when the enopath network opens up to the telepathology · bridge the distance between breast...

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Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L. Quintyn-Ranty, P. Caveriviere, K. Gordien, F.-X. Frenois, V. Maisongrosse, E. Mery, P. Wuithier, J. Reyre, V. Laborie, V. Rolland, I. Thibaut, M. Jamme-Lallemand, J. Palasse, B. Despax, P. Brousset, M. Lacroix-Triki, R. Duprez-Paumier

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Page 1: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Bridge the distance between breast pathologists

When the ENOPATH network

opens up to the telepathology

C. Franchet, M.-L. Quintyn-Ranty, P. Caveriviere, K. Gordien, F.-X. Frenois, V. Maisongrosse, E. Mery, P. Wuithier, J. Reyre, V. Laborie, V. Rolland, I. Thibaut, M. Jamme-Lallemand, J. Palasse, B. Despax, P. Brousset, M. Lacroix-Triki, R. Duprez-Paumier

Page 2: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

A brief history of SENOPATH network: actors

Magali Lacroix-TrikiMarie-Laure Quintyn-Ranty

• Peer-group created in Midi-Pyrénées region in 2011• Support of Oncomip network

• Experienced breast pathologists from• Private laboratories• University hospital• Comprehensive cancer center

• Headed by

Paul Caveriviere

Page 3: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

A brief history of SENOPATH network: geography

• Public and private/public structures• Until 2014, three sites in Toulouse

• Several laboratories scattered in the Midi-Pyrénées region

• Tarbes 117 km• Montauban 55 km• Albi 76 km• Rodez 147 km

Page 4: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

A brief history of SENOPATH network: technology

Multihead microscope sessions

Final pathology report sent to the clinician viathe patient medical file securely hosted by Oncomip

Need for expertise

Pathologist

Slide transfer

Clinician,Multidsciplinary team,

Pathologist

Patient medical file

Final report

SENOPATH session

Page 5: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

A brief history of SENOPATH network: technology

Synchronized webinar

Final pathology report sent to the clinician viathe patient medical file securely hosted by Oncomip

Need for expertise

Pathologist

Slide transfer

Clinician,Multidsciplinary team,

Pathologist

Patient medical file

Final report

Slide ViewerNDP Serve Hamamatsu®

Slide anonymisation

Scanner Hamamatsu® Nanozoomer

UPS server

SENOPATH session

CHU Rangueil

Page 6: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

But in April 2014…

…and then

Magali Lacroix-TrikiMarie-Laure Quintyn-Ranty

Page 7: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Rebirth of the telepathology in October 2015

• Imag’IN platform

• 3D HISTECH®• Pannoramic 250 slide scanner• Pannoramic viewer• Case Center

Page 8: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Offline telepathology: archives and SENOPATH cases

• SENOPATH virtual slides archives since 2012• .ndpi to .mrxs conversion using 3D HISTECH Slide Converter Beta• Few clinical data• Final diagnosis of SENOPATH network

• Access to the cases prior to the SENOPATH session

.ndpi

.mrxs

Page 9: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Online telepathology: SENOPATH sessions for distant pathologists

• SENOPATH group meets monthly• Pathologists close to the University Cancer Institute• Distant pathologists

Conference callTelepathology session on Case Center

ImageCapture écran telepathology

Page 10: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Online telepathology: technology

Need for expertise

Pathologist

Slide transfer

Clinician,Multidsciplinary team,

Pathologist

Patient medical file

Final report

Slide ViewerPannoramic viewer 3D HISTECH®

UPS server

SENOPATH session

University Cancer Institute

Page 11: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

SENOPATH session with online telepathology

Page 12: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

SENOPATH telepathology: the future

• SENOPATH virtual slides library• Annotations• eLearning

• Expansion beyond the Midi-Pyrénées borders

Page 13: When the ENOPATH network opens up to the telepathology · Bridge the distance between breast pathologists When the ENOPATH network opens up to the telepathology C. Franchet, M.-L

Thank you

Karine Gordien

Marie-Laure Quintyn-Ranty

François-Xavier Frenois

Magali Lacroix-Triki

Raphaëlle Duprez-Paumier

Eliane Mery

Véronique Maisongrosse

Paul Caveriviere

SENOPATH network

Pierre Brousset