A NEW SYSTEM TO IMPROVE DIFFERENCES IN QUALITY OF ADVANCED MEDICAL MANAGEMENT ; ESTABLISHMENT OF TELEPATHOLOGY NETWORK FOR INTRAOPERATIVE PATHOLOGY DIAGNOSIS

改善先进医疗管理质量差异的新系统；

• 批准号: 11794027
• 负责人: OOSHIMA Akira
• 金额: $ 2.69万
• 依托单位: WAKAYAMA MEDICAL UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for University and Society Collaboration
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11794027/
• 关键词: TELEMEDICINE; IMAGE TRANSMISSION; TELEPATHOLOGY; INTRAOPERATIVE DIAGNOSIS; PATHOLOGY NETWORK; COLLABORATION; IMPROVED MEDICAL MANAGEMENT; PRACTICAL USE; 実用化

Intraoperative pathology diagnosis (IPD) by telepathology (IPD-TP) is a field of telemedicine, which can improve differences in quality of advanced medical managements in the regional areas. We started this telemedicine in November, 1997 and, supported by the "Grant-in-Aid for University and Society collaboration" of the Ministry of Education, Culture, Sports, Science and Technology (MEXT), we challenged to expand our IPD-TP network in April, 2000. With obtaining the informed consent from patients who were eligible for this telemedicine, IPD-TP was attempted to 249 patients by the end of March, 2002.Among these patients, 222 patients were correctly diagnosed, but 9 patients had erroneous diagnoses. Diagnoses in 6 patients were approved and those in 12 patients were reserved. The rate of clinically significant diagnostic accuracy was calculated to be 96.2%. Average time required to prepare a frozen section was 21.7 min and that to make a diagnosis for a specimen was 7.8 min.Our network of this IPD-TP was made open to regional clinics via one pre-existing regional medical project. However, support of tele-surgery, which had been challenged by another regional medical project, by our IPD-TP could not be performed because of the absence of patients who were eligible for this collaboration during the period of our project.Our interim data were made open to a regional medical society and a questionnaire was given to an ordinary people group. Because they though that our project was important, and because the number of patients, to whom IPD-TP was provided, was increasing, it is concluded that our project to expand IPD-TP network and to make this telemedicine being of practical use is successful. Since broad band-based information technology is now available, it is considered that image transmission by this can decrease time required for diagnosis and improve our diagnostic accuracy.

远程病理学术中病理诊断（IPD-TP）是远程医疗的一个领域，可以改善地区间先进医疗管理质量的差异。我们于 1997 年 11 月开始这项远程医疗，并在文部科学省“大学和社会合作补助金”的支持下，于 2000 年 4 月挑战扩大我们的 IPD-TP 网络。在获得符合远程医疗资格的患者的知情同意后，截至 2002 年 3 月末，已对 249 名患者进行了 IPD-TP 尝试。在这些患者中， 222 名患者 诊断正确，但诊断错误9例。批准诊断6例，保留诊断12例。经计算，临床显着诊断准确率为96.2%。准备冰冻切片所需的平均时间为 21.7 分钟，对标本进行诊断所需的平均时间为 7.8 分钟。我们的 IPD-TP 网络通过一个现有的区域医疗项目向区域诊所开放。然而，我们的IPD-TP对受到另一个地区医疗项目挑战的远程手术的支持无法进行，因为在我们的项目期间没有符合该合作资格的患者。我们的中期数据向地区医学会开放，并向普通人群发放了调查问卷。因为他们认为我们的项目很重要，并且因为提供 IPD-TP 的患者数量正在增加，所以得出结论，我们扩展 IPD-TP 网络并使这种远程医疗实际使用的项目是成功的。由于现在可以使用基于宽带的信息技术，因此认为通过这种图像传输可以减少诊断所需的时间并提高我们的诊断准确性。

项目成果

中峯寛和: "術中迅速テレパソロジーの実用化.和歌山県における実践3年の中間報告"新医療. 28・6. 132-134 (2001)

Hirokazu Nakamine：“快速术中远程病理学的实际应用。和歌山县实施 3 年的中期报告”28・6（2001 年）。

中峯寛和: "テレパソロジーによる術中迅速病理診断の実用化.和歌山県における現状と地域の研究開発プロジェクトとの連携について"病理と臨床. 18・8. 824-826 (2000)

Hirokazu Nakamine：“使用远程病理学的术中快速病理诊断的实际应用。关于和歌山县的现状以及与当地研究和开发项目的合作”病理学和临床实践18・8（2000）。

Yamanaka N: "Present telemedicine and its problems in Wakayama prefecture. From experiences of diagnosing by televized pathology."Hokkaido Med J. 74-4. 277-278 (1999)

山中 N：“和歌山县的远程医疗现状及其问题。来自电视病理诊断的经验。”Hokkaido Med J. 74-4。

中峯寛和: "和歌山県における遠隔病理診断の実績.静止画像伝送による術中迅速病理診断"医学のあゆみ. (印刷中). (2002)

Hirokazu Nakamine：“和歌山县远程病理诊断的成就。利用静态图像传输进行快速术中病理诊断”医学史（2002 年出版）。

Nakamine H: "Practical use of intraoperative pathology diagnosis by telepathology. Current status in Wakayama prefecture and collaboration with other regional projects."Pathol Clin Med. 18-8. 824-826 (2000)

Nakamine H：“通过远程病理学进行术中病理诊断的实际应用。和歌山县的现状以及与其他地区项目的合作。”Pathol Clin Med。