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Telepathology ProjectBuilding the potential to create a
U.S. Air Force enterprise digital pathology network
Funding
• Congressional appropriations awarded to the IMITS Telepathology project in fiscal years 2002, 2004 and 2005
• Supported by Congressman John Murtha
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)
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
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
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
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
• 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
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
• 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.
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.