International Telepathology

Total Page:16

File Type:pdf, Size:1020Kb

International Telepathology International Telepathology from the David Geffen School of Medicine at UCLA. Our experts use new innovations in high- resolution digital slide imaging and telepathology to provide a wide variety of individualized pathology consultation services in the United States and around the world. We prepare comprehensive pathology reports and work closely with our clients to offer guidance on diagnostic and prognostic findings to assist in therapeutic decision making for our patients. Technology Our telepathology service uses industry-leading whole-slide image software to ensure excellence in diagnostic care for our patients. With the rapid expansion of medical technology, our laboratory is designed to be digitally flexible and dynamic to Who we are What sets us apart bring the expertise of our specialized Telepathology is the ability Quality pathologists to referring pathologists to practice pathology at a from anywhere in the world. By UCLA Telepathology, a part of distance. It uses state-of-the-art leveraging proprietary technology the Department of Pathology and telecommunications technology and fast replication services for Laboratory Medicine, has been to transfer pathology images efficiency and compliance, the UCLA at the forefront of international from around the world for the Telepathology service enables any telepathology development purposes of diagnosis, education hospital in the world with whole-slide beginning with our partnerships and research. scanning capabilities to easily and in China, which began in 2010. quickly send a case for consultation UCLA Telepathology offers the This has led to one of the largest to our expert pathologists. By expertise of our world-renowned and most experienced international utilizing leading-edge software and team of pathologists who utilize telepathology programs in the encryption technology, UCLA is able the most modern digital imaging world, with over 2,200 cases to adhere to strict HIPAA standards technology available to improve reviewed by 2015. to maintain the confidentiality of our the healthcare of our patients Our telepathology team includes clients and patients. around the world. internationally recognized faculty UCLA Health Partnership • Support for research activities Bita Naini, MD including data mining Gastrointestinal and Liver Pathology The UCLA international Telepathology service began in 2010 with a • Reduced carbon footprint (Eco friendly) Scott Nelson, MD partnership with the Second Affiliated Bone and Soft Tissue Pathology Hospital of Zhejiang University Our Expert Team Jonathan Said, MD and has processed more than 2,200 Scott W. Binder, MD, Hematopathology cases by 2015. Along with diagnostic Dermatopathology Sophie Song, MD, PhD consultations, the program Director, National & International Hematopathology includes QA/QC protocols for Jian Yu Rao, MD, diagnostic evaluation and other Peggy Sullivan, MD Gynecological, Genitourinary quality initiatives. In addition, Breast, Gynecologic and Cytopathology and Cytopathology videoconferences are available to Hanlin Wang, MD, PhD Director, International (China) enable group discussion of interesting Gastrointestinal and Liver Pathology W. Dean Wallace, MD cases and to provide educational Haodong Xu, MD, PhD Pulmonary and and research opportunities. Head & Neck and Pulmonary Pathology Renal Pathology The program has since expanded Director, Anatomic William Yong, MD to reach more patients in China Pathology Informatics Neuropathology through additional collaborative agreements with leading regional Serge Alexanian, MD hospitals including the First People’s Dermatopathology Hospital of Yancheng in Jiangsu, the Associate Director, International Sixth People’s Hospital of Zhengzhou On-Site Director, Shanghai, China in Henan, Beijing Shijitang Hospital/ Fernando Palma Diaz, MD Yuhe Hospital, Sichuan Provincial Head & Neck and Renal Pathology People’s Hospital and United Associate Director, California Family Health Hospital & Clinics in Sophia Apple, MD Beijing. The program’s success has Breast, Gynecologic and Cytopathology also stimulated similar collaborations with other UCLA medical specialties, David Dawson, MD, PhD including radiology, oncology and Gastrointestinal and nuclear medicine. Pancreas Pathology Sarah Dry, MD Telepathology Services Bone and Soft Tissue Pathology and Benefits Sharon Hirschowitz, MD • Easy and fast international Cytopathology second-opinion consultation Charles Lassman, MD, PhD INTERNATIONAL • Reduced diagnostic turnaround time Liver and Renal Pathology TELEPATHOLOGY compared to traditional consultations Stephen Lee, MD • Adherence to strict Quality Assurance Hematopathology UCLA Pathology Outreach Client Services and Quality Control standards Neda Moatamed, MD 10833 Le Conte Avenue AS-370 CHS • Efficient utilization of resources Breast, Gynecologic and Cytopathology Los Angeles, CA 90095 • Clinician and patient education tool +1 (310) 267-2680 • Conservation of tissue to optimize [email protected] usage for ancillary studies pathology.ucla.edu/telepathology UCLA Health.
