TRIBVN's solutions performed in different types of structures and activities :

Pathology

University Hospital Centres: Public Hospitals Service of Paris, Lille, Montpellier, Rouen, Tours

Cancer research centres: Lyon, Bordeaux, Toulouse, Saint-Cloud, Caen, Lille

General Hospital Centres: Aix-en-Provence, Avignon, Evreux, Beauvais; Abroad: Fort de France, Point à Pitre, Milan, Florence, Liège, etc.

Biology

University Hospital Centres: Public Hospitals Service of Paris, Lille, HCL, Public Hospitals Service of Marseille, Reims, Strasbourg, Nancy, Montpellier, Nantes, Nîmes, etc.

Cancer research centres: Lyon

General Hospital Centres: La Rochelle, Aix en Provence, Alençon, Bourges, Annecy, Aubenas, Valence

Industry

RAL Reagents, Novartis, Bayer Diagnostics, DakoCytomation, Beckman Coulter

Moreover, TRIBVN works on various themes thanks to its wide range of solutions, as it is shown with the following fullfilments :

Integration of laboratory images in the HIS

Equipment of a pathological anatomy laboratory

Analysis of intra- and inter-observer variability on the basis of digital slides of rare pathologies

Multimedia document sharing application for teaching purposes in Faculties of Medicine and Pharmacy

Project :
- The potential equipment of laboratories with imaging solutions which can be integrated into the general HIS architecture (in the context of the imaging project for the Hospital Centre)
- Contact partners: Franck Jolivaldt (Data Processing), Florence Boidart (Pathological Anatomy), Isabelle Garcia (Biology)
- 700-bed General Hospital Centre
- IMS in place: TRIBVN ICS for biology, with no server; DIS for pathology
- LIS in place: APIX
- PACS TELEMIS - Identity: Alizé
- Procurement process: Subcontracting of Telemis under the terms of a tendering procedure

Solution adopted :
- TRIBVN ICS 1.5 solution, with a centralized server
- 4 capture workstations (macro and micro)
- LIS interface with APIX and Webview Consultation
- Submission of key images to the TELEMIS PACS upon the validation of reports, using the ICS Dicomizer.
- Consultation of these images in patient records.

Situation : deployment in mid-2008

Project :
- Equipment and integration of laboratory imaging facilities into the laboratory workflow
- Promotion of the development of imaging applications in pathology, specifically digital slides, quantification and sharing
- Application in-house and within the hospital (by staff, at multidisciplinary consultation meetings, etc.)
- Contact partners: Frédérique Capron (pathological anatomy), Pascal Poignant (Biomedical service), Pascal Giry (Data processing)
- GHU of the APHP (Public Hospitals Service of Paris), eastern division, 1750 bed
- LIS in place: DIAMIC CS
- Procurement process: data processing and biomedical contracts

Solution adopted :
- TRIBVN ICS 1.5 solution, with a centralized server
- 6 capture workstations (macro, micro, fluorescence and digital slides)
- APERIO scanner and ICS Framework - SAMBA IPSsoftwares
- LIS interface with DIAMIC and Webview Consultation

Situation :
- In service since 2005
- 25,182 images stored in 5,270 files

Case of Adrenal INCA

Project :
- As part of the INCA (National Cancer Institute) programme for the diagnosis of rare pathologies, a study of cancer of the adrenal glands is in progress which is intended to standardize the reading of slides and the establishment of Weiss scores.
- Conduct of an on-line review protocol using digital slides.
- Random selection of cases and on-line review, entry of Weiss scores and mitotic index.
- Contact partners: Xavier Bertagna (Endocrinologist), Frédérique Tissier (pathology), Rossela Libe (INSERM researcher)
- Selection of 50 reference cases, each comprising 5 slides
- 30 pathological reviewers throughout France

Solution adopted :
- Digitization of 250 slides at 40x on an APERIO scanner, subcontracted to TRIBVN
- Zoomify web imaging function on the TeleSlide Online server (www.teleslide.com)
- Conduct of a random protocol using the “Weiss score” review scale

Situation :
-Slides digitized and on-line
- Test phase validated
- Commencement of reviews: mid-April 2008

Application for teaching purposes in Faculties of Medicine and Pharmacy at the University of Paris Sud-Orsay (Paris 11)

Project :
- Installation of a production tool for multimedia files, comprising images, digital slides and Office documents.
- Organization of these documents in a server application, for distribution within groups of students, with interactive functions.
- Conduct of guided learning sessions in computer rooms
- Contact partners: Catherine Guettier (pathology), Denis Couret (data processing), François Drupt (haematology), etc.
- University of Paris Sud (Paris 11) 
- Faculties of medicine and pharmacy: histology, pathology, physiology, haematology, mycology, plant biology, etc.
- LDAP directory in place

Solution adopted :
- APERIO CS Dual workstation and ICS Framework
- TeleSlide Multimedia
- Automatic connection to the University directory for the management of members

Situation :
- Deployment in February 2008
- Teaching undertaken since March: 40 simultaneous connections per guided learning room, 150 hours of connection per week.