Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial

Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used. Applied to cellular haematology, these tools often contribute to diagnosis confrontation, sometimes within the framework of therapeutic trials. We present one of...

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Main Authors: Jean-François Lesesve, Richard Garand
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2009/767145
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author Jean-François Lesesve
Richard Garand
author_facet Jean-François Lesesve
Richard Garand
author_sort Jean-François Lesesve
collection DOAJ
description Due to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used. Applied to cellular haematology, these tools often contribute to diagnosis confrontation, sometimes within the framework of therapeutic trials. We present one of the first approaches of the use of telehaematology for the inclusion of patients in the GOELAMS chronic lymphocytic leukaemia 98 trial. The advantages were (1) the creation of a unique, protected, stable data bank that could be remotely consulted, (2) the use of digitized pictures which made expertise on identical documents possible, (3) the facility of computer exchanges between experts, in terms of reception as well as replying time delays. We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology. The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.
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spelling doaj-art-1f215544369e47aab422c2835919c8db2025-02-03T01:26:13ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232009-01-01200910.1155/2009/767145767145Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic TrialJean-François Lesesve0Richard Garand1Centre Hospitalier Universitaire de Nancy et de Nantes (CHU Nancy et Nantes), 54000 Nancy, FranceCentre Hospitalier Universitaire de Nancy et de Nantes (CHU Nancy et Nantes), 54000 Nancy, FranceDue to their high levels of achievement and efficiency, image digitalization and teletransmission tools are more and more frequently used. Applied to cellular haematology, these tools often contribute to diagnosis confrontation, sometimes within the framework of therapeutic trials. We present one of the first approaches of the use of telehaematology for the inclusion of patients in the GOELAMS chronic lymphocytic leukaemia 98 trial. The advantages were (1) the creation of a unique, protected, stable data bank that could be remotely consulted, (2) the use of digitized pictures which made expertise on identical documents possible, (3) the facility of computer exchanges between experts, in terms of reception as well as replying time delays. We were able to set out new standards of image sampling for CLL, solve the semantic divergences, and point out interobserver variability as regards morphology. The limiting factors were the important need for expert investment, but they more importantly concerned the first line morphologists who should benefit from adequate tools, in terms of computer equipment as well as members of staff, so as to apprehend this second reading system as a quality control procedure.http://dx.doi.org/10.1155/2009/767145
spellingShingle Jean-François Lesesve
Richard Garand
Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
International Journal of Telemedicine and Applications
title Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
title_full Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
title_fullStr Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
title_full_unstemmed Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
title_short Evaluation of a Telemedicine System for the Transmission of Morpho/Immunological Data Aiming at the Inclusion of Patients in a Therapeutic Trial
title_sort evaluation of a telemedicine system for the transmission of morpho immunological data aiming at the inclusion of patients in a therapeutic trial
url http://dx.doi.org/10.1155/2009/767145
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