Transcript Telemedicine Bologna - University of Alberta

Telepathology: A way to
implement and integrate
skills/ Internet consensus
building
Kim Solez, M.D.
[email protected]
A transition: Telemedicine,
telehealth, e-health
The primary care physician of the
future is the patient (or parent) !
e-health
Consumer-driven
Telemedicine and Telehealth
Provider-driven
The public will tell us what they want
in e-health. Providers no longer
dictate but become partners with
patient or parent.
Slide 4
Telemedicine - The Past,
the Future
In the past meant mainly phone based
videoconferencing using phone lines
or dedicated ISDN lines, largely
impractical for developing countries.
In the future, Internet based using such
programs as Microsoft Netmeeting and
ClassPoint, practical for developing
countries.
Slide 5
Telepathology - The Past,
the Future
In the past meant mainly real time
robotic stage connection using
dedicated ISDN lines, largely
impractical for developing countries.
In the future, Internet based using
static images from inexpensive digital
cameras, practical for developing
countries.
Slide 6
The Camera to Buy Changes Daily! But
the Choice on Nov. 24, 2000 would be:
The Nikon Coolpix 990
with MXB29005 adaptor
Slide 7
Details - The Nikon Coolpix 990
3.34 Megapixel Resolution
High-Speed USB Connection
$899 US = 2,032,405 ITL
Photographic results
indistinguishable from film!
Slide 8
Telepathology Resources on
the WWW
http://www.afip.org/telepathology/
http://www.pathoindia.com/tele.html
http://www.ndp.ox.ac.uk/telepathology/
http://www.telemicroscopy.org/
http://telepathology.upmc.edu/
(Latter two - Yukako Yagi)
Consultation/Education/Standardization
Slide 9
Internet technologies the ideal
way to build consensus
Three examples:
ISN Disaster Relief Task Force
ISN Consensus Conferences - COMGAN
Banff conferences on allograft pathology
Slide 10
Banff Classification
Internationally agreed upon classification
First developed in 1991, meetings every
two years.
Published in KI in 1993 and 1999.
Employs lesion quantitation g,I,t,v,ah
cg,ci,ct,cv,mm and standard diagnostic
categories.
Slide 11
Banff Classification
Inflammation does not equal rejection.
Tubulitis suggests rejection,
intimal arteritis diagnostic of rejection.
Three histologic forms, tubulointerstitial,
vascular, and transmural.
Slide 12
Banff Classification
Anyone can participate in the Banff
meetings, on site or remotely.
Next meeting April 21-28, 2001
Important breakthroughs expected in
2001. Chronic rejection classification.
EM and C4D findings specific for
chronic rejectiion, antibody mediated
rejection. Donor biopsy classification.
Slide 13
Communications for Banff
Face to face meetings. Letters, faxes,
phone calls. Expensive, cumbersome,
slow.
Since 1994 the Internet has been the main
means of communication for this and
other projects.
1997 - Creation of NKF
cyberNephrology and the ISN
Informatics Commission
WWW sites:
http://www.cybernephrology.org
http://www.kidney.org
http://www.isn-online.org
http://www.cyber-medicine.org
Contact
[email protected]
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