May 06

PATHALBA

A J Robertson on behalf of Pathalba Board

May 06

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

May 06

Alba Origins

• Alba] or [Albainn] pnf. g. Albann, Scotland[Albannach] 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.

May 06

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

May 06

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

May 06

• 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

History

May 06

PATHALBA PROJECT

• SEHD funding

• AIM-to deliver access to pathology expertise from colleagues irrespective of geographical location

• OBJECTIVES :-

1 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

May 06

Phase 1

• 80 Systems will be purchased

• Digital cameras

• Software systems

• Individual set up

• Primary, intermediate and advanced training

• Indicative cost £300k

May 06

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

May 06

Site Systems to be supplied Guidance Costs £k

Paisley 6 24

Inverclyde 1 4

Crosshouse 4 16

Dumfries 0 0

Fife 4 16

Forth Valley 3 12

North Glasgow 10 40

Yorkhill 2 8

South Glasgow 4 16

Neuro/Glasgow 1 4

Grampian 12 48

Highland 4 16

Hairmyres 2 8

Monklands 3 12

Wishaw 1 4

Lothian 11 44

Tayside 9 36

Outcome of Scoping Exercise

May 06

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

May 06

Camera Systems

• Direct to PC via USB2 or Firewire

• 5 million pixel resolution

• Minimum of 15fps live image transfer

• Connection via C Mount

May 06

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

May 06

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

May 06

Training

Phase 1• Local installation and initial instruction/training 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

May 06

What will you get?

1. Digital Camera

2. Associated software

3. Installation and training

May 06

What you will not get

From Pathalba at any rate !!!

• New Microscope

• Trinocular Head

• C Mount

May 06

Hardware & Software

X

May 06

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

May 06

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