Signout Digital cases from home

[jmsMD]

My path group is going to slowly start signing out digital cases from home. From what I understand we have two options for monitors to be in compliance.

1) Barco monitor: Can use to sign out but costs a lot.
2) There is a list of FDA approved monitors but must do a 60 slides validation first.

Can anyone confirm.deny the above? Share wisdom or knowledge about this?

Thank you

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[caffeinegirl]

I would follow CAP guidelines Validating Whole Slide Imaging for Diagnostic Purposes in Pathology

 

[jmsMD]

I would follow CAP guidelines Validating Whole Slide Imaging for Diagnostic Purposes in Pathology

This is great for the validation recommendations.
Does anyone have any insight into which home monitors can be used? Is this a recommendation? Requirement? Enforced?

 

[caffeinegirl]

10 Components of the Best Computer for Digital Pathology

Here is a list of the top 10 things to consider when searching for the best computer for digital pathology. Learn about specs, monitor size, validations, etc...

lumeadigital.com

Dissecting the Business Case for Adoption and Implementation of Digital Pathology: A White Paper from the Digital Pathology Association is the DPA white paper which has all the information:
"Additional hardware may aid the integration of whole slide imaging into the laboratory workflow. For displays, it has been demonstrated that a modern 3-4-megapixel (MP) display is adequate; however, for primary diagnosis, medical-grade displays which provide higher resolutions (4-8 MP), contrast ratios, luminance, and color stability are preferred. In addition, most medical-grade display screens have embedded sensors that guarantee image consistency over a lifetime of 5 + years, Quality Assurance/Quality Control (QA/QC) software that is remotely accessible and technology that automatically senses the ambient lighting conditions of your workspace. As of today, there are no universal guidelines for displays in DP; however, when determining the required investment into displays, these are some minimum specifications to consider: 24” to 27” screen size, 3MP resolution, brightness/luminance of 350 cd/m2, contrast ratio of luminance from the brightest color to the darkest color of 1000:1, screen refresh rate of 60 Hz and QA/QC software with color calibration management to ensure daily consistency of color. A wide range of displays meet and/or exceed these specifications; therefore, the price range for medical-grade displays is also wide, ranging from $5,500 to $14,500."

 

[jmsMD]

10 Components of the Best Computer for Digital Pathology

Here is a list of the top 10 things to consider when searching for the best computer for digital pathology. Learn about specs, monitor size, validations, etc...

lumeadigital.com

Dissecting the Business Case for Adoption and Implementation of Digital Pathology: A White Paper from the Digital Pathology Association is the DPA white paper which has all the information:
"Additional hardware may aid the integration of whole slide imaging into the laboratory workflow. For displays, it has been demonstrated that a modern 3-4-megapixel (MP) display is adequate; however, for primary diagnosis, medical-grade displays which provide higher resolutions (4-8 MP), contrast ratios, luminance, and color stability are preferred. In addition, most medical-grade display screens have embedded sensors that guarantee image consistency over a lifetime of 5 + years, Quality Assurance/Quality Control (QA/QC) software that is remotely accessible and technology that automatically senses the ambient lighting conditions of your workspace. As of today, there are no universal guidelines for displays in DP; however, when determining the required investment into displays, these are some minimum specifications to consider: 24” to 27” screen size, 3MP resolution, brightness/luminance of 350 cd/m2, contrast ratio of luminance from the brightest color to the darkest color of 1000:1, screen refresh rate of 60 Hz and QA/QC software with color calibration management to ensure daily consistency of color. A wide range of displays meet and/or exceed these specifications; therefore, the price range for medical-grade displays is also wide, ranging from $5,500 to $14,500."

This is gold. Thank you so much.

 

[mike-sheree]

10 Components of the Best Computer for Digital Pathology

Here is a list of the top 10 things to consider when searching for the best computer for digital pathology. Learn about specs, monitor size, validations, etc...

lumeadigital.com

Dissecting the Business Case for Adoption and Implementation of Digital Pathology: A White Paper from the Digital Pathology Association is the DPA white paper which has all the information:
"Additional hardware may aid the integration of whole slide imaging into the laboratory workflow. For displays, it has been demonstrated that a modern 3-4-megapixel (MP) display is adequate; however, for primary diagnosis, medical-grade displays which provide higher resolutions (4-8 MP), contrast ratios, luminance, and color stability are preferred. In addition, most medical-grade display screens have embedded sensors that guarantee image consistency over a lifetime of 5 + years, Quality Assurance/Quality Control (QA/QC) software that is remotely accessible and technology that automatically senses the ambient lighting conditions of your workspace. As of today, there are no universal guidelines for displays in DP; however, when determining the required investment into displays, these are some minimum specifications to consider: 24” to 27” screen size, 3MP resolution, brightness/luminance of 350 cd/m2, contrast ratio of luminance from the brightest color to the darkest color of 1000:1, screen refresh rate of 60 Hz and QA/QC software with color calibration management to ensure daily consistency of color. A wide range of displays meet and/or exceed these specifications; therefore, the price range for medical-grade displays is also wide, ranging from $5,500 to $14,500."

Yet, at least years ago, it was de rigueur and just fine to put the crappiest, oiliest, permount coated p.o.s. A.O. scope in the frozen room🤣

 

[jmsMD]

Yet, at least years ago, it was de rigueur and just fine to put the crappiest, oiliest, permount coated p.o.s. A.O. scope in the frozen room🤣

They want you to spend $6 to $12K on a monitor but you may or may not need corrective lenses which you have been putting off for years.

 

[WEBB PINKERTON]

Yet, at least years ago, it was de rigueur and just fine to put the crappiest, oiliest, permount coated p.o.s. A.O. scope in the frozen room🤣

Our frozen scope is a many decades old peace of junk. Surprised it isn't monocular.

 

[Alteran]

This is great for the validation recommendations.
Does anyone have any insight into which home monitors can be used? Is this a recommendation? Requirement? Enforced?

As there is no requirement for a CLIA license to sign out whole slide images remotely, how would anyone know what monitor you used where? As best as I can see, there are only suggestions as to what monitors you should use.

My personal opinion is either you regulate both monitors and microscopes off site, or neither - and I favor less regulation as long as the pathologist is affiliated with an actual CLIA licensed facility and the equipment is kept in good working order per their already existing accreditation standards.