Online Internet-based robotic telepathology in the diagnosis of neuro-oncology cases: A teleneuropathology feasibility study

This feasibility study examined the diagnostic accuracy of Internet-based dynamic-robotic telepathology using neuropathology cases. Randomly, 83 cases were selected from the routine diagnostic workload of the Neurosurgical Pathology Laboratory in Poznan, Poland. Telepathology diagnoses were compared...

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Bibliographic Details
Published in:Human pathology 2001-12, Vol.32 (12), p.1304-1308
Main Authors: Szymas, Janusz, Wolf, Guenther, Papierz, Wielislaw, Jarosz, Bozena, Weinstein, Ronald S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Child
Computerized, statistical medical data processing and models in biomedicine
Diagnostic Techniques, Neurological
Feasibility Studies
Female
Germany
Humans
Internet
Male
Medical management aid. Diagnosis aid
Medical sciences
Microscopy - instrumentation
Microscopy - methods
Middle Aged
Nervous System Neoplasms - diagnosis
neuro-oncology
Paraffin Embedding
Poland
Random Allocation
Remote Consultation - methods
Reproducibility of Results
Robotics - methods
telepathology
Telepathology - instrumentation
Telepathology - methods
United States
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Summary:This feasibility study examined the diagnostic accuracy of Internet-based dynamic-robotic telepathology using neuropathology cases. Randomly, 83 cases were selected from the routine diagnostic workload of the Neurosurgical Pathology Laboratory in Poznan, Poland. Telepathology diagnoses were compared with conventional paraffin section diagnosis. The neuropathologists, operating a robotically controlled motorized microscope over the Internet from 3 different Polish cities, individually reviewed the cases using computer workstations. Viewing times ranged from 2 minutes 54 seconds to 32 minutes 12 seconds per case. The mean diagnostic accuracy for telepathology diagnosis was 95%, with 2 of 3 observers achieving 100% diagnostic accuracy. Image quality was judged to be sufficient for correct evaluation, and the viewing times required to establish a final diagnosis by remote video microscopy were acceptable. Generally, user acceptance of robotic telepathology was high. HUM PATHOL 32:1304-1308. Copyright © 2001 by W.B. Saunders Company
ISSN:0046-8177
1532-8392
DOI:10.1053/hupa.2001.29647