Browsing by Author "Wiley, Clayton A"
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- ItemTelepathology for intraoperative neuropathologic consultations at an academic medical center: a 5-year report.(2007-09-20) Horbinski, Craig; Fine, Jeffrey L; Medina-Flores, Rafael; Yagi, Yukako; Wiley, Clayton ATelepathology is an attractive solution for providing neuropathologic intraoperative expertise to geographically diverse hospitals from a center of excellence To date few reports specifically address the feasibility of such a system for intraoperative neuropathology specimens The University of Pittsburgh Medical Center is a 20 hospital system in Southwest Pennsylvania in which the pathology department has adopted a subspecialty centers of excellence method of managing cases The Division of Neuropathology is physically located at 1 hospital but provides neuropathologic expertise to the entire system Adult neurosurgery is currently limited to 2 hospitals separated by 18 city blocks We describe our experience in providing remote intraoperative neuropathologic consultations over a 5 year period from 2002 to 2006 Several approaches are discussed with emphasis on the current system and the evolution of imaging technology Diagnostic outcomes are compared among 400 telepathology cases and 1 200 conventional intraoperative cases Current technology is capable of facilitating teleneuropathologic intraoperative diagnoses in a timely manner with accuracy rates comparable to those for conventional methods However the practice of providing these remote consultations requires a sophisticated and technologically advanced environment along with substantial planning communication and training of both pathologists and pathology assistants
- ItemWebcasting pathology department conferences in a geographically distributed medical center.(2004-07-16) Yagi, Yukako; Ahmed, Ishtiaque; Gross, William; Becich, Michael J; Demetris, Anthony J; Wells, Alan; Wiley, Clayton A; Michalopoulos, George K; Yousem, Samuel A; Barnes, Barbara; Gilbertson, John RAs academic pathology departments have become increasingly based in large regional medical systems spread across hundreds of square miles new methods are needed to tie these increasingly distributed departments together as integrated units An important part of that integration is the ability to share academic and teaching conferences across long distances In this article we present an effective low cost webcasting system that has evolved at the University of Pittsburgh Medical Center Department of Pathology over the past several years based on inexpensive widely available software To date the system has broadcast and archived more than 400 conferences and currently serves approximately 80 to 100 requests each week Important factors in the success of the program include the creation of a faculty steering committee to control resources and manage growth the availability of informatics faculty and support for technical staff and the decision to operate the service as part of the core information technology infrastructure of the department Webcasting will likely become an even more important academic and operational tool in the future as more of the department s conferences seminars and even working meetings are communicated through the webcasting infrastructure