Recommended publications
  • Clinical Applications of Telepathology and Whole Slide Imaging
    Clinical Applications of Telepathology and Whole Slide Imaging Anil V Parwani, MD., PhD Department of Pathology Anatomic Pathology Laboratory Information Systems UPMC Shadyside Hospital University of Pittsburgh Medical Center Pittsburgh, PA Goals of Today’s Talk • Digital Images – Current common uses – Limitations • Telepathology •Whole Slide Images –Background and technology –Current common uses –Clinical Trials INTRODUCTION • Pathology is “IMAGE-BASED”and “VISUAL” • A pathologist is perfectly situated to control the imaging process in order to process useful visual and nonvisual data and communicate it to the patient’s health care Team. • Pathologists’ time is valuable • A systematic approach maximizes education and training. The Microscope • Functions: – Produce a magnified image without artifact – Resolve (separate) details in the image – Develop contrast between the details The Digital Camera Functions: • Samples the image so as to retain contrast and resolution Proven Uses for Digital Images • Teaching • CPC conferences • QA/QC • Publications • Image-enhanced reporting • Consultation • Telepathology –Store and Forward • Retrospective case review assisting diagnosis • Primary diagnosis • Advanced image analysis Electronic Medical Record Requisite Skillsets for Pathologist STATIC IMAGES HAVE LIMITATIONS!! • Gross imaging is very viable and delivers value to any practice - especially if imaging is operationalized and integrated with the LIS. • Microscopic imaging, though valuable, is in the beginning of a transformation from a “camera on a microscope” to a more INTEGRATED platform for pathology. • Image formation is a matter of magnification, resolution and contrast • Imaging provides added functionality compared to traditional glass slide examination. Virtual Pathology “VIRTUAL PATHOLOGY” • Non-robotic telepathology for expert/subspecialist consultation • Robotic telepathology for full pathology services • Whole-Slide Scanning for : – Distance education – Telepathology – QA/QC, CME, proficiency testing.
    [Show full text]
  • Towards Standards for Management and Transmission of Medical Data in Web Technology
    Towards standards for management and transmission of medical data in web technology Dr. Francesco Sicurello President @ITIM – Italian Association of Telemedicine and Medical Informatics (Italy) Medical Informatics Unit, CNR-Institute of Biomedical Technology, Milan Health Directorate, Lombardia Region – Research and Innovation Office Medical record consists in a set of patient health information, related to therapeutical and diagnostic processes of care. It is a clinical history of patient, useful to improve quality of life, to exchange knowledge among physicians and for epidemiological and health surveillance of population risk groups. The medical record is made up of medical information concerning the process of diagnosis and care of a patient; these data are collected during hospitalization or ambulatory visits. It sets up the medical history of each patient and is useful for the physician as a support and as a communication-documentation instrument, for statistical and epidemiological research. In other words, as M.S. Blois stated, “A medical record is what a physician (either in his private office or in the hospital) needs in order to take care of patients. During a patient’s visit, it is common for the doctor to need or want the entire medical record. A clinical database, by contrast, is usually designed for purposes other than patient care (although it can help with this). Thus there are important distinctions that can be drawn between the two. For a better management of patient care, the Electronic Patient Record (EPR) or Electronic Medical Record (EMR) must be complete as possible, containing also biomedical signals and images, video, etc. This constitutes the Multimedia Medical Record (MMR).
