[Use Case] The era of telepathology has arrived for Pitié-Salpêtrière

22 October 22 October

Anatomical cytopathology is a medical specialism that studies damage to cells, tissues or organs taken from the patient, using photonic microscopes.

Anatomical cytopathology plays an essential role in medical screening, diagnosis and decision-making, in particular in oncology. This discipline has a key role in personalised medicine. But in France, there are only 1,471 anatomical cytopathologists working in just over 300 centres, just when demand for tests is growing by 5% per annum.

In the Department of Anatomy and Cytopathology of the Pitié-Salpêtrière Hospital in Paris, the choice of digital tools is meeting very specific objectives: enabling pathologists to work together, safely and securely, in separate locations, and thus strengthening the level of expertise and the quality of diagnosis.  Orange Healthcare and its partner Tribvn, a company specialised in the field of medical imaging for laboratories (acquisition and management of imaging produced in those laboratories), have developed a ‘virtual multihead microscope’ solution.

In technical terms, the images, scanned, analysed and selected by the pathologists at Pitié-Salpêtrière, are archived by Assistance Publique – Hôpitaux de Paris (AP-HP) and can be consulted through streaming from the secure Orange  CaseConferencing collaborative platform.
The pathologists, who are working in physically separate locations, can examine a slide at the same time, take turns taking control of the system to select regions of interest, zoom in on certain sections of the image, or be involved directly in the manipulation performed by a colleague. Experts can thus compare their opinions immediately, on-line in writing, in person or through videoconference, under the conditions of security and traceability of exchanges required for telemedicine activities.
This process can also be used during an examination performed during surgery (a so-called ‘extemporaneous’ examination).

Jean-François Pomerol, Director of TRIBVN Médical
CaseConferencing makes it possible to share virtual slides instantly via Internet and to propose a collaborative interpretation between doctors. It is integrated into the pathologist’s workstation and thus provides an easy, secure solution to speed up and improve diagnosis. The quality of the image is excellent and the traceability of the medical procedure guaranteed.
Jean-François Pomerol, Director of TRIBVN Médical


Integrating digital tools into the operation of a laboratory involves, first and foremost, a reorganisation of information flows.

Because virtual slides can be digitised much more quickly, the sharing of information and knowledge is easier, whether with the office next door, another unit in the hospital or an external entity.

Lastly, in terms of analysis, it is possible to extract the image that you are looking for and propose an interpretation of the biological content that is significantly more effective.

Dr Jean-François Finet, Independent Specialist in Anatomy and Pathology
The advantage of the digital age is interactivity, support for the image with discussion at two separate sites and thus a saving in terms of time.
Dr Jean-François Finet, Independent Specialist in Anatomy and Pathology