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Verified Service Provider in Liberia

Histopathology & Cytology in Liberia Engineering Excellence & Technical Support

Histopathology & Cytology solutions for Clinical & Diagnostic Labs. High-standard technical execution following OEM protocols and local regulatory frameworks.

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Enhanced Diagnostic Accuracy

Introduction of advanced microscopic techniques and standardized staining protocols in Liberian histopathology and cytology labs has significantly improved the accuracy and reliability of disease diagnoses, particularly for cancer and infectious agents.

Capacity Building & Training Initiatives

Targeted training programs for Liberian pathologists, technicians, and cytotechnologists have expanded the local expertise in specimen preparation, interpretation, and quality control, leading to a more robust and self-sufficient diagnostic infrastructure.

Digitization of Pathology Services

Implementation of digital archiving and nascent telepathology solutions is beginning to improve accessibility to expert interpretation, facilitate remote consultation, and build a crucial digital repository of histopathology and cytology data for research and public health initiatives in Liberia.

What Is Histopathology & Cytology In Liberia?

Histopathology and cytology are critical diagnostic services in Liberia, focusing on the microscopic examination of tissue and cell samples, respectively. These disciplines are instrumental in the accurate diagnosis, staging, and prognosis of a wide range of diseases, particularly neoplastic and infectious conditions. In Liberia, where access to advanced diagnostic modalities can be limited, these services form a cornerstone of the pathology laboratory infrastructure, enabling clinicians to make informed treatment decisions and contributing to public health surveillance.

Histopathology involves the macroscopic and microscopic examination of tissue biopsies and surgical resections. The process entails fixation, processing, embedding, sectioning, and staining of tissue specimens. Different staining techniques, such as Hematoxylin and Eosin (H&E), are routinely employed, with special stains and immunohistochemistry (IHC) utilized for specific diagnostic challenges, including identifying infectious agents or delineating tumor subtypes. Cytology, conversely, examines individual cells or small clusters of cells obtained from various body fluids (e.g., urine, pleural fluid, cerebrospinal fluid) or through fine-needle aspiration (FNA) or exfoliative cytology (e.g., Pap smears). Cells are typically spread onto glass slides, fixed, and stained (e.g., Papanicolaou stain).

Service ComponentDefinitionWho Needs ItTypical Use Cases in Liberia
HistopathologyThe microscopic examination of surgically removed tissue or cells that are spread for microscopic examination.Patients with suspected tumors (benign or malignant), inflammatory conditions requiring tissue diagnosis, or monitoring of post-surgical changes.Diagnosis of suspected cancers (e.g., breast, cervical, colorectal, skin). Identification of infectious agents within tissues (e.g., granulomas in tuberculosis). Evaluation of inflammatory bowel diseases. Post-operative margin assessment for cancer resection.
CytologyThe study of cells, especially their structure and function, often obtained from bodily fluids or exfoliative samples.Individuals undergoing screening for specific cancers, patients with unexplained effusions or swellings, or for routine diagnostic investigations.Screening for cervical cancer (Pap smears). Diagnosis of suspected malignancy in body fluids (e.g., pleural, peritoneal, urine cytology). Fine-needle aspiration (FNA) biopsies of palpable masses (e.g., thyroid nodules, lymph nodes, breast lumps). Diagnosis of parasitic infections in urine or other fluids.

Key Aspects of Histopathology and Cytology Services in Liberia

  • Microscopic examination of tissue and cell samples for disease diagnosis.
  • Crucial for identifying neoplastic (cancerous) and infectious diseases.
  • Foundation for clinical decision-making and treatment planning.
  • Encompasses macroscopic and microscopic analysis of biopsies and resections (Histopathology).
  • Involves preparation techniques like fixation, embedding, sectioning, and staining (Histopathology).
  • Utilizes H&E staining, special stains, and Immunohistochemistry (IHC) for detailed analysis (Histopathology).
  • Examines individual cells from fluids or aspirates (Cytology).
  • Includes techniques such as Fine-Needle Aspiration (FNA) and exfoliative cytology (Cytology).
  • Commonly employs Papanicolaou staining for cellular evaluation (Cytology).

Who Needs Histopathology & Cytology In Liberia?

