CAJ | 학술논문

目的：对实时术中远程数字病理会诊中的66例病例数据进行分析，发现问题并总结经验。方法：对66例疑难会诊病例的冰冻诊断、最后诊断、诊断符合情况、冰冻诊断时间、切片数字化图片质量、图片数量、图像大小、图像传输时间进行分析。结果：66例会诊病例包括明确诊断30例，倾向性诊断33例，延迟诊断3例。其中86.4%（57/66）提供了正确的诊断意见。报告所用时间平均63.6分钟，最短25分，最长157分钟。平均每例图片容量大小为851M，平均每张图片容量为653M，平均每例上传1.3张切片，每例上传到服务器的平均时间是175.7秒。结论：实时术中远程数字病理会诊是多个冰冻点的病理科开展疑难会诊的新形式，具有一定的优点，但需对其流程、适合病例等进行总结和完善。
목적：대실시술중원정수자병리회진중적66례병례수거진행분석，발현문제병총결경험。방법：대66례의난회진병례적빙동진단、최후진단、진단부합정황、빙동진단시간、절편수자화도편질량、도편수량、도상대소、도상전수시간진행분석。결과：66례회진병례포괄명학진단30례，경향성진단33례，연지진단3례。기중86.4%（57/66）제공료정학적진단의견。보고소용시간평균63.6분종，최단25분，최장157분종。평균매례도편용량대소위851M，평균매장도편용량위653M，평균매례상전1.3장절편，매례상전도복무기적평균시간시175.7초。결론：실시술중원정수자병리회진시다개빙동점적병이과개전의난회진적신형식，구유일정적우점，단수대기류정、괄합병례등진행총결화완선。
Objective:To determine what problems exist in clinical use of the whole slide imaging(WSI) real-time telepathology system for consultation in the frozen section intra-operative diagnosis. Methods:Analysis 66 difficult frozen section intra-operative cases which diagnosed by WSI real-time telepathology system, including their accuracy and time of diagnoses, quantity and quality of whole slide images, the size of images, the time of uploading the digital images. Results:Diagnostic accuracy has been 86.4%, total turnaround times averaging 63.6 minutes, one digital images averaging 633M, Average patient upload 1.3 images, average capacity of each patient' s image size is 851M, average time of per patient' images uploading to the server is 175.7 seconds. Conclusions:Whole slide imaging real-time telepathology system is a good tool for consultation of frozen section Intra-operative diagnosis. But some issues on the consultation process need to be solved and doctor' s concepts of the digital pathology need to be changed.