Compendium of Health Telematics Projects 94-98 (Draft)
Home Documents Compendium HT Projects 94-98 Updated: Aug 26, 1998 

This is the most recent structured information on this project. Complementary data can be found on previous documents

EUROPATH

European Pathology assisted by Telematics for Health

Project code: HC 1038
Project value: 4410.0 KECU
EC contribution: 3000.0 KECU
Number of partners: 25
Number of countries: 7
Duration:36 months
Starting date: Jan 1, 96
               
Contact: Gérard Brugal
Laboratoire TIMC
Faculté de Médecine Institut Albert Bonniot
Université Joseph Fourier, Grenoble I
38706 La Tronche
France

Tel: + 33 76 54 94 00
Fax: + 33 76 54 95 49
E-mail: gerard.brugal@ujf-grenoble.fr
Web Site: europath.imag.fr

Overview

The diagnoses and prognoses of most severe diseases, require microscope examinations of a biopsy of the affected organ in order to evaluate the deviation of tissues, cells and chromosomes from normal. Observations are often complemented by analysis of biological markers for more specific diagnosis and prognosis. The annual activity in EU is 200 million microscopic preparations examined by highly dedicated specialists in 3 000 laboratories for a cost of 2 Billion Ecus. As shown by numerous initiatives making use of telematics in pathology examinations, « telepathology » is already an highly promising and realistic application of telemedicine which is fostered by the project. in two directions: (1) the integration of multimedia telecommunication between pathologists to improve quality assurance, diagnostic accuracy and cost efficiency of screening, diagnosis and prognosis in routine practice. In this respect, the project provides the inter-operable tools for remote consultation of experts, consensus diagnostic through microscope teleconferencing, and remote quantitation of biological markers; (2) the integration of multimedia European databases for evaluating the prognostic value of the large amount of biological information now available on tissular lesions as it comes from the rapidly increasing number of immunological markers and genetic probes in use. The project will establish compatibility and inter-operability between the major European manufacturers of microscope and designers of imaging workstations and will issue the medical protocols and guidelines to support the set-up of telemedicine European services offering added-value in pathology.

Purpose and objectives

The project aims at pathologists in university hospitals, district hospitals and private laboratories. The potential is 13 000 medical sites in EU. For the first time, these medical actors will access to a real-time second opinion on difficult cases, to banks of reference images, to electronic records of reference cases and to up-date evaluation of prognostic biological markers thus enabling quality assurance and quality control procedures for the diagnosis of severe diseases. Best diagnostic expertise will then be available independently from geographic location within Europe.

The Project core technology is the microscope imaging workstations networked through LAN, WAN (EuroISDN) and Internet and will integrates ATM potentialities as they become realistic. The project actually federates the European industries distributing microscope workstations in order to reach full inter-operability. This will thus strengthen their competitiveness on the expanding world-wide market of telemedicine.

The 3 key objectives of the project are:

  1. The integration of multimedia communication software tools between pathologists to improve: quality assurance, reproducibility, accuracy and cost efficiency of pathology routine diagnoses and prognoses.
  2. The implementation of multimedia European databases for storage and retrieval of: Pathology Case Reports jurisprudence, Reference Macro- and Microscopical Images and Markers provided by Cytometry, Cytogenetics and Biochemistry.
  3. The design of inter-operability standards in the direction of manufacturers and the design of inter-communicability guidelines in the direction of the end-users in the project domain.

Results

The main concrete achievements of the project are:
  1. Three pieces of software have been developed:
  2. These software packages are available as industrial product which distribution is in progress (50 systems installed already).
  3. The inter-operable interface to motorized automatic microscope have been made available in the meantime by Carl ZEISS and LEICA. Their high cost is presently limiting the dissemination although 2 partners in EUROPATH consortium have been already equipped.
  4. The design and implementation of transcoding tables (ADICAP/SNOMED/ICD) for multilingual electronic data exchange (English, French, Spanish) in most domains of medical pathology.
  5. The set-up of a high capacity EUROPATH Web Server using a dedicated UNIX based system (UltraSpark 1, SUN 170, 2.1Gb, 167 MHz driven by UltraSpark 1, SUN 140, 1.05 Gb with Multipack disk 4.2 Gb ext. up to 25 Gb).
  6. The implementation of the LOTUS NODE Web server software support.
  7. The design and implementation of a common database structure for case reports, reference images and biological markers within the ORACLE Database shell.
The project has contributed to foster the set-up of an « Oncology Network » in the framework of the G7 Global Healthcare program.

