Rural and Remote Health (Nov 2023)
Telepathology in intraoperative frozen section consultation of breast cancer sentinel node biopsy in Fukushima, Japan following the 2011 triple disaster: diagnostic accuracy and required time during the early implementation phase
- Hiroaki Kawakami,
- Akihiko Ozaki,
- Yudai Kaneda,
- Shigeyuki Asano,
- Kouki Inai,
- Shinichi Hirooka,
- Ayumi Katoono,
- Riko Takagi,
- Makoto Kosaka,
- Anju Murayama,
- Toyoaki Sawano,
- Yasuteru Shimamura,
- Masaharu Tsubokura,
- Tomohiro Kurokawa,
- Kaznoshin Tachibana,
- Masahiro Wada,
- Tetsuya Tanimoto,
- Tohru Ohtake,
- Naoyuki Kitamura,
- Tomozo Ejiri,
- Hideyuki Magome,
- Hiroaki Shimmura,
- Norio Kanzaki
Affiliations
- Hiroaki Kawakami
- Department of Clinical Examination, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Akihiko Ozaki
- Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan; ; Department of Gastrointestinal Surgery, Fukushima Medical University, Fukushima City, Fukushima, Japan; and MNES Inc., Hiroshima City, Hiroshima, Japan
- Yudai Kaneda
- School of Medicine, Hokkaido University, Sapporo City, Hokkaido, Japan
- Shigeyuki Asano
- Pathology Center, Iwaki Medical Center, Iwaki City, Fukushima, Japan
- Kouki Inai
- Department of Pathology, MNES Inc., Hiroshima City, Hiroshima, Japan
- Shinichi Hirooka
- Department of Pathology, Jikei University School of Medicine, Minato City, Tokyo, Japan
- Ayumi Katoono
- Department of Clinical Examination, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Riko Takagi
- Department of Clinical Examination, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Makoto Kosaka
- Clinical Training Center, Imamura General Hospital, Kagoshima City, Kagoshima, Japan
- Anju Murayama
- School of Medicine, Tohoku University, Sendai City, Miyagi, Japan
- Toyoaki Sawano
- Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan; and Department of Radiation Health Management, Fukushima Medical University, Fukushima City, Fukushima, Japan
- Yasuteru Shimamura
- Medical Professional Service, MNES Inc., Hiroshima City, Hiroshima, Japan
- Masaharu Tsubokura
- Department of Radiation Health Management, Fukushima Medical University, Fukushima City, Fukushima, Japan
- Tomohiro Kurokawa
- Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Kaznoshin Tachibana
- Department of Breast Surgery, Fukushima Medical University, Fukushima City, Fukushima, Japan
- Masahiro Wada
- Department of Breast Surgery, Utsunomiya Central Clinic, Utsunomiya City, Tochigi, Japan; and Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Tetsuya Tanimoto
- Department of Internal Medicine, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan; and MNES Inc., Hiroshima City, Hiroshima, Japan
- Tohru Ohtake
- Department of Breast Surgery, Fukushima Medical University, Fukushima City, Fukushima, Japan
- Naoyuki Kitamura
- MNES Inc., Hiroshima City, Hiroshima, Japan
- Tomozo Ejiri
- Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- Hideyuki Magome
- Department of Clinical Examination, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
- Hiroaki Shimmura
- Department of Urology, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
- Norio Kanzaki
- Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, Japan
- DOI
- https://doi.org/10.22605/RRH8496
- Journal volume & issue
-
Vol. 23
Abstract
In breast cancer surgery, some medical facilities lack the necessary resources to conduct sentinel lymph node biopsy and its intraoperative frozen section consultation. In the coastal rural area of Fukushima, Japan, which has suffered from physician undersupply following the 2011 triple disaster of earthquake, tsunami and nuclear disaster, we explored the feasibility of telepathology by evaluating the diagnostic accuracy in remote intraoperative frozen section consultation of sentinel lymph node biopsy and its required time. Although examination time has room for improvement, telepathology can be one possible solution in resource-limited areas.
Keywords