    [Show full text]
  • Telemedicine and Integrated Health Care Delivery: Compounding Malpractice Liability Patricia C
    University of Washington School of Law UW Law Digital Commons Articles Faculty Publications 1999 Telemedicine and Integrated Health Care Delivery: Compounding Malpractice Liability Patricia C. Kuszler University of Washington School of Law Follow this and additional works at: https://digitalcommons.law.uw.edu/faculty-articles Part of the Health Law and Policy Commons, and the Medical Jurisprudence Commons Recommended Citation Patricia C. Kuszler, Telemedicine and Integrated Health Care Delivery: Compounding Malpractice Liability, 25 Am. J. L. & Med. 297 (1999), https://digitalcommons.law.uw.edu/faculty-articles/378 This Article is brought to you for free and open access by the Faculty Publications at UW Law Digital Commons. It has been accepted for inclusion in Articles by an authorized administrator of UW Law Digital Commons. For more information, please contact [email protected]. American journal of Law &Medicine, 25 (1999): 297-326 © 1999 American Society of Law, Medicine & Ethics Boston University School of Law Telemedicine and Integrated Health Care Delivery: Compounding Malpractice Liability Patricia C. Kuszlert I. INTRODUCTION Telemedicine became a significant part of the health care equation long before we realized what it was or how important it will be in the future. Telephone discussions and consultations between health care providers have been a part of medical practice since Alexander Graham Bell gifted society with telephones.1 Furthermore, who among us has not been transfixed watching and learning about open heart surgery on cable television? 2 Propelled by the information superhighway and the breadth of emerging computer and communication technologies, telemedicine will change the face of medicine and methods of interaction between providers and patients.
    [Show full text]
  • Study on Image Quality in Teledermatology and Telepathology of Telemedicine Using a Digital Camera
    Nepal Journal of Multidisciplinary Research (NJMR) Vol. 4, No. 1, March 2021. Pages: 1-13 ISSN: 2645-8470 (Print), ISSN: 2705-4691 (Online) DOI: https://doi.org/10.3126/njmr.v4i1.36597 Study on Image Quality in Teledermatology and Telepathology of Telemedicine Using a Digital Camera Krishna Bahadur Rai Department of Physics, Patan Multiple Campus, Tribhuwan University, Kathmandu, Nepal Email: [email protected] Received: January 15, 2021; Revised & Accepted: February 25, 2021; Published: April 10, 2021 © Copyright: Rai (2021). This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. Abstract: Telemedicine is the delivery of health care and exchange of health care information across distance by the use of electronic communication and information technology. Telemedicine (Teledermatology and Telepathology) are being increasing popular and advanced. In ROC curve analysis, it is found that the area under the ROC curve for dermatology is 0.922 saying that a randomly selected individual from the positive group has a test value larger than that for a randomly chosen individual from the negative group by 92% of the time. For histology and cytology, areas under ROC curve are 0.909 and 1.000 respectively. These larger areas indicate high diagnostic accuracy through the high image quality. Again, the P-value for dermatology, histology and cytology are respectively 0.000, 0.000 and 0.001 and all the P- values are low i.e., P < 0.05 which is statistically significant. Therefore, this confirms that an image has good help to detect disease for the doctor’s diagnosis. For detection of disease through images, these images must have good and high quality.