List of deliverables

Year 1

YEAR 2

YEAR 3

List of participants

Name: DR GARBAY Catherine
Organisation: Université Joseph Fourier, Grenoble I
Address: Laboratoire TIMC
UMR CNRS 5525
Domaine de la Merci
F- LA TRONCHE 38706/CEDEX
Country: FRANCE
Tel: +33 476 549 4 85
Fax: +33 476 549 5 49
E-mail: catherine.garbay@imag.fr
Name: DR RICKE Jens
Organisation: Virchow Klinikum
Address: Strahlenklinik und Poliklinik
Augustenburger platz, 1
D- BERLIN 13353
Country: GERMANY
Tel: +49 30 450 57113 - 57001
Fax: +49 30 450 57901
E-mail: jens@ukrv.de
Name: DR SCHWARZMANN Peter
Organisation: Universität Stuttgart
Address: Institut für Physikalische Elektronik
Pfaffenwaldring, 47
D- STUTTGART 70569
Country: GERMANY
Tel: + (49) 711 685 7167/41
Fax: +(49) 711 685 7143
E-mail: schmid@ipesun.e-technik.uni-
Name: P R BIRD Colin C
Organisation: University of Edinburgh
Address: Department of Pathology
Teviot Place
UK- EDINBURGH EH8 9AG
Country: UNITED KINGDOM
Tel: +(44) 131 650 2906
Fax: +(44)131 650 6528
E-mail: Colin.C.Bird@ed.ac.uk ; E. Duvall@ed.ac.uk
Name: PR SCHENCK Ulrich
Organisation: Bayerische Krebsgesellschaft e.V.
Address: Zytologisches Institut
Prinzregentenplatz, 14
D- MÜNCHEN 81675
Country: GERMANY
Tel: +(49) 89 47 60 67
Fax: +(49) 89 4140 4876
E-mail: 106257.3702@compuserve.com
Name: PR MCGEE James
Organisation: University of Oxford
Address: Nuffield Department of Pathology and BacteriologyAcademic Block (Level 4)
John Radcliffe Hospital
UK- OXFORD OX3 9DU
Country: UNITED KINGDOM
Tel: +(44) 1865 220549
Fax: +(44) 1865 220078
E-mail: james.mcgee@ndp.ox.ac.uk
Name: DR SERRANO Sergio
Organisation: Institut Municipal d'Assistència Sanitària
Address: Department of Pathology
Passeig Maritim, 25-29
E- BARCELONA 08003
Country: SPAIN
Tel: +(34) 3 221 13 69
Fax: +(34) 3 221 05 41
E-mail: 88168@imas.imim.es
Name: DR SOWTER Christopher
Organisation: St. Bartholomew's Hospital
Address: Medical College
Department of Histopathology
West Smithfield
UK- LONDON EC1A 7BE
Country: UNITED KINGDOM
Tel: +(44) 171 601 8544 / 8537
Fax: +(44) 171 601 85 30
E-mail: c.sowter@mds.qmw.ac.uk
Name: PR KUNZE, Klaus
Organisation: Technical University of Dresden
Address: Institute of Pathology
Fetscherstraße, 74
D- DRESDEN 01307
Country: GERMANY
Tel: +49 351 458 3001
Fax: +49 351 458 4358
E-mail: dkunze@rcs.urz.tu-dresden.de
Name: PR BÖCKING Alfred
Organisation: Heinrich Heine University of Düsseldorf
Address: Institute of Cytopathology
Moorenstraße, 5
D- DÜSSELDORF 40001
Country: GERMANY
Tel: +49 211 811 8401
Fax: +49 211 811 7804
E-mail: boecking@uni-duesseldorf.de
Name: PR KAYSER Klaus
Organisation: Thoraxklinik der LKA Heidelberg
Address: Institute of Pathology
Amalienstrasse, 5
D- HEIDELBERG
Country: GERMANY
Tel: +49 6221 396 496
Fax: +49 6221 396 238
E-mail: klkayser@metronet.de
Name: PR OBERHOLZER Martin
Organisation: University of Basle
Address: Institute of Pathology
Schönbeinstraße, 40
CH- BASEL 4003
Country: SWITZERLAND
Tel: +41 61 265 2525
Fax: +41 61 265 3194
