The experience of introducing telepathology in Mongolia.

Digital pathology Telepathology Whole slide imaging

Journal

Journal of pathology informatics
ISSN: 2229-5089
Titre abrégé: J Pathol Inform
Pays: United States
ID NLM: 101528849

Informations de publication

Date de publication:
2023
Historique:
received: 21 03 2023
revised: 05 05 2023
accepted: 05 05 2023
medline: 9 10 2023
pubmed: 9 10 2023
entrez: 9 10 2023
Statut: epublish

Résumé

Anatomical pathology care services play an essential role in cancer diagnosis through histological analysis, effective treatment of patients, and determination of prognosis. Therefore, quality control is necessary for the diagnosis of pathology. Based on this need, telepathology technology is rapidly developing in the world. This study aimed to share the experience of implementing telepathology case consultation between Mongolian and Japanese expert pathologists. The study included 173 cases that required telepathology consultation, which was complicated and doubtful in diagnosis, submitted by Mongolian pathologists between May 2019 and April 2022. The scanned digital slides were transmitted with the help of the LOOKREC cloud-based system, and the expert pathologists of Hiroshima University Hospital, Japan, browsed the images through the data on the internet and their advice and made a mutual diagnosis. During the study period, 173 cases were consulted. Out of 58.4% of all cases, consultation reports were released in 2022. The majority of the cases in 2020 had a mean standard deviation turn-around time of 4.2±6.2 days. The most cases were from the lung and mediastinum were 29.4%, followed by head and neck at 12.6%, the bone at 11.9%, lymph nodes at 8.4%, GIT at 7.7%, soft tissues at 6.3%, etc. Comparing the sample submission of biopsy and cytology was significantly higher in the under 10 years of an experienced group than over 10 years of an experienced group ( Telepathology could save many lost opportunities and play an essential role in developing quality control and surgical pathology in Mongolia. This digital technology and the appropriate strategy and policy of the government could accelerate the overall pathology field development.

Sections du résumé

Background UNASSIGNED
Anatomical pathology care services play an essential role in cancer diagnosis through histological analysis, effective treatment of patients, and determination of prognosis. Therefore, quality control is necessary for the diagnosis of pathology. Based on this need, telepathology technology is rapidly developing in the world. This study aimed to share the experience of implementing telepathology case consultation between Mongolian and Japanese expert pathologists.
Methods UNASSIGNED
The study included 173 cases that required telepathology consultation, which was complicated and doubtful in diagnosis, submitted by Mongolian pathologists between May 2019 and April 2022. The scanned digital slides were transmitted with the help of the LOOKREC cloud-based system, and the expert pathologists of Hiroshima University Hospital, Japan, browsed the images through the data on the internet and their advice and made a mutual diagnosis.
Results UNASSIGNED
During the study period, 173 cases were consulted. Out of 58.4% of all cases, consultation reports were released in 2022. The majority of the cases in 2020 had a mean standard deviation turn-around time of 4.2±6.2 days. The most cases were from the lung and mediastinum were 29.4%, followed by head and neck at 12.6%, the bone at 11.9%, lymph nodes at 8.4%, GIT at 7.7%, soft tissues at 6.3%, etc. Comparing the sample submission of biopsy and cytology was significantly higher in the under 10 years of an experienced group than over 10 years of an experienced group (
Conclusions UNASSIGNED
Telepathology could save many lost opportunities and play an essential role in developing quality control and surgical pathology in Mongolia. This digital technology and the appropriate strategy and policy of the government could accelerate the overall pathology field development.

Identifiants

pubmed: 37811336
doi: 10.1016/j.jpi.2023.100317
pii: S2153-3539(23)00131-1
pmc: PMC10550759
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100317

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

The authors declare no competing interests.

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Auteurs

Batchimeg Tsedenbal (B)

Department of Training, Research, and Foreign Affairs, National Center for Pathology, Ulaanbaatar, Mongolia.

Enkhee Ochirjav (E)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Ariun-Uils Gankhuyag (AU)

Reference Laboratory, National Center for Pathology, Ulaanbaatar, Mongolia.

Bolortuya Dorj (B)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Saruul Gerelchuluun (S)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Baljinnyam Delegnyam (B)

Reference Laboratory, National Center for Pathology, Ulaanbaatar, Mongolia.

Gankhuu Gankhuyag (G)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Undarmaa Erdene (U)

Department of Quality Control, National Center for Pathology, Ulaanbaatar, Mongolia.

Uyanga Gotov (U)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Enkhtuya Sharkhuu (E)

Department of Pathology Care and Service, National Center for Pathology, Ulaanbaatar, Mongolia.

Yukio Takeshima (Y)

Department of Pathology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Kouki Inai (K)

Pathologic Diagnostic Clinic, Hiroshima, MNES Inc, Japan.

Classifications MeSH