Histopathology and cytology services are critical components of modern healthcare, providing definitive diagnoses for a wide range of diseases, particularly cancers and infectious conditions. In Liberia, where access to advanced diagnostics can be challenging, these services are indispensable for effective patient management, treatment planning, and public health surveillance. They empower clinicians with the information needed to make informed decisions, track disease prevalence, and monitor the effectiveness of interventions. This ultimately leads to improved patient outcomes, reduced morbidity and mortality, and a stronger healthcare system.

Department/SpecialtyKey Needs & ApplicationsExamples of Diseases Diagnosed
Oncology/Cancer CareAccurate staging and grading of tumors, guiding treatment decisions (surgery, chemotherapy, radiation therapy).Breast cancer, cervical cancer, prostate cancer, lung cancer, lymphomas, sarcomas.
PathologyThe core department responsible for performing and interpreting histopathology and cytology tests.All types of tissue and cell abnormalities.
Infectious Disease ControlIdentification of infectious agents in tissues and cells, crucial for endemic diseases and outbreaks.Tuberculosis (TB), malaria (in tissue samples), viral infections (e.g., HPV), parasitic infections.
SurgeryPre-operative diagnosis for surgical planning and post-operative assessment of surgical margins.Benign and malignant lesions requiring surgical removal.
Gynecology/ObstetricsScreening and diagnosis of cervical abnormalities, diagnosis of gynecological cancers and infections.Cervical dysplasia, cervical cancer, ovarian cancer, uterine fibroids, pelvic inflammatory disease.
UrologyDiagnosis of urinary tract cancers and inflammatory conditions.Prostate cancer, bladder cancer, kidney cancer, prostatitis.
DermatologyDiagnosis of skin cancers and inflammatory skin conditions.Basal cell carcinoma, squamous cell carcinoma, melanoma, moles, eczema.
Internal Medicine/General PracticeDiagnosis of a broad range of conditions affecting various organs.Inflammatory conditions, infections, benign and malignant growths in organs like liver, kidney, lungs.
HematologyDiagnosis of blood cancers and other blood disorders.Leukemias, lymphomas, myelodysplastic syndromes.
PediatricsDiagnosis of childhood cancers and congenital abnormalities.Pediatric sarcomas, leukemias, developmental abnormalities.

Target Customers and Departments in Liberia for Histopathology & Cytology Services

  • Hospitals: Both public and private hospitals are primary consumers, requiring these services for inpatient and outpatient diagnostics.
  • Clinics and Health Centers: Especially those with more advanced capabilities or serving as referral points, will benefit from access to these diagnostic tools.
  • Research Institutions: For disease surveillance, epidemiological studies, and developing localized diagnostic protocols.
  • Public Health Agencies: For monitoring disease outbreaks, assessing the burden of specific conditions, and evaluating public health interventions.
  • Medical Schools and Training Centers: Essential for educating future healthcare professionals in diagnostic pathology.

Histopathology & Cytology Process In Liberia

The Histopathology and Cytology process in Liberia, like in many developing nations, involves a series of steps to ensure accurate diagnosis and patient care. This workflow begins with an initial request or inquiry, leading through specimen collection, transportation, processing, microscopic examination, reporting, and finally, clinical integration. Challenges in infrastructure, trained personnel, and resource availability can significantly impact the efficiency and quality of this process.

