Day 2 :
Northern Border University Kingdom of Saudi Arabia
Keynote: Effectiveness and pitfalls of Robotic telepathology in diagnostic confirmation and intraoperative consultation
Time : 9:30-10:15
Currently working as Professor & Incharge of Pathology department (female campus), Northern Border University, Kingdom of Saudi Arabia. She received her degree from King George's Medical College. She had been Discipline Coordinator (Pathology Dept.) in University Technology MARA, Malaysia. She is a member of many associations like Indian Association of Pathology and Microbiology, International Academy Pathology, Indian Society of Hematology & Transfusion Medicine, Emirates Medical Association Pathology Society, International Economics Development Research Center etc. Dr. Anshoo Agarwal has more than 100 publications. She is editorial member of 3 journals and is reviewer in many journals. She had organized many national and international CME’s, Workshops and Conferences.
Frozen section (FS) diagnosis has been used as an important factor in intraoperative decision making. FS are more difficult to interpret than examination of formalin-fixed, paraffin-embedded sections. Nevertheless, FS is regarded as an accurate means of diagnosis during surgery and often has a significant influence on the surgical operation being performed. Robotic Telepathology is the practice of digitizing histological or macroscopic images for transmission along telecommunication pathways for diagnosis, consultation, or continuing medical education.In dynamic telepathology, the consultant examines a slide remotely with a robotic microscope that allows him or her to select different fields and magnification powers. Static telepathology relies upon images sent by the referring pathologist. Because the field selection is accomplished by the consultant, the information that he or she obtains is the same as he or she would obtain at the microscope in person. One of the most promising applications of telepathology is intraoperative consultation to be allowed with pathology support located elsewhere, allowing surgeries requiring an intraoperative histopathological diagnosis without a pathologist on site, thereby preventing medical errors, reducing costs, and increasing quality.Also to submit histological slides to a remote pathologist requires packing and postage expenses, Additionally, increasing documentation between countries is necessary to ensure the lack of pathological risk associated with the submitted material which can be avoided by telepathology and also it can reduce the travel time of the pathologist, which is expensive, nonproductive professional time. Hence, the provision of pathologic care using telepathology for routine, emergent, and FS diagnosis can support primary and second-opinion pathology diagnosis throughout the world.
Universiti Teknologi MARA, Malaysia
Time : 10:15-11:00
Nor Ashikin Mohamed Noor Khan completed her PhD in 2007 from Universiti Malaya in the area of Reproductive Biology and pursued postdoctoral studies at Brigham and Women’s Hospital, Harvard Medical School. She heads the Maternofetal and Embryo Research group at Universiti Teknologi MARA, Malaysia. Nor has published more than 50 papers in reputable journals. She is also currently serving as the Head of the Research Impact and Ethics Unit at the Institute of Research Management and Innovation of Universiti Teknologi MARA.
Infertility is a major concern worldwide. In 1972, birth of the first test tube baby, Louise Brown, set the tone for greater progress in Assisted Reproductive Technology (ART). Since then, ART procedures have become routine around the world. It has resulted in the birth of over 5 million babies worldwide. Although the extensive efforts to improve fertility have been much welcomed, research has shown that there are associated risks with either ART or infertility. Literature has brought forth evidence regarding birth defects, abnormalities in genomic imprinting and cardiovascular risks. This warrants a need for more thorough studies of the safety ART procedures.
Narayana Multispeciality Hospital India
Time : 11:20-12:05
Dr Shashikant Limbachiya is super specialist (MCh) Head & Neck Onco Surgeon working in Gujarat India. After his post graduation in Master of Surgery, he did super speciality from world renowned amrita Institute, kochi. He is founder of India’s first Dysphagia society, “Deglutology Research Foundation”. His area of interests are oral,laryngeal,sinonasal, skull base, thyroid, parotid & Neck surgeries as well as Reonstructive Platic & Microvascular procedures. He has authored 6 text book chapters and several publications in reputed journals. He has presented several award/ podium papers in various international conferences.
Management of head and neck cancer has evolved over the last decade, so too has the reconstruction of defects created by ablative surgery. Reconstruction of surgical defects using Regional/ Microvascular free tissue transfer is integral part of multidisciplinary management of Head and Neck cancers. The central tenets of post-ablative head and neck reconstruction are the restoration of adequate function, form and esthetics, which maintain or improve quality of life. Reconstructive surgeon must have various options in his armamentarium to give best restorative outcomes in available resources.
- Neuropathology | Gynecology and Obstetrics Pathology | Laboratory Medicine | Clinical pathology | Organ Specific Cancer | Cancer Biomarkers
Kursk State Medical University, Russian Federation
Loyola University Chicago, USA
Time : 12:05-12:35
Dariusz Borys is a Professor of Pathology and Orthopedic Surgery, Head of Orthopedic and Pediatric Pathology and Director of Digital Pathology at Loyola University Chicago. He has received his Doctor of Medicine from the University of Wroclaw, Poland in 1994 and completed a residency program in anatomic pathology at County General Hospital in Wroclaw, Poland in 1995. He has completed his Postdoctoral research at the University of Arizona, Tucson, Arizona in 1998. He continued on with and completed residency training in both anatomic pathology and clinical pathology at University of Illinois at Chicago in 2001. He has received a Pediatric Pathology Fellowship at New York University, New York, New York in 2005 and followed that with an Orthopedic Pathology Fellowship at NYU Hospital for Joint Diseases, New York, New York in 2006. After completing his fellowships, he has become faculty member in the rank of assistant professor at University of California and then he finally moved to Loyola University Chicago in 2013. At LUMC he is appointed as a Professor of Pathology and Orthopedic Surgery and is serving as the Head of orthopedic and Pediatric Pathology and Director of Digital Pathology. Currently his research focuses on the molecular markers in diagnostic, prognostic and targeted therapy in osteosarcoma.
