Limits...
Evaluation of a telemedicine system for the transmission of morpho/immunological data aiming at the inclusion of patients in a therapeutic trial.

Lesesve JF, Garand R - Int J Telemed Appl (2009)

Bottom Line: Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used.We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology.The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.

View Article: PubMed Central - PubMed

Affiliation: Centre Hospitalier Universitaire de Nancy et de Nantes (CHU Nancy et Nantes), 54000 Nancy, France.

ABSTRACT
Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used. Applied to cellular haematology, these tools often contribute to diagnosis confrontation, sometimes within the framework of therapeutic trials. We present one of the first approaches of the use of telehaematology for the inclusion of patients in the GOELAMS chronic lymphocytic leukaemia 98 trial. The advantages were (1) the creation of a unique, protected, stable data bank that could be remotely consulted, (2) the use of digitized pictures which made expertise on identical documents possible, (3) the facility of computer exchanges between experts, in terms of reception as well as replying time delays. We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology. The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.

No MeSH data available.


Related in: MedlinePlus

Flow cytometry concordance (Matutes scores).
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Related In: Results  -  Collection


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fig2: Flow cytometry concordance (Matutes scores).

Mentions: As a conclusion, all threeagreed on a majority of files and disagreed on minor aspects of a minority ofcases. Morphologic agreement is thus possible to achieve. Cytologicclassification can consequently definitely be regarded as a reliable andrepeatable tool. Last but not least, as for “difficult” cytologies, the methodopened the door to discussion, which had not really been the case up to then(the specialist being isolated in their centre and the expert difficult toreach timely).


Evaluation of a telemedicine system for the transmission of morpho/immunological data aiming at the inclusion of patients in a therapeutic trial.

Lesesve JF, Garand R - Int J Telemed Appl (2009)

Flow cytometry concordance (Matutes scores).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2630421&req=5

fig2: Flow cytometry concordance (Matutes scores).
Mentions: As a conclusion, all threeagreed on a majority of files and disagreed on minor aspects of a minority ofcases. Morphologic agreement is thus possible to achieve. Cytologicclassification can consequently definitely be regarded as a reliable andrepeatable tool. Last but not least, as for “difficult” cytologies, the methodopened the door to discussion, which had not really been the case up to then(the specialist being isolated in their centre and the expert difficult toreach timely).

Bottom Line: Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used.We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology.The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.

View Article: PubMed Central - PubMed

Affiliation: Centre Hospitalier Universitaire de Nancy et de Nantes (CHU Nancy et Nantes), 54000 Nancy, France.

ABSTRACT
Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used. Applied to cellular haematology, these tools often contribute to diagnosis confrontation, sometimes within the framework of therapeutic trials. We present one of the first approaches of the use of telehaematology for the inclusion of patients in the GOELAMS chronic lymphocytic leukaemia 98 trial. The advantages were (1) the creation of a unique, protected, stable data bank that could be remotely consulted, (2) the use of digitized pictures which made expertise on identical documents possible, (3) the facility of computer exchanges between experts, in terms of reception as well as replying time delays. We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology. The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.

No MeSH data available.


Related in: MedlinePlus