[Histonet] Gross Photography

[Michael Mihalik]

Just as another endorsement for this practice.  Digital images seem so
important to us that in our information system, a hyperlink to all images is
included in case query.  Hence, you can see the image at the same time
you're reading all the other details of the case.

It's just one more piece of information that helps provide a better
diagnosis.

Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 270.423.0968
 
 
 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of kemlo
Sent: Saturday, April 18, 2009 3:01 AM
To: 'Sate Hamza'; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Gross Photography

As a Biomedical Scientist I agree with you totally. One of the weaknesses of
Biomedical scientists performing the 'grossing' is that the original
evidence at dissection is lost to the Pathologist (that is until that Time
Biomedical Scientists carry out the interpretation). Taking digital photos
at all stages of dissection retains the evidence for the reporting
Pathologist.

I did this for many years when dissecting samples for my Pathologist; saved
drawing diagrams. I guess you'd agree that 80% of all interpretations could
be carried out by a Biomedical Scientist (Histotech) once competency is
attained and the envelope of responsibility is agreed. It's happened in
Cytopathology in the UK!

Kemlo Rogerson MSc MIBiol CBiol CSci DMS FIBMS

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Sate Hamza
Sent: 18 April 2009 06:37
To: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Gross Photography

As a pathologist, I am a strong proponent of ample gross photography in the
cutting room. When I first started in my current place, I thought that not
much gross photography was being done. This has increased in recent years in
our center. I always encourage our residents to take digital gross
photographs. I recently bought an easy to use digital camera and gave it as
a gift to our cutting room to encourage more digital photographs.

I think that the availability of easy to use digital cameras has made taking
pictures much easier. A picture is a great tool for documentation and for
communication. No matter how skillful and expressive the gross description
is, a picture can make things much easier for sign out. If sections need to
be mapped for margins or other considerations, one can take a digital
picture, make a quick print out of it and map the sections on it. Such
pictures are so helpful, for example, for excisions of flat pigmented
lesions from sun-damaged skin. Gross-microscopic correlation can help so
much in assessing margin status (this can be so difficult with microscopy
alone). It also helps in excisions of vulvar lesions/tumors and in
irregularly shaped complex excisions from any site.

The digital photos can be taken quickly. They do not need to be textbook
quality. The goal usually is to facilitate communication and facilitate the
sign-out process.

The pictures that our PAs take are placed on a network server in folders
that are named with the accession number. The printouts with sections mapped
are kept in a binder in the cutting room where a pathologist can find them
when the need arises.

Sate

On Fri, Apr 17, 2009 at 6:30 PM, Joe Nocito <jnocito <@t> satx.rr.com> wrote:

> like Mike,
> we only photograph unusual specimens. Seems photographing specimens has
> become less and less important. Kind of like autopsies.
>



-- 
Sate Hamza, MD, FRCPC
Dermatopathologist
Winnipeg, Canada
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