Affiliations: Department of Pathology (Rudolf-Virchow-Haus),
Charité, Medical Faculty of the Humboldt University, Berlin
Note: [] Kathrin Wehrstadt Institute of Pathology "Rudolph-Virchow-Haus"
University Hospital Charité Medical Faculty of the Humboldt University
Berlin Schumannstraße 20/21 10098 Berlin Germany Tel: 030 - 280 23871
FAX: 030 - 280 25688 e-Mail: [email protected]
Abstract: In recent years the number of described malformations and syndromes
has increased rapidly. The diagnosis of fetal malformations requires extensive
experience. Since important questions often arise during the autopsy, requiring
a second opinion or additional input without interruption of the autopsy,
telepathology offers one means of solving this problem. The system employed was
TPS Version 1.5, which was developed in a cooperative effort by the
Charité and Leica Microsystems. If there is no pathologist available for
a second opinion during the autopsy TPS enables the investigator to save
pictures taken during the autopsy so that they can be sent at a later point in
time to an expert for a second opinion. In a study comprising 10 cases the
image quality and the communication possibilities of TPS were evaluated, with
the online communication being compared with respect to suitability, time
required and quality. Telepathology can be used in fetal diagnostics. It allows
a second opinion to be obtained either during or after the autopsy, under
routine conditions where a call for a second opinion is normally not possible.
This improves the quality of diagnoses.
Keywords: telepathology, fetal diagnosis, perinatal center, fetal autopsy