtual slides.
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DOI：
10.1186/1746-1596-7-177
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发表时间：
2012-12-13
影响因子：
2.6
通讯作者：
Sawai T
中科院分区：
文献类型：
--
作者：
Nakayama I;Matsumura T;Kamataki A;Uzuki M;Saito K;Hobbs J;Akasaka T;Sawai T
已经开发了使用虚拟切片（全切片图像; WSI）的在线咨询系统用于病理诊断，并且可以帮助弥补病理学家的短缺，特别是在皮肤病理学领域和处理疑难病例的其他领域。这项研究的重点是系统的性能和未来的潜力。在我们的系统中，载玻片上的组织学标本通过虚拟载玻片仪器进行数字化，转换为网络数据，并上传到开放的服务器。然后，我们使用我们自己专门构建的在线系统输入患者的详细信息，例如年龄，性别，受影响的区域，临床数据，过去的历史和其他相关项目。接下来，我们将选择多达10名顾问。最后，我们通过一个命令同时向所有顾问发送电子邮件。顾问收到一封电子邮件，其中包含一个ID和密码，用于访问开放式服务器并检查与案件有关的图像和其他数据。顾问作出诊断，这是发送给我们沿着的意见。由于这是一项试点研究，我们还与顾问就图像质量、可操作性、可用性和其他问题进行了几次问卷调查。我们征求了36例病例的咨询，包括肿瘤病例，涉及1至8名皮肤病理学领域的顾问。在发送方或接收方的图像或系统功能方面没有发现任何问题。最快的诊断是在发送数据后18分钟收到的。这比使用载玻片的传统咨询快得多。尽管顾问之间存在一些细微的意见分歧，但在诊断方面没有重大问题。通过对多名会诊医生的问卷调查，证实了该系统在病理会诊中的实用性。(16 23名顾问）。我们已经开发了一种新的远程皮肤病理咨询系统，使用虚拟幻灯片，并调查该系统的实用性。结果表明，我们的系统可以是一个有用的工具，为国际医疗工作，我们期待着它在未来更广泛的应用。本文的虚拟幻灯片可以在这里找到：http://www.diagnosticpathology.diagnomx.eu/vs/1902376044831574
An online consultation system using virtual slides (whole slide images; WSI) has been developed for pathological diagnosis, and could help compensate for the shortage of pathologists, especially in the field of dermatopathology and in other fields dealing with difficult cases. This study focused on the performance and future potential of the system. In our system, histological specimens on slide glasses are digitalized by a virtual slide instrument, converted into web data, and up-loaded to an open server. Using our own purpose-built online system, we then input patient details such as age, gender, affected region, clinical data, past history and other related items. We next select up to ten consultants. Finally we send an e-mail to all consultants simultaneously through a single command. The consultant receives an e-mail containing an ID and password which is used to access the open server and inspect the images and other data associated with the case. The consultant makes a diagnosis, which is sent to us along with comments. Because this was a pilot study, we also conducted several questionnaires with consultants concerning the quality of images, operability, usability, and other issues. We solicited consultations for 36 cases, including cases of tumor, and involving one to eight consultants in the field of dermatopathology. No problems were noted concerning the images or the functioning of the system on the sender or receiver sides. The quickest diagnosis was received only 18 minutes after sending our data. This is much faster than in conventional consultation using glass slides. There were no major problems relating to the diagnosis, although there were some minor differences of opinion between consultants. The results of questionnaires answered by many consultants confirmed the usability of this system for pathological consultation. (16 out of 23 consultants.) We have developed a novel teledermatopathological consultation system using virtual slides, and investigated the usefulness of the system. The results demonstrate that our system can be a useful tool for international medical work, and we anticipate its wider application in the future. The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1902376044831574
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影响因子：
4.7
作者：
Kumar, Neeta;Busarla, Satya Vara Prasad;Sohani, Aliyah R.
通讯作者：
Sohani, Aliyah R.
DOI：
10.1089/tmj.1.1997.3.27
发表时间：
1997-01-01
期刊：
Telemedicine journal : the official journal of the American Telemedicine Association
影响因子：
--
作者：
Berman, B;Elgart, G W;Burdick, A E
通讯作者：
Burdick, A E
影响因子：
1.5
作者：
Slodkowska, Janina;Pankowski, Juliusz;Chyczewski, Lech
通讯作者：
Chyczewski, Lech
迈向自动化的虚拟幻灯片筛选：在互联网中实施的基于自动化组织的虚拟诊断的理论考虑和实际经验。
影响因子：
2.6
作者：
Kayser, Klaus;Radziszowski, Dominik;Bzdyl, Piotr;Sommer, Rainer;Kayser, Gian
通讯作者：
Kayser, Gian
影响因子：
2.6
作者：
Kayser, Klaus;Borkenfeld, Stephan;Kayser, Gian
通讯作者：
Kayser, Gian