EURO-TELEPATH “Telepathology Network in Europe” Dr. Marcial García Rojo, Chair Pathology Department Hospital General de Ciudad Real Servicio de Salud de Castilla-La Mancha(SESCAM) Spain COST Action IC0604 SPAIN COST DAY MADRID, November 27, 2009

Scope Adequate technological framework for the management of multimedia electronic healthcare records Informatics applied to Anatomic Pathology Research on standards to represent, interpret, browse, retrieve digital medical images World wide search engine of microscopic images Collaborate with Standardisation bodies with previous research conclusions

Information Systems in a regional Health Service Mambrino / Mambrino XXI Serendipia Ykonos Novopath Retepath Cartelería digital Laboratorio (SigloWeb)

Interoperability in the Hospital

Emerging digital pathology Gross study (Intraoperative study) Digital photography Digital video Microscopy: Slides Virtual microscopy: whole slide imaging Molecular Pathology

Web based viewer Aperio Univ. Helsinki Univ. CLM Olympus Since many different technologies are being used in the Iberian Telepathology network, users can decide in they want to see the images in proprietary viewers (Image scope, top-left), standard Internet browsers using applets (Active-X or java based from Webmicroscope, top-right), flash viewer (OSIS .slide, bottom, left), or with a Browser no plug needed (University of Castilla-La Mancha, bottom, right). Univ. CLM Olympus

Euro-Telepath scientific program Automation procedures in Pathology. Best technology available and under research. Scanning solutions for Pathology microscopic slides. Technological solutions for compression and storage problems with large image files. Virtual slide standard viewer specifications which allow efficient reviewing of pathology images. International standards (DICOM, HL7, SNOMED, CEN) and IHE initiative. Model for pathology and other hospital information systems An European-scope telepathology network Collection of interesting and typical samples, and clinico-pathological sessions

Action Parties Grant Holder: Fundación para la Investigación Sanitaria en Castilla-La Mancha, FISCAM. GH Representative: Marcial García Rojo Spain

Working groups 4 Working Groups Coordinators WG1. Pathology Business Modelling e.g. Consensus study of existing workflows in pathology departments Thomas Schrader (Germany) and Luis Gonçalves (Portugal) WG2 – Informatics Standards in Pathology e.g. Participation in covered standards bodies and initiatives. Christel Le Bozec (France) and Bernd Blobel (Germany) WG3 – Images: Analysis, Processing, Retrieval and Management e.g. study on the image analysis models (methods, systems, tools, fields of pathology). Janina Slodkowska (Poland) and EPFL (Switzerland) WG4 – Technology and Automation in Pathology e.g. analysis of microscope brands. Marcial García Rojo (Spain) and Bernd Blobel (Germany)

Current research groups Policy: A group of researchers (balance of female & young experts aged less than 35), shall be duly appointed to encourage and coordinate the network’s efforts. Action SIGNATURES Finland: Tampere University & University of Helsinki France: INSERM & Tribvn Germany: University of Regensburg & Charité Universitätsmedizin Berlin Italy: University of Udine Lithuania: National Centre of Pathology & Kaunas University of Technology Poland: Institute of Tuberculosis and Lung Diseases, Warsaw Portugal: Hospital Espirito Santo Serbia: University of Belgrade Spain: University of Castilla-La Mancha, Hospital General de Ciudad Real & SESCAM Switzerland: EPF Lausanne United Kingdom: University of Nottingham Croatia. University of Zagreb Faculty of Electrical Engineering and Computing. Cyprus. Computer Science University of Nicosia Greece, Norway, Holland,…

Partners’ background Clinical Pathology ICT Industry Action kick-off Finland: Tampere University & University of Helsinki France: INSERM & Tribvn Germany: University of Regensburg & Charité Universitätsmedizin Berlin Italy: University of Udine Lithuania: National Centre of Pathology & Kaunas University of Technology Poland: Institute of Tuberculosis and Lung Diseases, Warsaw Portugal: Hospital Espirito Santo Serbia: University of Belgrade Spain: University of Castilla-La Mancha, Hospital General de Ciudad Real & SESCAM Switzerland: EPF Lausanne United Kingdom: University of Nottingham

IHE. Integrating Healthcare Enterprise

Business modelling

MC and WG meeting in Evora

DICOM WG26 meeting with US DICOM representatives

Use of COST instruments YR 1 YR 2 YR 3 YR 4 No. of MC / WG meetings 5 No. of STSMs 1 6 No. of workshops / conferences 3 4 No. of joint publications 15 No. of training schools GASG (activities) Posters, website

Short Term Scientific Mission (STSM) Italy. University of Udine SESCAM, Toledo (ES) France (François Baclesse Cancer Center, Caen)  Utrecht (NL) Spain. Hospital Vall d’Hebron  Univ. Charite, Berlin(DE) Germany. Univ. Charite, Berlin  UCLM, Ciudad Real (ES) X2 Poland. Institute of Biocybernetics and Biomedical Engineering, Warsaw  Hospital Virgen de la Cinta de Tortosa (ES) x 2 Spain. Hospital Tortosa  Institute of Biocybernetics and Biomedical Engineering, Warsaw(PL) x 3

Scientific Paper publication

MC and WG meetings. 2009 MC and WG meeting. 12-13 March 2009, Paris WG1 meeting (Business modelling in Pathology), 7-9 May 2009, Berlin Workshop: WG3 and WG4. 1 Sep 2009, Sarajevo. During the 22nd International Congress of the European Federation for Medical Informatics. WG1 and WG2 meeting 4-9 Sep 2009. Florence. In conjunction with 22nd European Congress of Pathology Next: MC and WG meeting 3-4 Dec, Lausanne, Switzerland 20

The Congress is organized by the National Centre of Pathology, the International Academy of Telepathology, and the EU COST Action IC0604 “European Telepathology Network“

http://www.conganat.org/eurotelepath/ Action IC0604 website