RT Journal Article
SR Electronic
T1 Nationwide cloud-based integrated database of idiopathic interstitial pneumonias for multidisciplinary discussion
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1802243
DO 10.1183/13993003.02243-2018
VO 53
IS 5
A1 Tomoyuki Fujisawa
A1 Kazutaka Mori
A1 Masashi Mikamo
A1 Takashi Ohno
A1 Kensuke Kataoka
A1 Chikatoshi Sugimoto
A1 Hideya Kitamura
A1 Noriyuki Enomoto
A1 Ryoko Egashira
A1 Hiromitsu Sumikawa
A1 Tae Iwasawa
A1 Shoichiro Matsushita
A1 Hiroaki Sugiura
A1 Mikiko Hashisako
A1 Tomonori Tanaka
A1 Yasuhiro Terasaki
A1 Shinobu Kunugi
A1 Masashi Kitani
A1 Ryo Okuda
A1 Yasuoki Horiike
A1 Yasunori Enomoto
A1 Hideki Yasui
A1 Hironao Hozumi
A1 Yuzo Suzuki
A1 Yutaro Nakamura
A1 Junya Fukuoka
A1 Takeshi Johkoh
A1 Yasuhiro Kondoh
A1 Takashi Ogura
A1 Yoshikazu Inoue
A1 Yoshinori Hasegawa
A1 Naohiko Inase
A1 Sakae Homma
A1 Takafumi Suda
YR 2019
UL http://erj.ersjournals.com/content/53/5/1802243.abstract
AB Multidisciplinary discussion (MDD) requiring close communication between specialists (clinicians, radiologists and pathologists) is the gold standard for the diagnosis of idiopathic interstitial pneumonias (IIPs). However, MDD by specialists is not always feasible because they are often separated by time and location. An online database would facilitate data sharing and MDD. Our aims were to develop a nationwide cloud-based integrated database containing clinical, radiological and pathological data of patients with IIPs along with a web-based MDD system, and to validate the diagnostic utility of web-based MDD in IIPs.Clinical data, high-resolution computed tomography images and lung biopsy slides from patients with IIPs were digitised and uploaded to separate servers to develop a cloud-based integrated database. Web-based MDD was performed using the database and video-conferencing to reach a diagnosis.Clinical, radiological and pathological data of 524 patients in 39 institutions were collected, uploaded and incorporated into the cloud-based integrated database. Subsequently, web-based MDDs with a pulmonologist, radiologist and pathologist using the database and video-conferencing were successfully performed for the 465 cases with adequate data. Overall, the web-based MDD changed the institutional diagnosis in 219 cases (47%). Notably, the MDD diagnosis yielded better prognostic separation among the IIPs than did the institutional diagnosis.This is the first study of developing a nationwide cloud-based integrated database containing clinical, radiological and pathological data for web-based MDD in patients with IIPs. The database and the web-based MDD system that we built made MDD more feasible in practice, potentially increasing accurate diagnosis of IIPs.A cloud-based integrated database of idiopathic interstitial pneumonias containing clinical, radiological and pathological data along with a web-based multidisciplinary discussion system can make discussions more feasible and improve disease management http://ow.ly/NqqD30nYenb