INTRODUCTORY BACKGROUND

1.A Pilot Telepathology Project using Whole-Slide-Imaging (WSI) for Hematopathology Consultation at The Cancer Center in Ho Chi Minh City, Vietnam (BVUB)

· The COVID pandemic opened our eyes to the possibilities of remote consultation

· Our pilot project provided a comprehensive telepathology consult solution to improve quality of hematopathology diagnosis at the Cancer Center in Ho Chi Minh City,

Vietnam (BVUB) since May 2022

· We have organized a monthly virtual meeting between BVUB Pathology Laboratory and a Hematopathology faculty at UT Health McGovern Medical School, Houston, TX

· 2 to 5 difficult cases at BVUB are selected for teleconsultation each month

· The H&E and IHC slides are scanned into WSIs by a variety of scanners:
(a) Ventana iScan Coreo (Roche)

(b) Ventana DP200 (Roche)
(c) VS120 Virtual Slide Microscope (Olympus)

· The WSIs are posted online to be previewed by the hematopathologist at UT Health McGovern Medical School with Pathpresenter, a web-based WSI viewer

· Virtual meeting is facilitated through Zoom

· Discussion between BVUB Pathology Laboratory staff and the hematopathologist at UT Health McGovern Medical School is carried out to get a consensus on the most likely
diagnosis for each case

· If further data are needed, an action plan is suggested to obtain further test results for further discussion (in email or in follow-up meeting) for timely patient management

Pathologists at Cancer Center in Ho Chi Minh City, Vietnam (BVUB)

2.Using this web site for learning/teaching hematopathology with WSI case studies

· A case with a known diagnosis can be selected from the list

· Upon going to the selected case, the following will be shown:
-Clinical history, including pertinent H&P findings, lab results and imaging findings
-Pathpresenter links to WSIs which include H&E slides and IHC slides; some also include lab results and flow cytometry scattergrams
-Summary of findings that are found from the Pathpsenter links above
-A diagnosis that has been obtained by consensus between BVUB Pathology Laboratory staff and the hematopathologist at UT Health McGovern Medical School
-Suggestion as needed for further IHCs, lab tests, or clinical data to clarify the diagnosis

· After completing review of a case, use “Back” button on web browser to go back to the main web page with case list to select another case as needed