    [Show full text]
  • A Qualitative Evaluation of the Eastern Quebec Telepathology Network
    http://ijhpm.com Int J Health Policy Manag 2018, 7(5), 421–432 doi 10.15171/ijhpm.2017.106 Original Article The Challenges of a Complex and Innovative Telehealth Project: A Qualitative Evaluation of the Eastern Quebec Telepathology Network Hassane Alami1,2*, Jean-Paul Fortin1,3, Marie-Pierre Gagnon1,2,4, Hugo Pollender1, Bernard Têtu2,3, France Tanguay5 Abstract Article History: Background: The Eastern Quebec Telepathology Network (EQTN) has been implemented in the province of Quebec Received: 8 May 2017 (Canada) to support pathology and surgery practices in hospitals that are lack of pathologists, especially in rural and Accepted: 29 August 2017 remote areas. This network includes 22 hospitals and serves a population of 1.7 million inhabitants spread over a vast ePublished: 13 September 2017 territory. An evaluation of this network was conducted in order to identify and analyze the factors and issues associated with its implementation and deployment, as well as those related to its sustainability and expansion. Methods: Qualitative evaluative research based on a case study using: (1) historical analysis of the project documentation (newsletters, minutes of meetings, articles, ministerial documents, etc); (2) participation in meetings of the committee in charge of telehealth programs and the project; and (3) interviews, focus groups, and discussions with different stakeholders, including decision-makers, clinical and administrative project managers, clinicians (pathologists and surgeons), and technologists. Data from all these sources were cross-checked and synthesized through an integrative and interpretative process. Results: The evaluation revealed numerous socio-political, regulatory, organizational, governance, clinical, professional, economic, legal and technological challenges related to the emergence and implementation of the project.
    [Show full text]
  • New Developments and Trends in Telemedicine and Telehealth
    New Developments and Trends in Telemedicine and William M. Freedman, Esq. Telehealth Cincinnati, Ohio [email protected] OSHRM/SOHA Conference September 25. 2015 Jenna G. Moran, Esq. Cincinnati, Ohio [email protected] Overview “We need to bring the exam room to where the patients are.” Dr. Jay H. Sanders, “The Father of Telemedicine” Telehealth v. Telemedicine Ohio Law Reimbursement Licensure Credentialing Prescribing Consent Privacy and Security Antikickback Implications State Telemedicine Law Developments The Future Telehealth v. Telemedicine Telehealth Defined: Broader than telemedicine; includes non-clinical services The Health Resources Services Administration defines telehealth as the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration May include providing clinical services to patients at a distance, monitoring a patient’s vital signs from a distance, transmitting x- rays from a patient at a rural clinic to a radiologist in an urban hospital, broadcasting continuing education programs to physicians throughout the state Telehealth v. Telemedicine Telemedicine Defined: The American Telemedicine Association (ATA) defines telemedicine as “the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using
    [Show full text]
  • Telepathology: Guidance from the Royal College of Pathologists
    Telepathology: Guidance from The Royal College of Pathologists October 2013 Author Professor James Lowe, Chair of the Specialty Advisory Committee on Cellular Pathology Unique document number G026 Document name Telepathology: Guidance from The Royal College of Pathologists Version number 2 Produced by Professor James Lowe, Chair of the Specialty Advisory Committee on Cellular Pathology Date active October 2013 Date for review October 2014 Comments This document supersedes the 2005 publication of the same name, written by Dr Jem Rashbass and Professor Peter Furness on behalf of the Specialty Advisory Committee on Histopathology. In accordance with the College’s pre-publications policy, it was on The Royal College of Pathologists’ website for consultation from 13 February to 13 March 2013. Forty items of feedback were received and the author considered them and amended the document as appropriate. Please email [email protected] if you wish to see the responses and comments. Dr Suzy Lishman Vice-President for Advocacy and Communications The Royal College of Pathologists 2 Carlton House Terrace, London, SW1Y 5AF Tel: 020 7451 6700 Fax: 020 7451 6701 Web: www.rcpath.org Registered charity in England and Wales, no. 261035 © 2013, The Royal College of Pathologists This work is copyright. You may download, display, print and reproduce this document for your personal, non-commercial use. Apart from any use as permitted under the Copyright Act 1968 or as set out above, all other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to The Royal College of Pathologists at the above address. First published: 2013 PUB 281013 1 V5 Final Contents 1 Introduction .........................................................................................................................