StageDescriptionKey ActivitiesPotential Challenges in Liberia
Inquiry & RequestThe initiation of the diagnostic process. A clinician suspects a condition requiring histopathological or cytological examination and sends a request to the laboratory.Clinician identifies need for biopsy/cytology, completes request form, clarifies clinical history.Lack of awareness of diagnostic services, inadequate clinical history provided, limited access to specialists for consultation.
Specimen Collection & PreparationThe physical act of obtaining the tissue or cellular sample and preparing it for transport.Biopsy (needle, punch, excisional), fine needle aspiration (FNA), cytology brushings, Pap smears. Fixation of tissue (e.g., in formalin). Proper labeling of samples.Unavailability of appropriate collection tools and reagents, lack of trained personnel for collection (especially in remote areas), inadequate fixation leading to poor sample quality, sample mix-ups due to poor labeling.
Specimen TransportationMoving the collected specimen from the collection site to the diagnostic laboratory.Packaging of specimens in leak-proof containers, transportation via couriers, volunteers, or public transport. Maintaining specimen integrity during transit.Poor road infrastructure, lack of reliable transportation, long transit times leading to sample degradation, inadequate cold chain maintenance if required, risk of specimen loss or damage.
Laboratory Processing (Histopathology)Preparing the tissue sample for microscopic examination.Gross examination, tissue processing (dehydration, clearing, infiltrating with paraffin wax), embedding in paraffin blocks, sectioning (microtomy), staining (e.g., Hematoxylin and Eosin - H&E).Deterioration or unavailability of processing reagents (e.g., alcohols, xylene, paraffin wax), malfunctioning or lack of equipment (tissue processor, microtome), power outages affecting processing, inconsistent staining quality.
Laboratory Processing (Cytology)Preparing cellular samples for microscopic examination.Smear preparation, cytocentrifugation, liquid-based cytology preparation, fixation, staining (e.g., Papanicolaou stain - Pap stain).Similar challenges as histopathology regarding reagents and equipment. Expertise in smear preparation and handling of cellular material is crucial.
Microscopic ExaminationThe pathologist or trained cytotechnologist examines the prepared slides under a microscope.Gross examination of tissue specimens, detailed examination of stained slides for cellular abnormalities, identification of pathological features.Shortage of qualified pathologists and cytotechnologists, limited access to well-maintained microscopes, poor lighting conditions, overburdened workload leading to diagnostic delays.
Reporting & InterpretationGenerating a formal report of the findings and providing a diagnosis.Correlation of microscopic findings with clinical information, dictation or writing of the diagnostic report, classification of lesions (e.g., benign, malignant, inflammatory).Delays in report generation due to workload and resource limitations, lack of standardized reporting formats, challenges in differentiating subtle pathological changes without advanced ancillary techniques.
Clinical Integration & Patient ManagementThe diagnosis from the report is used by the clinician to guide patient treatment and management.Review of the pathology report by the treating physician, discussion of findings with the patient, initiation of appropriate therapy or further investigations.Poor communication channels between the laboratory and clinical departments, lack of access to further diagnostic or treatment options based on the report, patient follow-up challenges.

Histopathology & Cytology Workflow in Liberia

  • Specimen Acquisition and Inquiry
  • Specimen Collection and Preparation
  • Specimen Transportation
  • Laboratory Processing
  • Microscopic Examination
  • Reporting and Interpretation
  • Clinical Integration and Patient Management

Histopathology & Cytology Cost In Liberia

Histopathology and cytology services are crucial for accurate disease diagnosis and management in Liberia. However, the cost of these procedures can vary significantly due to several factors, including the complexity of the sample, the specific tests required, the laboratory's accreditation and equipment, and the geographic location within Liberia. Generally, prices are quoted in the Liberian Dollar (LRD). While precise, universally published price lists are scarce, anecdotal evidence and reports from healthcare providers offer insights into the typical pricing structure.

Service TypeEstimated Cost Range (LRD)Notes
Basic Cytology (e.g., Pap Smear, Fine Needle Aspirate - single slide)2,000 - 5,000Covers basic staining and microscopic examination.
Advanced Cytology (e.g., multiple samples, special stains)4,000 - 10,000May include additional staining techniques or interpretation of more complex samples.
Histopathology Biopsy (e.g., small tissue sample, H&E stain)4,000 - 12,000Includes tissue processing, embedding, sectioning, and H&E staining.
Histopathology Excision Biopsy (larger specimen)8,000 - 20,000Cost increases with specimen size and complexity of evaluation.
Special Stains (per stain)1,000 - 3,000Applied to cytology or histopathology slides to highlight specific structures or organisms.
Immunohistochemistry (IHC) (per marker)5,000 - 15,000Used for specific protein detection, often in cancer diagnostics. Cost varies greatly by marker.

