| Cost-effective dynamic telepathology in the Mohs surgery laboratory utilizing iChat AV videoconferencing software. | |
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MedLine Citation:
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PMID: 17214680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Dynamic telepathology is the real-time transmission of histologic images from one pathologist to another by means of telecommunications technology. OBJECTIVE: The objective was to determine whether dynamic telepathology can be accomplished accurately and inexpensively by use of readily available off-the-shelf consumer products and software. METHODS: We attached a standard, consumer-grade, digital video camera to a microscope in the Mohs surgery laboratory and then transmitted via the Internet real-time histologic video images and audio to a consultant dermatopathologist by means of iChat AV videoconferencing software (Apple Computer Inc., Cupertino, CA). In the first part of the study, 20 unknown formalin-fixed, paraffin-embedded slides from tumors typically seen in a Mohs practice were evaluated by the consultant dermatopathologist. In the second part of the study, the Mohs surgeon consulted the dermatopathologist on 20 Mohs frozen section slides in which the surgeon had a particular question (e.g., "Is this part of a pilosebaceous unit or is this basal cell carcinoma?"). RESULTS: The video images were adequate for pathologic interpretation. There was agreement between conventional light microscopy and dynamic telepathology diagnosis in 19 of 20 tumors. There was complete agreement for all 20 Mohs frozen section consultations. CONCLUSION: Dynamic telepathology can be accomplished accurately and inexpensively by use of readily available consumer products and software. |
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Authors:
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Jeffrey K McKenna; Scott R Florell |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] Volume: 33 ISSN: 1076-0512 ISO Abbreviation: Dermatol Surg Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-01-11 Completed Date: 2007-02-20 Revised Date: 2007-12-03 |
Medline Journal Info:
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Nlm Unique ID: 9504371 Medline TA: Dermatol Surg Country: United States |
Other Details:
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Languages: eng Pagination: 62-8; discussion 68 Citation Subset: IM |
Affiliation:
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Division of Dermatology, University of Vermont, Burlington, Vermont, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cost-Benefit Analysis Frozen Sections Humans Mohs Surgery Remote Consultation / economics, instrumentation* Reproducibility of Results Skin Diseases / pathology*, surgery Telepathology / economics, instrumentation* User-Computer Interface* Videoconferencing / economics, instrumentation* |
| Grant Support | |
ID/Acronym/Agency:
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K23 RR17525-01/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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