Journal Article
. 2002 Jun; 33(4):410-4.
doi: 10.1053/hupa.2002.124722.

Internet teleconferencing method for telepathology consultations from lung and heart transplant patients

Alberto M Marchevsky 1 Sean K Lau  Elham Khanafshar  Christopher Lockhart  Ann Phan  Paul J Michaels  Michael C Fishbein  
  • PMID: 12055675
  •     4 citations


Current Internet-based teleconferencing techniques allow a referring pathologist to transmit real-time images from a microscope to a consultant, while maintaining a verbal conversation using Internet telephony. In our study, 50 randomly selected transbronchial biopsies from lung allograft recipients and 58 randomly selected endomyocardial biopsies from heart transplant patients were diagnosed by consultant pathologists using Internet-based teleconferencing methods. The referring pathologists acquired the real-time video images from the biopsies using a light microscope equipped with a phototube adapter and a video camera. The consultant pathologists viewed the processed images on a video monitor at 800 x 600 resolution, using a standard microcomputer equipped with Netmeeting software, and directed the referring pathologist to move the slide under the microscopy and/or change image magnification. The validity of telepathology diagnoses was assessed with kappa coefficients. Consultations were completed in 5 to 15 minutes per case. Sound transmission was unreliable, and in approximately 25% of consultations the referring pathologist needed to "call back" to reestablish verbal communication. In all but 2 transbronchial biopsies there was agreement between the original diagnosis and the diagnosis by telepathology (kappa = 0.92). In 48 of 58 endomyocardial biopsies there was concordance between the 2 diagnoses (kappa = 0.692). Only 3 out of 10 of these discrepancies were clinically significant (kappa = 0.897). Internet-based teleconferencing techniques provide effective and relatively inexpensive tools for real time telepathology consultations. The technology is probably best suited for the study of small specimens from patients that require rapid diagnosis by a consultant.

Inter- and intra-observer concordance of cyberpathology in twenty-five cases.
Tommy R Tong, Kam-Cheong Lee, +6 authors, Jessica Pik-Man Lam.
Int J Biomed Sci, 2008 Mar 01; 4(1). PMID: 23675068    Free PMC article.
Comparing whole slide digital images versus traditional glass slides in the detection of common microscopic features seen in dermatitis.
Nikki S Vyas, Michael Markow, +5 authors, Drazen M Jukic.
J Pathol Inform, 2016 Aug 27; 7. PMID: 27563489    Free PMC article.
The Use of Screencasts with Embedded Whole-Slide Scans and Hyperlinks to Teach Anatomic Pathology in a Supervised Digital Environment.
Mary Wong, Joseph Frye, Stacey Kim, Alberto M Marchevsky.
J Pathol Inform, 2019 Jan 05; 9. PMID: 30607306    Free PMC article.
The Landscape of Digital Pathology in Transplantation: From the Beginning to the Virtual E-Slide.
Ilaria Girolami, Anil Parwani, +8 authors, Albino Eccher.
J Pathol Inform, 2019 Aug 02; 10. PMID: 31367473    Free PMC article.