    [Show full text]
  • Use of Telepathology in Oncology
    Use of Telepathology in Oncology Telepathology network in Ile de France: a 18-month pilot program for intraoperative consultation (telediagnosis) and second opinion diagnosis (teleexpertise) Telepathology Working Group Catherine GUETTIER Head of Pathology – Bicêtre University Hospital (Paris) UICC Paris 2016 Telepathology • Telemedecine: The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities” (WHO). • Telepathology: Telepathology is the area of telemedicine involving the transmission of pathological specimen images for remote study and diagnosis of disease. • Digital slides Digital slides 1/2 • To numerize the whole tissue section of the glass slide = many pictures of high quality Whole Slide Image 500 Mb -3Gb • High throughput scanners • Software: stitching, streaming and navigation = virtual microscope • CE marking for in vitro diagnosis/FDA Digital slides 2/2 Context: Situation of Pathology in France . ACP DEMOGRAPHY & NEW CANCER CASES COMPARED EVOLUTION . Shortage and aging of pathologists . Reorganization of Pathology structures with shared technical facilities PATHOLOGISTS IN IDF . Increased number and complexity of % OF PATHOLOGISTS OLDER THAN 55 & 60 YEARS OLD 49%
    [Show full text]
  • Evolution of Telepathology: a Comprehensive Analysis of Global Telepathology Literature Between 1986 and 2017
    Original Article doi: 10.5146/tjpath.2019.01484 Evolution of Telepathology: A Comprehensive Analysis of Global Telepathology Literature Between 1986 and 2017 Engin ŞENEL1 , Yılmaz BAŞ2 Department of 1Dermatology and 2Pathology, Hitit University Faculty of Medicine, ÇORUM, TURKEY ABSTRACT Objective: Telepathology is an application of telemedicine providing remote evaluation and consultation of digital pathology images and can be used for educational or experimental purposes. Bibliometrics is a statistical discipline investigating publication patterns and trends in a certain academic field. Although bibliometric and scientometric studies are becoming increasingly popular, the relevant literature contains only one limited article related to telepathology. The aim of our study was to perform a holistic bibliometric analysis of the telepathology literature. Material and Method: Since the first article on telepathology was published in 1986, we included all indexed articles retrieved from Web of Science databases between 1986 and 2017. Results: We found that the USA covering 43.01% of all literature was the leading country in the telepathology field and was followed by Germany, Italy and the UK (n=120, 90 and 83, respectively). The countries with the most contributions were located in the continents of Europe and North America. The most productive source titles were Human Pathology, Journal of Telemedicine and Telecare, and Modern Pathology. Harvard University ranked first with 59 articles. The most commonly used keywords of the telepathology literature were “telepathology”, “telemedicine”, “digital pathology”, “virtual microscopy” and “telecytology”. We noted that all of the ten countries with the most contributions were in the developed category of UN classification and all twenty of the most productive institutions were from developed countries.
    [Show full text]
  • Telehealth Laws State & Reimbursement Policies
    FALL 2019 FALL STATE TELEHEALTH LAWS & REIMBURSEMENT POLICIES A COMPREHENSIVE SCAN OF THE 50 STATES & THE DISTRICT OF COLUMBIA & THE DISTRICT OF THE 50 STATES SCAN A COMPREHENSIVE State Telehealth Laws and Medicaid Program Policies INTRODUCTION The Center for Connected Health Policy’s (CCHP) Fall 2019 release of the “State Telehealth Laws and Reimbursement Policies” report highlights the changes that have taken place in state telehealth policy. The report offers policymakers, health advocates, and other interested health care professionals a summary guide of telehealth-related policies, laws, and regulations for all 50 states and the District of Columbia. While this guide focuses primarily on Medicaid fee-for-service policies, information on managed care is noted in the report if it was available. The report also notes particular areas where we were unable to find information. Every effort was made to capture the most recent policy language in each state as of September 2019. Recently passed legislation and regulation have also been included in this version of the document with their effective date noted in the report (if applicable). This information also is available electronically in the form of an interactive map and search tool accessible on our website cchpca.org. Consistent with previous editions, the information will be updated biannually, as laws, regulations and administrative policies are constantly changing. TELEHEALTH POLICY TRENDS States continue to refine and expand their telehealth reimbursement policies though they are not treated across the board in the same manner as in-person delivered services. Limitations in regards to reimbursable modality, services and location of the patient continue to be seen.
