PATHALBA

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PATHALBA

• A J Robertson on behalf of Pathalba Board

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Pathalba Board

• Alistair Robertson
• Frank Carey
• John Simpson
• Keith Kerr
• Nessa Barry
• Robin Reid
• Jeremy Thomas

• Derek Bishop
• David Harrison
• George Smith
• Alan Hyslop
• Martin Irving
• Aileen Keel
• Barry Gusterson

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Alba Origins

• Alba or Albainn pnf. g. Albann,
  ScotlandAlbannach nm. g.v. -aich pl. -aich,
  Scotsman Ban-albannach, Scotswoman a.
  Scottish
• Alba - The kingdom formed by the union of the
  Picts and Scots under Kenneth I MacAlpin in 843.
  Their territory, ranging from modern Argyll and
  Bute to Caithness
• Alba - A song of lovers' parting at dawn or of a
  watchman's warning to lovers at dawn.

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History

• JGS and AJR use robotic microscopy to demonstrate
  that frozen sections can be reliably reported
  using telepathology-2000
• At same time DH and colleagues in Edinburgh
  develop digital image capture to facilitate MDT
• BG and colleagues in Glasgow develop MDT
  utilising videoconferencing and incorporating
  Telepathology and Teleradiology

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History

• STAF invite bids for Telemedicine projects
• Decision that 3 bids be unified and a
  Pan-Scotland Telepathology strategy be developed
  and implemented
• February 2002 proceed to develop unified scheme
  but technology is changing and financial
  constraints dictate a move away from the concept
  of real time robotic microscopy

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History

• By Autumn 2002 Pathology facing a number of
  challenges including dearth of consultants to
  fill posts and drive towards increasing
  subspecialisation
• Strategic concept of an internet-based virtual
  department of Pathology for Scotland (PATHALBA)
• Development of Scottish Pathology Network
• Agreement that Network manager would assist in
  implementation of Pathalba Project

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PATHALBA PROJECT

• SEHD funding
• AIM-to deliver access to pathology expertise from
  colleagues irrespective of geographical location
• OBJECTIVES -
• To provide access to a digital pathology
  workstation for every consultant pathologist
• 2 To ensure that images meet all ethical
  standards and that there is a forum for sharing
  images across the NHS community to achieve access
  to second opinions and allow images to be
  presented at MDT meetings within and beyond
  current hospital,health board and cancer network
  boundaries

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Phase 1

• 80 Systems will be purchased
• Digital cameras
• Software systems
• Individual set up
• Primary, intermediate and advanced training
• Indicative cost 300k

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Project Plan

• Scoping exercise Oct/Nov 05
• Paper agreed at Pathalba Board Jan 06
• Tender for Phase 1 Issued Mar 06
• Tender Closing Date 08 May 06
• Delivery of systems by Summer 06
• Phase 2 delivery by Late 2007

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Outcome of Scoping Exercise
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Conditions

• Must take part in review of efficacy
• Department must be willing to share images across
  the country
• Images will be used for diagnostic, research and
  teaching purposes

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Camera Systems

• Direct to PC via USB2 or Firewire
• 5 million pixel resolution
• Minimum of 15fps live image transfer
• Connection via C Mount

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Software

• Saves in all industry standard formats
• Image transfer/storage will be DICOM standard
  enabled
• All standard image manipulation tools
• Storage and retrieval by CHI Number, Disease Code
  etc.
• Compatibility with Powerpoint

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Software

• Will provide standard measuring tools
• Calibrated to objective lens during set up
• All standard image manipulation tools
• Area measurements, point to point measurements,
  cell membrane perimeter and user directed counts

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Training

• Phase 1
• Local installation and initial instruction/trainin
  g to individual consultant pathologist
• 1-1.5 Hours per installation
• Phase 2
• Use of systems, databases etc.
• 2 hours per installation/site
• Phase 3
• Advance use and preferences.
• 2 hours per installation/site

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What will you get?

• Digital Camera
• Associated software
• Installation and training

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What you will not get

• From Pathalba at any rate !!!
• New Microscope
• Trinocular Head
• C Mount

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Hardware Software
X
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Options

• Tenderers have been requested to provide a
  tendered price for -
• Additional camera units for Departments to
  purchase separately
• Trinocular Head (Either swap out or new)
• C Mounts
• Additional software

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Phase 2

• Setting up the network infrastructure-
• Could use similar to WoS Gynae set up using GCS
  as basis
• Could use PACS system (Piggyback)
• Some other market placed system
• Tendered Spring 2007
• Delivery by Late 2007