ArticleAfrican health sciences2020
Telepathological evaluation of paediatric histological specimens in support of a hospital in Tanzania.
Article in African health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- TelePi: an affordable telepathology microscope camera system anyone can build and use.Virchows Archiv : an international journal of pathology · 2024Article
- Review
- Telemedicine in Surgical Care in Low- and Middle-Income Countries: A Scoping Review.World journal of surgery · 2022Article
- Article
- The role of telepathology in improving cancer diagnostic and research capacity in sub-Saharan Africa.Frontiers in medicine · 2022Article
- Twenty years ofAfrican health sciences · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectiveIn a project of telepathology (TP) between German pathologists and a hospital in Tanzania, trained technical assistants have uploaded digital histological images onto the internet-based platform ipath. The diagnoses from 486 paediatric specimens were analysed.
methodsThe investigation included diagnoses, either primarily done via TP or secondarily after a further workup of the paraffin-embedded tissue, which was sent to Germany for cases which could not be solved via TP. In the latter, the initial TP-diagnoses were compared with the results after re-evaluation.
resultsThe median age was 11 years. The cohort comprised 390 benign diseases (80.2%) and 96 malignant diseases (19.8%). For benign diseases, the most frequent anatomic sites were lymph nodes, skin, and soft tissue, breast, and head&-neck. Frequent diagnoses were non-specific inflammations and benign tumors. In malignant diseases, the most sites were lymph nodes, skin, soft tissue, head&neck, and ovary and the most frequent diseases sarcomas and lymphomas. The paraffin embedded tissue of 179 cases (36.3%) was shipped to Germany. With the concordance analysis, we could discover the mandatory necessity for the possibility of second opinion in difficult cases.
conclusionAn exclusively TP-support cannot meet all requirements of modern medical diagnostics. The education of local pathologists is imperative.
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