Telepathology: A way to Telepathology: A way to implement and integrate implement and integrate skills/ Internet consensus skills/ Internet consensus
buildingbuilding
Kim Solez, M.D.Kim Solez, M.D.
[email protected]@UAlberta.CA
A transition: Telemedicine, A transition: Telemedicine, telehealth, e-healthtelehealth, e-health
The primary care physician of the The primary care physician of the future is the patient (or parent) !future is the patient (or parent) !
e-health e-health Consumer-drivenConsumer-driven
Telemedicine and Telehealth Telemedicine and Telehealth Provider-drivenProvider-driven
The public will tell us what they want The public will tell us what they want in e-health. Providers no longer in e-health. Providers no longer dictate but become partners with dictate but become partners with
patient or parent.patient or parent.
Slide Slide 44
Telemedicine - The Past,Telemedicine - The Past,the Futurethe Future
In the past meant mainly phone based In the past meant mainly phone based videoconferencing using phone linesvideoconferencing using phone linesor dedicated ISDN lines, largely or dedicated ISDN lines, largely impractical for developing countries.impractical for developing countries.
In the future, Internet based using suchIn the future, Internet based using suchprograms as Microsoft Netmeeting andprograms as Microsoft Netmeeting andClassPoint, practical for developingClassPoint, practical for developingcountries.countries.
In the past meant mainly phone based In the past meant mainly phone based videoconferencing using phone linesvideoconferencing using phone linesor dedicated ISDN lines, largely or dedicated ISDN lines, largely impractical for developing countries.impractical for developing countries.
In the future, Internet based using suchIn the future, Internet based using suchprograms as Microsoft Netmeeting andprograms as Microsoft Netmeeting andClassPoint, practical for developingClassPoint, practical for developingcountries.countries.
Slide Slide 55
Telepathology - The Past,Telepathology - The Past,the Futurethe Future
In the past meant mainly real time In the past meant mainly real time robotic stage connection usingrobotic stage connection usingdedicated ISDN lines, largely dedicated ISDN lines, largely impractical for developing countries.impractical for developing countries.
In the future, Internet based using In the future, Internet based using static images from inexpensive digitalstatic images from inexpensive digitalcameras, practical for developingcameras, practical for developingcountries.countries.
In the past meant mainly real time In the past meant mainly real time robotic stage connection usingrobotic stage connection usingdedicated ISDN lines, largely dedicated ISDN lines, largely impractical for developing countries.impractical for developing countries.
In the future, Internet based using In the future, Internet based using static images from inexpensive digitalstatic images from inexpensive digitalcameras, practical for developingcameras, practical for developingcountries.countries.
Slide Slide 66
The camera to buy changes daily! But the The camera to buy changes daily! But the choice on Oct. 26, 2002 would be:choice on Oct. 26, 2002 would be:
The Nikon Coolpix 995The Nikon Coolpix 995with MXB29005 adaptorwith MXB29005 adaptor
Slide Slide 77
Details - The Nikon Coolpix 995Details - The Nikon Coolpix 995
3.34 Megapixel Resolution3.34 Megapixel ResolutionHigh-Speed USB ConnectionHigh-Speed USB Connection
$899 US$899 US
Photographic results almost Photographic results almost indistinguishable from film!indistinguishable from film!
3.34 Megapixel Resolution3.34 Megapixel ResolutionHigh-Speed USB ConnectionHigh-Speed USB Connection
$899 US$899 US
Photographic results almost Photographic results almost indistinguishable from film!indistinguishable from film!
Slide Slide 88
Telepathology Resources on Telepathology Resources on the WWWthe WWW
http://www.afip.org/telepathology/http://www.afip.org/telepathology/http://www.pathoindia.com/tele.htmlhttp://www.pathoindia.com/tele.htmlhttp://www.ndp.ox.ac.uk/telepathology/http://www.ndp.ox.ac.uk/telepathology/http://www.telemicroscopy.org/http://www.telemicroscopy.org/http://telepathology.upmc.edu/http://telepathology.upmc.edu/(Latter two - Yukako Yagi)(Latter two - Yukako Yagi)
Consultation/Education/StandardizationConsultation/Education/Standardization
http://www.afip.org/telepathology/http://www.afip.org/telepathology/http://www.pathoindia.com/tele.htmlhttp://www.pathoindia.com/tele.htmlhttp://www.ndp.ox.ac.uk/telepathology/http://www.ndp.ox.ac.uk/telepathology/http://www.telemicroscopy.org/http://www.telemicroscopy.org/http://telepathology.upmc.edu/http://telepathology.upmc.edu/(Latter two - Yukako Yagi)(Latter two - Yukako Yagi)
Consultation/Education/StandardizationConsultation/Education/Standardization
Slide Slide 99
Internet technologies the ideal Internet technologies the ideal way to build consensusway to build consensus
Three examples:Three examples:
ISN Disaster Relief Task ForceISN Disaster Relief Task Force
ISN Consensus Conferences - COMGANISN Consensus Conferences - COMGAN
Banff conferences on allograft pathologyBanff conferences on allograft pathology
Three examples:Three examples:
ISN Disaster Relief Task ForceISN Disaster Relief Task Force
ISN Consensus Conferences - COMGANISN Consensus Conferences - COMGAN
Banff conferences on allograft pathologyBanff conferences on allograft pathology
Slide Slide 1010
Banff ClassificationBanff Classification
Internationally agreed upon classificationInternationally agreed upon classification
First developed in 1991, meetings every First developed in 1991, meetings every two years.two years.
