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Telepathology Project Building the potential to create a U.S. Air Force enterprise digital pathology network

2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

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Page 1: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Telepathology ProjectBuilding the potential to create a

U.S. Air Force enterprise digital pathology network

Page 2: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Funding

• Congressional appropriations awarded to the IMITS Telepathology project in fiscal years 2002, 2004 and 2005

• Supported by Congressman John Murtha

Page 3: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Background

Objective

– To deploy digital pathology technologies in the U.S. Air Force (USAF) that are capable of supporting a robust telepathology network

Collaborators

– UPMC IMITs Center

– UPMC Department of Pathology

– University of Pittsburgh

– USAF (Keesler, Eglin, Travis, Lackland, Offutt and Nellis AFBs)

Page 4: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Accomplishments

• DoD approved Static Image equipment and software installed at Keesler, Eglin and Travis AFBs

• Whole slide imaging (WSI) equipment installed at Keesler AFB

• Static image case reviews initiated between USAF sites and UPMC

Fiscal Year 2002 Telepathology Project

Page 5: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Fiscal Year 2004 Telepathology Project

Accomplishments

• UPMC validation studies of whole slide imaging (WSI) for:1. Quality Assurance – published2. Primary Diagnosis - published 3. Immunohistochemistry – submitted for publication

• UPMC assessment of market leaders in WSI systems

• Static image case reviews continue between USAF sites and UPMC

Page 6: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Build Digital Pathology Champions in USAF

Current Project

• Identify USAF pathologists with keen interest in digital pathology

• Train to digital competence through UPMC developed courses, labs and certification programs

• Co-develop white papers detailing digital technologies and recommendations for practice in the USAF

Page 7: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Develop an Educational Repository of WSI

Current Project

• Co-design by UPMC and USAF pathologists

• Access via secure internet connection

• Equip with pre-programmed and customizable features

• Use to improve quality of care and service provided by USAF pathologists

Page 8: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

• Co-design by UPMC and USAF pathologists

• Use to optimize USAF pathology workflow, cost efficiency and quality assurance procedures

• Disseminate to peer and professional audiences through publications, presentations and postings on common website

Current Project

Conduct Clinical Validation Studies of Digital Pathology Technologies

1A

1B

Glass Slide Quality

25

85

3731

4

0

10

20

30

40

50

60

70

80

90

Excellent Good Fair Poor Missing

Quality Rating

Num

ber

of S

lides

Page 9: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Enhance integration of telepathology in the USAF

Current Project

• Identify opportunities and offices within DoD that can support digital pathology

• Analyze long-term strategic trends in the USAF that would benefit from digital pathology

• Develop detailed USAF business case for digital pathology

Page 10: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

• Provide a forum for sharing knowledge and expertise

• Emphasize accomplishments of the USAF telepathology efforts

• Explore future goals and directions for USAF telepathology

Current Project Establish Annual Symposium for USAF

Telepathology

12th Annual ConferenceAPIII 2007

Anatomic Pathology Informatics and Imaging Support for Translational Medicine

With a focus on digital pathology

in the US Air Force and military.

Page 11: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine

Acknowledgement

• This work was supported by funding from the USAF, administered by the U.S. Army Medical Research Acquisition Activity, Fort Detrick, Maryland (Award No. W81XWH-04-2-0030 and Contract No. DAMD 17-0302-0017).

• The content of the information does not imply U.S. Air Force or government endorsement of factual accuracy or opinion.

Page 12: 2007 05 31 IMITS Telepathology Showcase for Commerce · Telepathology 12th Annual Conference APIII 2007 Anatomic Pathology Informatics and Imaging Support for Translational Medicine