Nationwide cloud-based integrated database of idiopathic interstitial pneumonias for multidisciplinary discussion

Tomoyuki Fujisawa, Kazutaka Mori, Masashi Mikamo, Takashi Ohno, Kensuke Kataoka, Chikatoshi Sugimoto, Hideya Kitamura, Noriyuki Enomoto, Ryoko Egashira, Hiromitsu Sumikawa, Tae Iwasawa, Shoichiro Matsushita, Hiroaki Sugiura, Mikiko Hashisako, Tomonori Tanaka, Yasuhiro Terasaki, Shinobu Kunugi, Masashi Kitani, Ryo Okuda, Yasuoki HoriikeYasunori Enomoto, Hideki Yasui, Hironao Hozumi, Yuzo Suzuki, Yutaro Nakamura, Junya Fukuoka, Takeshi Johkoh, Yasuhiro Kondoh, Takashi Ogura, Yoshikazu Inoue, Yoshinori Hasegawa, Naohiko Inase, Sakae Homma, Takafumi Suda

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
JournalThe European respiratory journal
Volume53
Issue number5
DOIs
Publication statusPublished - May 1 2019

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Idiopathic Interstitial Pneumonias
Databases
Information Dissemination
Communication
Tomography
Biopsy
Lung

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

Cite this

Nationwide cloud-based integrated database of idiopathic interstitial pneumonias for multidisciplinary discussion. / Fujisawa, Tomoyuki; Mori, Kazutaka; Mikamo, Masashi; Ohno, Takashi; Kataoka, Kensuke; Sugimoto, Chikatoshi; Kitamura, Hideya; Enomoto, Noriyuki; Egashira, Ryoko; Sumikawa, Hiromitsu; Iwasawa, Tae; Matsushita, Shoichiro; Sugiura, Hiroaki; Hashisako, Mikiko; Tanaka, Tomonori; Terasaki, Yasuhiro; Kunugi, Shinobu; Kitani, Masashi; Okuda, Ryo; Horiike, Yasuoki; Enomoto, Yasunori; Yasui, Hideki; Hozumi, Hironao; Suzuki, Yuzo; Nakamura, Yutaro; Fukuoka, Junya; Johkoh, Takeshi; Kondoh, Yasuhiro; Ogura, Takashi; Inoue, Yoshikazu; Hasegawa, Yoshinori; Inase, Naohiko; Homma, Sakae; Suda, Takafumi.

In: The European respiratory journal, Vol. 53, No. 5, 01.05.2019.

Research output: Contribution to journalArticle

Fujisawa, T, Mori, K, Mikamo, M, Ohno, T, Kataoka, K, Sugimoto, C, Kitamura, H, Enomoto, N, Egashira, R, Sumikawa, H, Iwasawa, T, Matsushita, S, Sugiura, H, Hashisako, M, Tanaka, T, Terasaki, Y, Kunugi, S, Kitani, M, Okuda, R, Horiike, Y, Enomoto, Y, Yasui, H, Hozumi, H, Suzuki, Y, Nakamura, Y, Fukuoka, J, Johkoh, T, Kondoh, Y, Ogura, T, Inoue, Y, Hasegawa, Y, Inase, N, Homma, S & Suda, T 2019, 'Nationwide cloud-based integrated database of idiopathic interstitial pneumonias for multidisciplinary discussion', The European respiratory journal, vol. 53, no. 5. https://doi.org/10.1183/13993003.02243-2018
Fujisawa, Tomoyuki ; Mori, Kazutaka ; Mikamo, Masashi ; Ohno, Takashi ; Kataoka, Kensuke ; Sugimoto, Chikatoshi ; Kitamura, Hideya ; Enomoto, Noriyuki ; Egashira, Ryoko ; Sumikawa, Hiromitsu ; Iwasawa, Tae ; Matsushita, Shoichiro ; Sugiura, Hiroaki ; Hashisako, Mikiko ; Tanaka, Tomonori ; Terasaki, Yasuhiro ; Kunugi, Shinobu ; Kitani, Masashi ; Okuda, Ryo ; Horiike, Yasuoki ; Enomoto, Yasunori ; Yasui, Hideki ; Hozumi, Hironao ; Suzuki, Yuzo ; Nakamura, Yutaro ; Fukuoka, Junya ; Johkoh, Takeshi ; Kondoh, Yasuhiro ; Ogura, Takashi ; Inoue, Yoshikazu ; Hasegawa, Yoshinori ; Inase, Naohiko ; Homma, Sakae ; Suda, Takafumi. / Nationwide cloud-based integrated database of idiopathic interstitial pneumonias for multidisciplinary discussion. In: The European respiratory journal. 2019 ; Vol. 53, No. 5.
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AU - Fujisawa, Tomoyuki

AU - Mori, Kazutaka

AU - Mikamo, Masashi

AU - Ohno, Takashi

AU - Kataoka, Kensuke

AU - Sugimoto, Chikatoshi

AU - Kitamura, Hideya

AU - Enomoto, Noriyuki

AU - Egashira, Ryoko

AU - Sumikawa, Hiromitsu

AU - Iwasawa, Tae

AU - Matsushita, Shoichiro

AU - Sugiura, Hiroaki

AU - Hashisako, Mikiko

AU - Tanaka, Tomonori

AU - Terasaki, Yasuhiro

AU - Kunugi, Shinobu

AU - Kitani, Masashi

AU - Okuda, Ryo

AU - Horiike, Yasuoki

AU - Enomoto, Yasunori

AU - Yasui, Hideki

AU - Hozumi, Hironao

AU - Suzuki, Yuzo

AU - Nakamura, Yutaro

AU - Fukuoka, Junya

AU - Johkoh, Takeshi

AU - Kondoh, Yasuhiro

AU - Ogura, Takashi

AU - Inoue, Yoshikazu

AU - Hasegawa, Yoshinori

AU - Inase, Naohiko

AU - Homma, Sakae

AU - Suda, Takafumi

PY - 2019/5/1

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