Published in KI in 1993 and 1999.Published in KI in 1993 and 1999.
Employs lesion quantitation g,I,t,v,ahEmploys lesion quantitation g,I,t,v,ahcg,ci,ct,cv,mm and standard diagnosticcg,ci,ct,cv,mm and standard diagnosticcategories.categories.
Internationally agreed upon classificationInternationally agreed upon classification
First developed in 1991, meetings every First developed in 1991, meetings every two years.two years.
Published in KI in 1993 and 1999.Published in KI in 1993 and 1999.
Employs lesion quantitation g,I,t,v,ahEmploys lesion quantitation g,I,t,v,ahcg,ci,ct,cv,mm and standard diagnosticcg,ci,ct,cv,mm and standard diagnosticcategories.categories.
Slide Slide 1111
Banff ClassificationBanff Classification
Inflammation does not equal rejection.Inflammation does not equal rejection.
Tubulitis suggests rejection, Tubulitis suggests rejection, intimal arteritis diagnostic of rejection.intimal arteritis diagnostic of rejection.
Three histologic forms, tubulointerstitial,Three histologic forms, tubulointerstitial,vascular, and transmural.vascular, and transmural.
Inflammation does not equal rejection.Inflammation does not equal rejection.
Tubulitis suggests rejection, Tubulitis suggests rejection, intimal arteritis diagnostic of rejection.intimal arteritis diagnostic of rejection.
Three histologic forms, tubulointerstitial,Three histologic forms, tubulointerstitial,vascular, and transmural.vascular, and transmural.
Slide Slide 1212
Banff ClassificationBanff Classification
Anyone can participate in the Banff Anyone can participate in the Banff meetings, on site or remotely.meetings, on site or remotely.Next meeting June 14-18, 2003 in Next meeting June 14-18, 2003 in Aberdeen, Scotland (near Banff)Aberdeen, Scotland (near Banff)
Important breakthroughs expected in Important breakthroughs expected in 2003. Chronic rejection classification.2003. Chronic rejection classification.DNA microarray/genomics approaches. DNA microarray/genomics approaches. Donor biopsy classification. Tolerance.Donor biopsy classification. Tolerance.
Anyone can participate in the Banff Anyone can participate in the Banff meetings, on site or remotely.meetings, on site or remotely.Next meeting June 14-18, 2003 in Next meeting June 14-18, 2003 in Aberdeen, Scotland (near Banff)Aberdeen, Scotland (near Banff)
Important breakthroughs expected in Important breakthroughs expected in 2003. Chronic rejection classification.2003. Chronic rejection classification.DNA microarray/genomics approaches. DNA microarray/genomics approaches. Donor biopsy classification. Tolerance.Donor biopsy classification. Tolerance.
Slide Slide 1313
Communications for BanffCommunications for Banff
Face to face meetings. Letters, faxes, Face to face meetings. Letters, faxes, phone calls. Expensive, cumbersome,phone calls. Expensive, cumbersome,slow.slow.
Since 1994 the Internet has been the mainSince 1994 the Internet has been the mainmeans of communication for this andmeans of communication for this andother projects.other projects.
Face to face meetings. Letters, faxes, Face to face meetings. Letters, faxes, phone calls. Expensive, cumbersome,phone calls. Expensive, cumbersome,slow.slow.
Since 1994 the Internet has been the mainSince 1994 the Internet has been the mainmeans of communication for this andmeans of communication for this andother projects.other projects.
1997 - Creation of NKF 1997 - Creation of NKF cyberNephrology and the ISN cyberNephrology and the ISN
Informatics CommissionInformatics Commission
WWW sites:WWW sites:
http://www.cybernephrology.org http://www.cybernephrology.org http://www.kidney.org http://www.kidney.org
http://www.isn-online.org http://www.isn-online.org http://www.cyber-medicine.orghttp://www.cyber-medicine.org
Contact Contact [email protected]@UAlberta.CA
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