title: Telepathology with an integrated services digital network--a new tool for image transfer in surgical pathology: a preliminary report.
abstract: We describe a low-cost telepathology system working via a commercial integrated services digital network (ISDN) and consisting of modular software and hardware elements. The main elements are Apple Macintosh workstations; a software program for the simultaneous transfer of pictures, voice, and data; and procedures for image processing and general administration of all the information generated. Additionally, the system allows remote control of any peripheral instruments by a "picture-instrument manager." The transfer rate is currently 64 kbit/s; it will be extended to 128 kbit/s (ISDN basic rate) in the near future and to 2 Mbit/s (ISDN primary rate) in the next 2 years. The system was tested by the regional hospital in Samedan, Switzerland, and the Department of Pathology, University of Basel, Basel, Switzerland, a distance of 250 km, by offering a remote frozen section service to the regional hospital in 16 cases. Fifty-four to 58 seconds were needed for the transfer of a diagnostic 8-bit grey-level image containing 341 (median value) +/- 26.1 (standard error) kbytes (n = 13) or a diagnostic 24-bit color image containing 165 (median value) +/- 16.9 (standard error) kbytes (n = 3). The time required for a diagnostic session was between 25 and 35 minutes.
authors.affiliation: Department of Pathology, University of Basel, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Oberholzer
authors.forename: H R
authors.initials: HR
authors.lastname: Fischer
authors.forename: H
authors.initials: H
authors.lastname: Christen
authors.forename: S
authors.initials: S
authors.lastname: Gerber
authors.forename: M
authors.initials: M
authors.lastname: Brühlmann
authors.forename: M
authors.initials: M
authors.lastname: Mihatsch
authors.forename: M
authors.initials: M
authors.lastname: Famos
authors.forename: C
authors.initials: C
authors.lastname: Winkler
authors.forename: P
authors.initials: P
authors.lastname: Fehr
authors.forename: L
authors.initials: L
authors.lastname: Bächthold
mesh_terms: D000328:Adult; D000368:Aged; D003195:Computer Communication Networks / Q000295:instrumentation*; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012680:Sensitivity and Specificity; D013557:Switzerland; D017216:Telemedicine / Q000191:economics / Q000592:standards*; D013997:Time Factors