Digital pathology is a dynamic, image-based environment which enables the acquisition, management and interpretation of pathology information generated from a digitized glass slide. Healthcare applications include primary diagnosis, diagnostic consultation, intraoperative diagnosis, medical student and resident training, manual and semi-quantitative review of immunohistochemistry (IHC), clinical research, diagnostic decision support, peer review and tumor boards. In the last decade digital pathology was rapidly expanding as an essential technology tool to support medical education, tissue based research, drug development and the practice of clinical pathology. This presentation is to highlight application of digital pathology application in daily clinical practice, education and research.
Dr fariha Kauser has received her Bachelor degree in dental surgery from Ras al khaimah medical and health sciences university, UAE, and Diploma in medical education, university of Dundee, Scotland.
This paper holistically represents the uncommon location of central giant cell granuloma due to its occurrence in maxilla. Central giant cell granulomas are benign, non-proliferative lesion and commonly seen in mandible. The aetiology is still unknown and not a true neoplasm but may be linked to its reactive, non-developmental and aggressive nature. This case report presents a 21 years old Asian male with moderate painful swelling in the left side of anterior maxilla. The lesion was more painful on palpation and adjacent tooth was having grad3 2 mobility. Tumor was located on anterior maxilla, close to the midline, separating the upper left lateral incisor from upper left canine. Medical, family and social history is non-significant.
Northern Border University, Kingdom of Saudi Arabia
Title: Learning pathology in a digital world with digitization of education: From glass slides to digital files and thereafter
Time : 14:05-14:35
Anshoo Agarwal is currently working as Professor and In-charge of Pathology Department (female campus), Northern Border University, Kingdom of Saudi Arabia. She has received her Degree from King George’s Medical College. She had been Discipline Coordinator (Pathology Dept.) in University Technology MARA, Malaysia. She is a member of many associations like Indian Association of Pathology and Microbiology, International Academy Pathology, Indian Society of Hematology and Transfusion Medicine, Emirates Medical Association Pathology Society, International Economics Development Research Center etc. She has more than 100 publications. She is Editorial Member of three journals and is reviewer in many journals. She had organized many national and international CME’s, Workshops and Conferences.
Education and training in pathology remain essential to both undergraduate and postgraduate courses in pathology. Traditionally, education and training in pathology has been delivered using textbooks, glass slides and conventional microscopy but increasingly web-based resources have been developed to supplement or replace the more traditional methodologies. From an educational stance, the use of virtual slides ensures that all students see the same slide; that slide is the best and most representatives in the collection, rather than one of inferior quality and that poor microscope technique does not interfere with the learning experience. It also allows rare slides to be used without fear of breakage. Displaying the slide on a computer screen means that students can more easily discuss the content with each other, allowing for the use of group-work based approaches to teaching. This pedagogy was more difficult to pursue when students assessed a glass slide on their individual microscopes. Digital pathology has been shown to improve individual and group learning and enhance the overall learning experience. Digital pathology also has the benefit of delivering courses to students outside the classroom setting. On-line resources can be accessed by students anytime, anyplace allowing them to view slides that would have traditionally been restricted to the slide box and the classroom. The use of digital imaging for surgical pathology raises new safety and effectiveness issues that must be addressed. We recognize the many benefits the technology provides at the same time we need to be sure of its limitations to prevent the associated risk.
Country Health South Australia Local Health Network, Australia
Time : 14:35-15:05
Dagmara Magdalena Poprawski has graduated from the University of Adelaide in 1992 and has done tropical, rural and remote medicine for many years. She has completed her Master’s degree in Clinical Tropical Medicine in 1998 from Mahidol University in Thailand. She has then returned to Adelaide to undertake Physician Training and Specialized in Medical Oncology. Since 2013, she had been working in regional South Australia and is currently the Acting Clinical Director of Country Health Services in SA. She has completed her Diploma in Geriatric Oncology in 2016 and is a Member of SIOG.
An innovative model of care through provision of telemedicine clinics in medical oncology in South Australia has been introduced to improve the burden of the tyranny of distance. This system has been utilized in South Australia (SA) to deliver oncological care to rural areas for 5 years. A retrospective clinical review was performed in 2013-2017 with 999 patients seen in SA, 2 regional and 7 rural hospitals. Telemedicine included pre-therapy reviews 781, restaging 203 and 15 new consultations. Our model allowed more satisfaction to health workers and patients, accepting this as consultation option. Benefits of this innovative model of care are saving patient’s travel, decreasing the burden on metropolitan clinic appointments and improving hospital budgets. Also, to improve attendance rates and duration of therapy response by enabling patients to have cared near their home. Relative improved decision making/outcomes during consultations, especially in indigenous and patients with cultural and linguistic challenges. The challenges are phone interpreting service, patients with disabilities, having a nurse on the patient’s end of the consultation, and setting up new rural centers as part of this service provision. There are many similarities including the issues of distance to cancer care, centralized in metropolitan hospitals and overburdened clinics in many countries around the world including that of Asia. Most countries now have a metropolitan-centric model of specialist cancer of care, but they also have basic IT systems in regional and rural health facilities that can be adapted to suit a global development of telemedicine provision of care.