One of the conditions required to carry out remote pathology consultation
In China, remote pathology has been in Beijing, Shanghai and other major cities, Zhengzhou, Kunming and other provincial cities, Changzhou, Baoding and other district-level cities and county-level cities to actively prepare for and carry out the various conditions have been available. Specifically, the remote pathology system should have the following three parts of the conditions:
(1) primary hospital pathology department (applying for consultation units): In addition to excellent filming technology, there should be image acquisition equipment, including standard optical microscope, equipped with a high-quality color TV camera (video camera), connected to a computer equipped with a digital image acquisition board. To capture high-resolution color pathology images. Generally 5-12 digital images (average 8) can be transmitted per specimen and can be displayed at low (x100), medium (x290), and high magnification (x400).
(2) expert consultation workstation (generally built in the Department of Pathology of large hospitals): a pathologist with extensive experience is responsible for consultation. The workstation should be equipped with an optical microscope and two monitors, including a monitor control system and a monitor to observe the specimens and color pathology images of high-resolution television monitor. The pathologist conducts consultation and proposes a pathological diagnosis by observing the color microscopic images displayed on the television monitor, which are transmitted from the field.
(3) long-distance image transmission line: i.e., there is a special or ordinary telephone line between the pathology department of the primary hospital and the expert consultation workstation, which can complete the transmission of pathology images between the two places, which is completely feasible at present. With this line, the same true-color TV images can be simultaneously displayed on the monitors in the two places, generally as still images. If the satellite transmission of movable slices of moving images, and even in the consultation workstation by the expert remote control, choose to observe the field of view. In Europe and the United States in developed countries, has the conditions for the transmission of such images, but the equipment required is expensive, the consultation fee is too high, is not yet suitable for the current situation in China.
Two, the application of remote pathology consultation range
Remote consultation of the establishment of interconnected networks, marking the pathology consultation on the information superhighway, for the gradual elimination of the patient with a pathology slice of the anti-long city for the situation of the pathology consultation laid the foundation, but also for the development of academic exchanges, readings and discussions, and organization of the conditions of pathology teaching. Such as with the Internet, but also for international consultation and exchange.
From the European and American countries to carry out remote pathology information and our country has been carried out to see the work, it has a wide range of applications, mainly in the following areas:
(1) intraoperative frozen section consultation: in the establishment of the remote pathology consultation before the workstation is unable to carry out. With the consultation workstation. Any primary hospital that is networked with the workstation can quickly ask an expert to consult on intraoperative frozen sections.
(2) difficult cases of consultation: in routine pathology diagnostic work encountered in difficult, rare cases, primary hospitals due to the limitations of the conditions, fewer people, some even alone, through difficult diagnosis, but also often far from the water can not quench the thirst of the near. With remote consultation network. Not only solve the difficult diagnosis, but also help to improve the level of diagnosis.
(3) the transmission of large specimen images: observation of large specimens seen to determine the pathological diagnosis is also very necessary. Therefore, in some cases, the Standing Committee transmits the image of the macroscopic specimen together with the diabolic image for consultation.
(4) reading and discussion of the transmission of information: some areas to carry out regular reading and discussion. The diagnosis of controversial cases. Also through the remote consultation workstation, please expert consultation.
(5) Transmission of ultrastructural images of electron microscopy: specialists with expertise in ultrastructural pathology can be invited to consult to determine the diagnosis. In short, including telemedicine activities within the scope of remote pathology, just started in our country, is in the stage of gradual establishment and development, can be expected in the near future, centered on the major cities as the center of the expert consultation workstations and grass-roots hospitals across the country networking, remote pathology to carry out, in order to improve the level of diagnosis of pathology. Better serve patients.