    [Show full text]
  • Telerehabilitation and Recovery of Motor Function: a Systematic Review and Meta-Analysis
    TITLE Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. AUTHORS Michela Agostini1, Lorenzo Moja2, Rita Banzi3, Vanna Pistotti3, Paolo Tonin1, Annalena Venneri4,5, Andrea Turolla1,4, Michela Agostini1, 2* * Corresponding author Email: [email protected] Lorenzo Moja3 Email: [email protected] Rita Banzi4 Email: [email protected] Vanna Pistotti4 Email: [email protected] Paolo Tonin1 Email: [email protected] Annalena Venneri4, 5 Email: [email protected] Andrea Turolla1, 4 Email: [email protected] AFFILIATIONS 1 Foundation IRCCS San Camillo Hospital, Laboratory of Kinematics and Robotics, Neurorehabilitation Department, via Alberoni 70, 30126, Venice, Italy. 2 Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; Clinical Epidemiology Unit, IRCCS Orthopedic Institute Galeazzi, Milan, Italy. 3 IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via La Masa 19, 20156 Milan, Italy 4 Department of Neuroscience, The University of Sheffield. Sheffield, UK 5 Foundation IRCCS San Camillo Hospital, Laboratory of Neuroimaging, via Alberoni 70, 30126, Venice, Italy. CORRESPONDING AUTHOR: Michela Agostini Via Alberoni, 70 - 30126 - Venezia Lido, VE. Italy e-mail: [email protected] Key words Systematic Review, Telerehabilitation, Disclosure Policy The authors declare that there is no conflict of interests regarding the publication of this article. The authors, Agostini Michela and Andrea Turolla, declare that they are the co-authors in the two studies included in this Systematic Review (i.e. Piron 2008 e 2009) [4-9] Abstract Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions.
    [Show full text]
  • NEW ATA Telepathology Guidelines
    1 1 American Telemedicine Association | Page 1 of 24 Acknowledgements The American Telemedicine Association (ATA) wishes to express sincere appreciation to the ATA Telepathology Guidelines Work Group and the ATA Practice Guidelines Committee for their invaluable contributions in the research, writing and development of the following guidelines. Telepathology Clinical Guidelines Work Group (Alphabetical Order) Chair: Liron Pantanowitz, MD, Associate Professor of Pathology and Biomedical Informatics, University of Pittsburgh Medical Center, Department of Pathology Work Group Members Kim Dickinson, MD, MBA, MPH, Senior Medical Director Integrated Oncology – Irvine, LabCorp, President, Digital Pathology Association Andrew J Evans, MD, PhD, FRCPC, Staff Pathologist and Associate Professor, University Health Network, Laboratory Medicine Program, Toronto General Hospital Lewis Hassell, MD, Associate Professor of Pathology, Director of Anatomic Pathology, Department of Pathology, University of Oklahoma Health Sciences Center (OUHSC) Walter H. Henricks, MD, Medical Director, Center for Pathology Informatics, Staff Pathologist, Pathology and Laboratory Medicine Institute, Cleveland Clinic Jochen K. Lennerz, MD, PhD, Staff Pathologist, University Ulm, Institute of Pathology, Albert- Einstein-Allee, Germany Amanda Lowe, Director of Business Development, Visiopharm Anil V. Parwani, MD, PhD, MBA; Division Director, Pathology Informatics, Staff Pathologist Shadyside Hospital, UPMC, Pittsburgh, PA Michael Riben, MD, Director of Anatomic Pathology Informatics,
    [Show full text]