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A NEW SYSTEM TO IMPROVE DIFFERENCES IN QUALITY OF ADVANCED MEDICAL MANAGEMENT ; ESTABLISHMENT OF TELEPATHOLOGY NETWORK FOR INTRAOPERATIVE PATHOLOGY DIAGNOSIS

Research Project

Project/Area Number 11794027
Research Category

Grant-in-Aid for University and Society Collaboration

Allocation TypeSingle-year Grants
Research Field Medical sociology
Research InstitutionWAKAYAMA MEDICAL UNIVERSITY

Principal Investigator

OOSHIMA Akira  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, PROFESSOR, 医学部, 教授 (00025644)

Co-Investigator(Kenkyū-buntansha) IRIE Masayuki  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, ASSOCIATE PROFESSOR, 医学部, 助教授 (20305775)
YAMANAKA Noboru  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, PROFESSOR, 医学部, 教授 (10136963)
NAKAMINE Hirokazu  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, ASSISTANT PROFESSOR, 医学部, 講師 (70155810)
TANI Masaji  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, INSTRUCTOR, 医学部, 助手 (60236677)
NAGAI Yuhgo  WAKAYAMA MEDICAL UNIVERSITY, DEPARTMENT OF MEDICINE, ASSOCIATE PROFESSOR, 医学部, 助教授 (00172495)
谷村 弘  和歌山県立医科大学, 医学部, 教授 (10026990)
津秦 建治  公立那賀病院, 病院長
森脇 宏  国保日高総合病院, 病院長
樫谷 益生  国保古座川病院, 病院長
青木 洋三  国保橋本市民病院, 病院長
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥4,200,000 (Direct Cost: ¥4,200,000)
Fiscal Year 2001: ¥4,200,000 (Direct Cost: ¥4,200,000)
KeywordsTELEMEDICINE / IMAGE TRANSMISSION / TELEPATHOLOGY / INTRAOPERATIVE DIAGNOSIS / PATHOLOGY NETWORK / COLLABORATION / IMPROVED MEDICAL MANAGEMENT / PRACTICAL USE / 実用化
Research Abstract

Intraoperative pathology diagnosis (IPD) by telepathology (IPD-TP) is a field of telemedicine, which can improve differences in quality of advanced medical managements in the regional areas. We started this telemedicine in November, 1997 and, supported by the "Grant-in-Aid for University and Society collaboration" of the Ministry of Education, Culture, Sports, Science and Technology (MEXT), we challenged to expand our IPD-TP network in April, 2000. With obtaining the informed consent from patients who were eligible for this telemedicine, IPD-TP was attempted to 249 patients by the end of March, 2002.
Among these patients, 222 patients were correctly diagnosed, but 9 patients had erroneous diagnoses. Diagnoses in 6 patients were approved and those in 12 patients were reserved. The rate of clinically significant diagnostic accuracy was calculated to be 96.2%. Average time required to prepare a frozen section was 21.7 min and that to make a diagnosis for a specimen was 7.8 min.
Our network of this IPD-TP was made open to regional clinics via one pre-existing regional medical project. However, support of tele-surgery, which had been challenged by another regional medical project, by our IPD-TP could not be performed because of the absence of patients who were eligible for this collaboration during the period of our project.
Our interim data were made open to a regional medical society and a questionnaire was given to an ordinary people group. Because they though that our project was important, and because the number of patients, to whom IPD-TP was provided, was increasing, it is concluded that our project to expand IPD-TP network and to make this telemedicine being of practical use is successful. Since broad band-based information technology is now available, it is considered that image transmission by this can decrease time required for diagnosis and improve our diagnostic accuracy.

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (17 results)

All Other

All Publications (17 results)

  • [Publications] 山中 昇: "和歌山県下における遠隔医療の現状と問題点.遠隔病理診断システムの実用化を通じて"北海道医誌. 74. 277-278 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 山中 昇: "地域医療福祉ネットワーク検討委員会の活動"医学のあゆみ. 191. 896-898 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中峯寛和: "テレパソロジーによる術中迅速病理診断の実用化.和歌山県における現状と地域の研究開発プロジェクトとの連携について"病理と臨床. 18. 824-826 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中峯寛和: "術中迅速テレパソロジーの実用化.和歌山県における実践3年の中間報告"新医療. 28. 132-134 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中峯寛和: "和歌山県における遠隔病理診断の実績.静止画像伝送による術中迅速病理診断"医学のあゆみ「テレパソロジー2002.実用化と発展をめざして」. suppl.. 18-19 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中峯寛和: "和歌山県の遠隔医療の現状.日常検査として定着した,画像伝送による術中迅速病理診断"和歌山県医師会雑誌. (印刷中). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamanaka N: "Present telemedicine and its problems in Wakayama prefecture. From experiences of diagnosing by televized pathology."Hokkaido Med J. 74-4. 277-278 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamanaka N: "Activity of a committee for investigation of telemedicine network."IGAKU-NO-AYUMI. 191-9. 896-898 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakamine H: "Practical use of intraoperative pathology diagnosis by telepathology. Current status in Wakayama prefecture and collaboration with other regional projects."Pathol Clin Med. 18-8. 824-826 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakamine H: "Practical use of intraoperative pathology diagnosis by telepathology. An interim report of three-year experience at Wakayama prefecture."SHIN-IRYOH. 28-6. 132-134 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakamine H: "Results of telepathology in Wakayama prefecture. Intraoperative pathology diagnosis by static image transmission."IGAKU-NO-AYUMI. suppl. 18-19 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakamine H: "Current status of telemedicine in Wakayama prefecture. Practical use of intraoperative pathology diagnosis by telepathology."J Wakayama Med Assoc. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中峯寛和: "術中迅速テレパソロジーの実用化.和歌山県における実践3年の中間報告"新医療. 28・6. 132-134 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 中峯寛和: "和歌山県における遠隔病理診断の実績.静止画像伝送による術中迅速病理診断"医学のあゆみ. (印刷中). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 中峯寛和: "テレパソロジーによる術中迅速病理診断の実用化.和歌山県における現状と地域の研究開発プロジェクトとの連携について"病理と臨床. 18・8. 824-826 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 山中昇: "地域医療福祉ネットワーク検討委員会の活動"医学のあゆみ. 191・9. 896-898 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 山中昇: "和歌山県下における遠隔医療の現状と問題点.遠隔病理診断システムの実用化を通じて.シンポジウム「医学・医療における情報化」"北海道医誌. 74・4. 277-278 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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