The survival rate of children with cancer is 20% in low and middle-income countries.1 In industrialized countries, 80% of them can be cured. The reasons of adverse children’s outcomes and treatment failure are obvious in low and middle income countries: lack of information, difficult access to care and treatment abandonment, absent, late or incorrect diagnosis. Indeed 20% of childhood cancers are not correctly diagnosed in LMIC whereas all of them are properly diagnosed in developed countries.
In Sub-Saharan Africa, diagnosis can be delayed by the insufficient number of pathologists and their remoteness. Telepathology can be a solution by offering efficient communication between physicians. It consists in the transmission of digital images from a microscope combined with a connected camera to a shared online platform.
The platform called i-Path was developed for telemedicine in 2001 at the University of Basel (Switzerland) and was implemented in Sub-Saharan Africa countries by the AMCC (Alliance Mondiale Contre le Cancer), French branch of the International Network for Cancer Treatment and Research (INCTR) in 2009. My Child Matters supports the childhood cancer diagnosis axis for pre-supported and additional countries since 2017.
The objectives of i-Path platform:
– Equip several centers in Africa by microscope combined with digital camera
– Create network inside Africa and with foreigner pathologists
– Provide a second opinion to improve diagnosis and prescribe the appropriate treatment
– Train young pathologists
– Improve diagnosis quality by organizing thematic meetings with GFAOP to state on cases according to the SIOP (International Society of Paediatric Oncology) international guidelines
Collaborations for telepathology project are:
– AMCC : Alliance Mondiale contre le cancer
– INCTR : International Network for Cancer Treatment and Research
– GFAOP : Groupe Franco-Africain d’oncologie pédiatrique, French-African Pediatric Oncology Group
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