William K. Ovalle PhD, Patrick C. Nahirney PhD Netter's Essential Histology: With Correlated Histopathology (Netter Basic Science) 3rd Edition

With strong correlations between gross anatomy and the microanatomy of structures, Netter’s Essential Histology, 3rd Edition, is the perfect text for today’s evolving medical education. Concise and easy to use, it integrates gross anatomy and embryology with classic histology slides and state-of-the-art scanning electron microscopy, offering a clear, visual understanding of this complex subject. Additional histopathology images, more clinical boxes, and new histopathology content ensure that this textbook-atlas clearly presents the most indispensable histologic concepts and their clinical relevance.Helps you recognize both normal and diseased structures at the microscopic level with the aid of succinct explanatory text as well as numerous clinical boxes. Features more histopathology content and additional clinical boxes to increase your knowledge of pathophysiology and clinical relevance. Includes high-quality light and electron micrographs, including enhanced and colorized electron micrographs that show ultra-structures in 3D, side by side with classic Netter illustrations that link your knowledge of anatomy and cell biology to what is seen in the micrographs. Provides online access to author-narrated video overviews of each chapter, plus Zoomify images and Virtual Slides that include histopathology and can be viewed at different magnifications.

Impacts of a large and decentralized telepathology network in Canada

Background: Telepathology is one of the fast growing segment of the telemedicine field and Canada is recognized as a world leader in this particular domain. . Introduction: We report a benefits evaluation study of a decentralized telepathology network deployed in Eastern Quebec. The project involves 18 hospitals, making it one of the largest telepathology networks in the world. Materials and Methods: We first conducted 43 semi-structured interviews with telepathology users and managers. Hard data on the impacts of the telepathology network (e.g. the number of service disruptions, the average time between initial diagnosis and surgery) was also extracted and analyzed, where available. Results: Users found the system to be easy to use and the quality of the virtual slides and images was also considered satisfactory by pathologists. A key objective was to provide continuous coverage of intraoperative consultations in hospitals with no pathologist. Our findings show that no service disruptions were recorded in the se sites. Surgeons agreed that the use of telepathology helped avoid second surgeries and improved accessibility to care services. Telepathology was also perceived by respondents as having positive impacts on remote hospitals’ ability to retain and recruit specialists. Discussion: The observed benefits should not leave the impression that implementing telepathology is a trivial matter. Indeed, many technical, human and organizational challenges may be encountered. Conclusions: Telepathology can be highly useful in regional hospitals that do not have a pathologist on site. More research is needed to investigate the challenges and benefits associated with this growing form of telemedicine.

Impacts of a large and decentralized telepathology network in Canada

Background: Telepathology is one of the fast growing segment of the telemedicine field and Canada is recognized as a world leader in this particular domain. . Introduction: We report a benefits evaluation study of a decentralized telepathology network deployed in Eastern Quebec. The project involves 18 hospitals, making it one of the largest telepathology networks in the world. Materials and Methods: We first conducted 43 semi-structured interviews with telepathology users and managers. Hard data on the impacts of the telepathology network (e.g. the number of service disruptions, the average time between initial diagnosis and surgery) was also extracted and analyzed, where available. Results: Users found the system to be easy to use and the quality of the virtual slides and images was also considered satisfactory by pathologists. A key objective was to provide continuous coverage of intraoperative consultations in hospitals with no pathologist. Our findings show that no service disruptions were recorded in the se sites. Surgeons agreed that the use of telepathology helped avoid second surgeries and improved accessibility to care services. Telepathology was also perceived by respondents as having positive impacts on remote hospitals’ ability to retain and recruit specialists. Discussion: The observed benefits should not leave the impression that implementing telepathology is a trivial matter. Indeed, many technical, human and organizational challenges may be encountered. Conclusions: Telepathology can be highly useful in regional hospitals that do not have a pathologist on site. More research is needed to investigate the challenges and benefits associated with this growing form of telemedicine.

Telepathology Practice in Cancer Diagnosis in Saint Jean de Dieu Hospital - Tanguieta (Benin)

Context.— Both the incidence of cancer and cancer-related mortality rates are high in sub-Saharan Africa, while resources for diagnosis and management are inadequate. In Benin, there is an extreme shortage of pathology services. Because of this shortage we built a histopathology laboratory equipped with an automated immunohistochemistry and a whole-slide imaging and telepathology system. Objective.— To report our experience of telepathology practice in the improvement of cancer diagnosis. Design.— The study was performed in our histopathology laboratory from January 1, 2016, to December 31, 2018. Resident laboratory technicians were trained in the preparation of microscopic and virtual slides by European pathologists. Virtual slides were stored on a Web-accessible server area for reading by 21 telepathologists in Benin and Europe. All patients with a histologic diagnosis of cancer were included in this study. Demographic data of patients, anatomic site of cancer, its histologic type, and its histologic grade were recorded. Results.— We registered 399 patients diagnosed with cancer of 1593 patients whose surgical specimens had been analyzed. There were 349 adults including 160 males and 189 females, and 50 children (both sexes) with a mean age of 53.40 years, 46.92 years, and 9.72 years, respectively. Eighty-three of 211 females (39.34%) had infiltrating breast carcinoma, and 34 of 188 males (18.09%) had prostatic carcinoma. Infiltrating carcinoma of no special type represented 51 (91.07%) of all infiltrating breast carcinomas. Prostatic carcinoma and infiltrating breast carcinoma were of high grade in 13 of 23 males (56.52%) and 34 of 56 females (60.71%), respectively. Conclusions.— Telepathology is enabling a great improvement in cancer diagnosis in our hospital.

From Telecytology to Mobile Cytopathology

Cytopathology is a popular discipline since George Papanicolaou proposed the famous test pap about 60 years ago. Today modern cytopathology laboratories still use the microscope as the primary diagnostic device and additionally they host modalities performing medical tests and exchange data via networks and have imaging systems producing pictures and virtual slides; the volume of produced data nowadays is enormous. Simultaneously mobile phones and tablets have evolved; their capabilities compete desktop computers and have the advantage of being always connected and at the side of users. Despite there are rather limited applications relevant to cytopathology for the mobile device, there is potential for uses in numerous activities of the cytopathology laboratory, including and not limited to: training, reporting, diagnosis and consultation, laboratory management, whole slide imaging, interactions between patient-doctor, doctor-doctor and within the laboratory personnel, quality control and assurance. Mobile devices can offer important benefits to the modern cytopathology laboratory.