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Cost-effective dynamic telepathology in the Mohs surgery laboratory utilizing iChat AV videoconferencing software
Jeffrey K McKenna1, Scott R Florell
1Division of Dermatology, University of Vermont, Burlington, Vermont, USA.
Summary
Dynamic telepathology, using consumer technology, accurately diagnoses skin tumors in real-time. This cost-effective method enhances dermatopathology consultations for Mohs surgery practices.
Area of Science:
- Dermatopathology
- Medical technology
- Telemedicine
Background:
- Dynamic telepathology involves real-time histologic image transmission via telecommunications.
- Its feasibility with consumer-grade technology requires investigation.
Purpose of the Study:
- To assess the accuracy and cost-effectiveness of dynamic telepathology.
- To determine if readily available consumer products and software suffice for this application.
Main Methods:
- A digital video camera attached to a microscope transmitted real-time images and audio.
- Consultations occurred via internet-based videoconferencing software.
- Two study parts: evaluation of 20 unknown tumor slides and 20 frozen section consultations.
Main Results:
- Video images proved adequate for pathologic interpretation.
- 19 of 20 tumor diagnoses agreed with conventional microscopy.
- Complete agreement was achieved for all 20 frozen section consultations.
Conclusions:
- Dynamic telepathology is achievable with consumer products and software.
- The method offers an accurate and inexpensive solution for remote consultations.
- This technology can support dermatopathology services in Mohs surgery.