E-mail: oberholzer@ubaclu.unibas.ch
Name: PR BRUGAL Gérard
Organisation: Université Joseph Fourier, Grenoble I
Address: Equipe de Reconnaissance des Formes et Microscopie Quantitative
Laboratoire TIMC
Faculté de Médecine,
Domaine de la Merci
F- LA TRONCHE 38706/CEDEX
Country: FRANCE
Tel: +33 476 549 4 00
Fax: +33 476 549 5 49
E-mail: gerard.brugal@imag.fr
Name: Mr. MARTIN Steve
Organisation: European Organisation for Research and Treatment of Cancer
Address: EORTC Data Centre
Avenue Emmanuel Mounier, 83
B- BRUSSELS 1200
Country: BELGIUM
Tel: +32 2 774 1666
Fax: +32 2 772 3545
E-mail: stm@eortc.be
Name: DR ROHM Anita
Organisation: LEICA Mikroskopie und Systeme GmbH
Address: Division Research Microscopy
D- WETZLAR 35578
Country: GERMANY
Tel: +49 6441 292440
Fax: +49 6441 292464
E-mail: Anita.Roehm@lmw.leica.com
Name: DR PARAZZA Franck
Organisation: Autocyte Europe
Address: Centre Equation
2, Avenue de Vigante
10 GIÈRES
Country: FRANCE
Tel: +33 476 634 980
Fax: +33 476 634 982
E-mail: franck@AutoCyte.com
Name: DR NASSE Hubert
Organisation: Carl ZEISS Jena GmbH
Address: Microscopy Division
Tatzendpromenade, 1a
D- JENA 07745
Country: GERMANY
Tel: +49364164 2350/2420
Fax: +49 36 41 64 20 59
E-mail: nasse@zeiss.de
Name: MR ADELH Didier
Organisation: UNILOG Régions
Address: 35, Chemin du Vieux Chêne
Immeuble Epilobe
F- MEYLAN 38240
Country: FRANCE
Tel: +33 476 417 172
Fax: +33 476 4106 31
E-mail: dadelh@unilog.fr
Name: DR DUSSERRE Pierre
Organisation: Centre de Pathologie, Dijon
Address: Rue Nicolas Bornier, 33
F- DIJON 21000
Country: FRANCE
Tel: +(33) 380 664 330
Fax: +(33) 380 667 970
Name: PR MARTIN Etienne
Organisation: Hôpital Bicêtre
Address: Université Paris -Sud
Service d'Anatomie et de Cytologie Pathologiques
Rue du Général Leclerc, 78
F- LE KREMLIN BICÊTRE 94275
Country: FRANCE
Name: MR. YVON Pierre-Jean
Organisation: Résintel S.A.
Address: Tour Gamma B
193, Rue de Bercy
F- PARIS 75012
Country: FRANCE
Name: PR VOOIJS Peter
Organisation: University of Nijmegen
Address: Faculty of Medical Sciences
Cytology Research Group Nijmegen
Toernooi veld, 138
NL- NIJMEGEN 6525 EC
Country: THE NETHERLANDS
Tel: +(31) 24 36 17799 / 24 3528846
Fax: +(31) 24 3540090
E-mail: G. VOOIJS.@FMWBES.KUN.NL
Name: DR BUSCH Christer
Organisation: University of Uppsala
Address: Department of Pathology
University Hospital
S- UPPSALA 75185
Country: SWEDEN
Tel: +(46) 18 663820
Fax: +(46) 18 500954
E-mail: Christer.Busch@path.uu.se
Name: PR KISS Robert
Organisation: Université Libre de Bruxelles
Address: Laboratoire d'Histologie,
Faculté de Médecine
Route de Lennik, 808
B- BRUSSELS 1070
Country: BELGIUM
Tel: +(32) 2 555 6380
Fax: +(32) 2 555 6285
E-mail: kiss@med.ulb.ac.be
Name: Dr. SWEEP Fred ; PR BENRAAD Theo
Organisation: Dept. of Chemical Endocrinology
Address: St. Raboud University Hospital
PO Box 9101
NL- NIJMEGEN 6500 HB
Country: THE NETHERLANDS
Tel: +(31) 24 3614 279
Fax: +(31) 24 3541484
E-mail: f.sweep@lev.azn.nl

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