ABSTRACT
INTRODUCTION: We describe a first experiment in routine use of a virtual slides system within a pathology practice whose technical facilities are not located on the same geographical site as pathologists. MATERIAL AND METHODS: The samples to be analyzed were biopsies, tissues, and cytology preparations in liquid environment. They were processed through technical facilities using a slide scanner. The process is monitored by the company specialised in e@pathology solutions (CCITI) http://www.e@pathologie facility. RESULTS: From November 2008 to September 2009, 611 patient files have been processed, i.e. 1183 slides have been digitalized without selective criteria. The average digitalization time per slide was 30 seconds to 2 minutes for biopsies and 7 minutes for tissues and smears. The record of the areas examined confirms that the whole slide has been visualized. The time and space constraints were reduced in case a second reading is requested. Less than 1% of the slides had to be re-digitalized. The reports were standardized with pre-defined questions/answers or bible code. The average time for processing a file is 3 to 5 minutes. DISCUSSION: The http://www.e@pathologie facility simplifies routine second advice requests and allows the control of operating costs through the mutualisation of technical facilities of several laboratories while preserving their independence. CONCLUSION: The online virtual slide system must go beyond the experimental stage whilst remaining in perfect accord with the users needs and economic realities. It will also make it possible to enrich the patient's medical follow-up digital file.
