Advantages and Disadvantages of Robotic Telepathology vs. Routine Microscopic pathology - PowerPoint PPT Presentation

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Advantages and Disadvantages of Robotic Telepathology vs. Routine Microscopic pathology

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Advantages and Disadvantages of Robotic Telepathology vs. Routine Microscopic pathology The Experience Between the Richmond and Beckley VA Medical Centers – PowerPoint PPT presentation

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Title: Advantages and Disadvantages of Robotic Telepathology vs. Routine Microscopic pathology


1
Advantages and Disadvantages of Robotic
Telepathology vs. Routine Microscopic pathology
  • The Experience Between the Richmond and Beckley
    VA Medical Centers
  • Department of Pathology and Laboratory Medicine ,
    Richmond, Virginia

2
Introduction
  • The VISN 6 Veterans Administration hospitals
    comprise eight hospitals. Three of these
    hospitals are primary care hospitals where minor
    surgery takes place.
  • The size of the smaller hospitals does not
    justify a full time pathologist. Therefore,
    robotic telepathology was considered as the
    solution for one of the hospitals, located in
    Beckley, West Virginia.
  • Beckley VAMC is supported by the larger
    tertiary-care facility located 250 miles away in
    Richmond Virginia.

3
Common Types of Telepathology
  • Dynamic or Robotic Telepathology (image is
    transmitted instantly, operator can select fields
    render diagnosis immediately.
  • Digitizing Entire Slide.
  • Static or Capture image digitally and Transmit
    Forward via electronic lines or other
    telecommunication media.

4
Dynamic Robotic Telepathology
  • Operator can view entire slide from a remote
    site.
  • Operator can select fields for digital image
    capture.
  • Operator can communicate with transmitter
    simultaneously to viewing.

5
Robotic Image Receiving Station at the Richmond
VAMC
6
Transmitting Station at Beckley VAMC
7
Close-up of Transmitting Station
8
Telepathology Vs Routine Microscopy Telepathology Vs Routine Microscopy Telepathology Vs Routine Microscopy
Setup Time Telepathology Routine
10-15 Minutes NA
AV Time per Slide Telepathology Routine
2.61 /- 2.6 SD Minutes 15/- 11SD Seconds
9
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10
Strategies Adopted in Our System
  • Because of the length of time required per slide,
    only small biopsies are analyzed by
    telepathology.
  • Viewing large sections of tissue by
    telepathology is impractical and, therefore,
    performed at the larger facility.
  • All slides are reviewed the next day upon receipt
    of slides by mail.
  • All major specimens and special stains are
    processed and viewed by routine microscopy at the
    larger facility

11
Costs Associated with Robotic Telepathology
Telepathology Hardware 169,344 Purchase cost
Maintenance 15,000
Yearly ISDN line cost 8,000
Yearly Slide-Mailing Costs 1,400

12
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14
Advantages
  • Robotic telepathology is a viable alternative to
    an on site pathologist.
  • It allows acceptable turnaround time for surgical
    pathology diagnosis. Meets CAP requirements.
  • It supplies a small hospital with surgical
    pathology consultation from five pathologists,
    which would otherwise not be accessible to a
    small facility.

15
Disadvantages
  • The system is 12 fold slower to routine
    microscopy.
  • Screen image is not as optimal as direct view.
  • Repeated line and equipment down-time hinders
    workflow.

16
The End
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