University Hospitals of South Paris : Béclère, Bicêtre and Paul Brousse

When telepathology provides a solution to laboratory restructuring

University Hospitals of South Paris is a hospital group consisting of three hospitals: Antoine Béclère, Bicêtre and Paul Brousse. These hospitals are major players in patient healthcare innovation and are benchmark facilities for numerous diseases in the southern part of the Ile-de-France region.

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As well as their patient healthcare mission, the hospital group is also a leading teaching and research facility. The University Hospitals of South Paris are precursors within their field and have already incorporated a great number of innovations, particularly in imaging.

Encouraged by doctors invested in the development of the profession and its practices, digital pathology is being continuously developed for everyday use.

The solution :

The group’s pathology imaging has been managed by CaloPix for a number of years in terms of viewing and indexing images but also sharing them and remotely accessing them for any hospital thanks to the web-based application CaloPix Pocket.

Directly linked with the laboratory’s management system, CaloPix links images with patient records.  TRIBVN Healthcare has also equipping University Hospitals of South Paris with its macroscopic tool Macro by TRIBVN. Linked to CaloPix, it produces images of resected specimens and displays reports. As well as producing microscopic images using digital cameras, doctors also have scanners for creating digital slides. These are imported automatically from the scanner to the corresponding patient record and stored in the centralized image database.

With the introduction of digital slides into departments, doctors have been able to reorganize their work flow, in particular thanks the roll-out of the Tribvn Healthcare telepathology facility, designed for tele-extemporaneous examinations between the Paul Brousse and Bicêtre hospitals. This has helped solve the issue of distribution and availability of doctors between the sites. Extemporaneous diagnosis can now be done remotely by reading an on-screen digital slide and is further improved by close collaboration between doctors and technicians, who also have the benefit of video synchronization between sites for instant communication.

Plus, departmental doctors are now using imaging analysis algorithms developed by TRIBVN Healthcare for the quantification of hepatic fibrosis and the analysis of TMA slides.

Benefits :

  • New practices introduction
  • Information systems harmonization
  • Workflow optimization

Over time, the department hopes to extend the use of digital pathology to diagnosis and therefore towards on-screen diagnosis using digital slides.

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Users testify :

Pr Catherine Guettier
Head of the Pathological Anatomy & Cytology Service of Bicêtre/Paul Brousse hospitals

« This migration to CaloPix 3.0.0 has delivered genuine added value to our services. »

« Whether in macroscopy, the conduct of remote frozen section examinations or the use of virtual slides, CaloPix is an everyday tool for the medical team. The straightforward incorporation of macroscopic photographs into reports is also highly appreciated by our clinical colleagues. »

« This practice has permitted the reorganization of work between the Paul Brousse and Bicêtre hospitals, thereby freeing-up practitioner time. Since this solution has been in place, over 500 examinations have been completed, with response times of the order of 30 minutes – these times are entirely acceptable for surgeons. »

« Pocket increases our efficiency and saves time: we no longer need to prepare case images in PowerPoint beforehand, and exchanges with clinicians are enhanced. »

Eric Adnet
IT Engineer (Information systems department of GH Paris Sud)

« The deployment of this solution was straightforward, with the merging of databases and effective integration in the Diamic LMS. »

Hélène François
Research physician at the UMRS 1197 (Paul Brousse)

« The use of image quantification in CaloPix has allowed the acceleration and standardization of our research work in renal fibrosis. »

« The renal fibrosis software has been validated in fundamental research, and has been the subject of a recent publication (Lecru et al. Kidney international) and of a thesis on the clinical evaluation of renal fibrosis.»