ArticleJournal of pathology informatics2015
International telepathology consultation: Three years of experience between the University of Pittsburgh Medical Center and KingMed Diagnostics in China.
Article in Journal of pathology informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Defining a 'cells to society' research framework for appendiceal tumours.Nature reviews. Cancer · 2025Review
- Globalization of a telepathology network with artificial intelligence applications in Colombia: The GLORIA program study protocol.Journal of pathology informatics · 2024Article
- Digital pathology systems enabling quality patient care.Genes, chromosomes & cancer · 2023Review
- Substantial improvement of histopathological diagnosis by whole-slide image-based remote consultation.Virchows Archiv : an international journal of pathology · 2022Article
- High-throughput whole-slide scanning to enable large-scale data repository building.The Journal of pathology · 2022Review
- Artificial intelligence (AI) and big data in cancer and precision oncology.Computational and structural biotechnology journal · 2020Review
- Next generation diagnostic pathology: use of digital pathology and artificial intelligence tools to augment a pathological diagnosis.Diagnostic pathology · 2019Article
- Implementation of Digital Pathology Offers Clinical and Operational Increase in Efficiency and Cost Savings.Archives of pathology & laboratory medicine · 2019Article
- The California Telepathology Service: UCLA's Experience in Deploying a Regional Digital Pathology Subspecialty Consultation Network.Journal of pathology informatics · 2019Article
- Practical Successes in Telepathology Experiences in Africa.Clinics in laboratory medicine · 2018Review
- Interobserver Agreement in the Diagnosis of Inflammatory Bowel Disease-Associated Neoplasia in China in Comparison to Subspecialized American Gastrointestinal Pathologists.Gastroenterology research and practice · 2018Article
- The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Review
- Frozen section telepathology service: Efficiency and benefits of an e-health policy in South Tyrol.Digital healthArticle
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelepathology is increasingly being employed to support diagnostic consultation services. Prior publications have addressed technology aspects for telepathology, whereas this paper will address the clinical telepathology experience of KingMed Diagnostics, the largest independent pathology medical laboratory in China. Beginning in 2012 the University of Pittsburgh Medical Center (UPMC) and KingMed Diagnostics partnered to establish an international telepathology consultation service. MATERIALS AND
methodsThis is a retrospective study that summarizes the telepathology experience and diagnostic consultation results between UPMC and KingMed over a period of 3 years from January 2012 to December 2014.
resultsA total of 1561 cases were submitted for telepathology consultation including 144 cases in 2012, 614 cases in 2013, and 803 in 2014. Most of the cases (61.4%) submitted were referred by pathologists, 36.9% by clinicians, and 1.7% by patients in China. Hematopathology received the most cases (23.7%), followed by bone/soft tissue (21.0%) and gynecologic/breast (20.2%) subspecialties. Average turnaround time (TAT) per case was 5.4 days, which decreased from 6.8 days in 2012 to 5.0 days in 2014. Immunostains were required for most of the cases. For some difficult cases, more than one round of immunostains was needed, which extended the TAT. Among 855 cases (54.7%) where a primary diagnosis or impression was provided by the referring local hospitals in China, the final diagnoses rendered by UPMC pathologists were identical in 25.6% of cases and significantly modified (treatment plan altered) in 50.8% of cases.
conclusionThese results indicate that international telepathology consultation can significantly improve patient care by facilitating access to pathology expertise. The success of this international digital consultation service was dependent on strong commitment and support from leadership, information technology expertise, and dedicated pathologists who understood the language and culture on both sides. Lack of clinical information, missing gross pathology descriptions, and insufficient tissue sections submitted for evaluation were the main reasons for indefinite diagnoses. The overall experience encourages international telepathology practice for second opinions.
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