Factors Influencing Histopathology & Cytology Costs in Liberia

  • Sample Type and Size: Larger or more complex tissue samples for histopathology, or multiple slides for cytology, will naturally incur higher costs due to increased processing time and resources.
  • Staining Techniques: Standard H&E (Hematoxylin and Eosin) staining is usually the baseline. Special stains, immunohistochemistry (IHC), or molecular tests add to the expense due to reagents and expertise required.
  • Test Complexity and Specialization: Routine diagnostic biopsies will be less expensive than specialized tests for specific oncological markers or infectious agents.
  • Laboratory Overhead and Technology: Well-equipped laboratories with advanced technology and trained personnel will generally have higher operational costs, reflected in their pricing.
  • Accreditation and Quality Control: Laboratories adhering to international standards or with strong local accreditation may charge more to reflect their commitment to quality and accuracy.
  • Geographic Location: Major urban centers like Monrovia may have slightly more competitive pricing due to a higher concentration of laboratories, while more remote areas might have fewer options and potentially higher costs.
  • Consumables and Reagents: The cost and availability of essential laboratory consumables and reagents can fluctuate, impacting the final price.
  • Healthcare Provider Markups: If the service is accessed through a hospital or clinic, their markup on the laboratory fee will also contribute to the overall cost to the patient.

Affordable Histopathology & Cytology Options

Accessing high-quality histopathology and cytology services can be a significant expense for healthcare providers and patients. This document outlines affordable options, focusing on value bundles and cost-saving strategies to make these essential diagnostic tools more accessible. Understanding these approaches can lead to substantial savings without compromising diagnostic accuracy or patient care.

StrategyDescriptionPotential SavingsConsiderations
Value BundlesPre-packaged services at a reduced overall cost.10-25% on bundled servicesEnsure all necessary components are included; compare bundle contents.
Volume DiscountsTiered pricing based on the number of cases processed.Up to 30% for high-volume usersRequires consistent, high sample submission rates.
OutsourcingEngaging external, specialized laboratories.15-40% reduction in lab operational costsAssess turnaround times, quality control, and data security.
TelepathologyDigital slide transmission for remote interpretation.Reduced infrastructure and personnel costsRequires investment in scanning hardware and software.
StandardizationUniform procedures for specimen handling and staining.5-15% in labor and material costsRequires rigorous training and quality assurance.
Consolidated ProcurementBulk purchasing of supplies and equipment.10-20% on materials and equipmentRequires central coordination and inventory management.

Key Strategies for Affordable Histopathology & Cytology:

  • Value Bundles: These packages combine multiple services, often including specimen collection, processing, staining, microscopic examination, and a detailed report, at a discounted price compared to individual service costs.
  • Volume Discounts: Negotiating lower per-case fees for higher volumes of samples submitted can significantly reduce overall costs.
  • Outsourcing to Specialized Labs: Utilizing high-volume, specialized laboratories can leverage their economies of scale and advanced automation to offer lower pricing.
  • Telepathology/Remote Diagnosis: Implementing telepathology can reduce the need for on-site pathologists and associated infrastructure, lowering operational costs.
  • Efficient Workflow & Standardization: Streamlining specimen handling, processing, and reporting workflows, along with standardizing staining techniques, can improve efficiency and reduce costs.
  • Preventive Screening & Early Detection: Investing in programs that promote early detection and screening can lead to fewer complex and expensive diagnostic cases in the long run.
  • Consolidated Procurement: Grouping the purchasing of reagents, consumables, and equipment across multiple departments or facilities can result in better pricing through bulk discounts.
  • Technology Adoption: Employing cost-effective automation and digital pathology solutions can improve turnaround times and reduce manual labor costs.
  • Partnerships & Collaborations: Forming partnerships with other healthcare institutions or research organizations can lead to shared resources and bulk purchasing power.
  • Insurance & Reimbursement Optimization: Ensuring accurate coding and billing for services and actively pursuing optimal reimbursement from insurance providers is crucial for cost management.

Verified Providers In Liberia

In Liberia's evolving healthcare landscape, identifying trustworthy and competent healthcare providers is paramount for individuals and organizations seeking reliable medical services. Franance Health stands out as a leader in this regard, distinguished by its rigorous credentialing processes and unwavering commitment to quality care. This document outlines why Franance Health's verified providers represent the best choice for healthcare needs in Liberia.

Provider TypeFranance Health Verification CriteriaBenefits to Patients
PhysiciansMedical Degree from accredited institution, valid Liberian Medical License, board certification (where applicable), successful completion of background checks and peer reviews.Access to highly qualified doctors with verified expertise, ensuring accurate diagnoses and effective treatment plans.
SpecialistsAll physician criteria plus demonstrated specialization through training, experience, and certifications in their respective fields.Receiving expert care for specific medical conditions from rigorously vetted specialists.
NursesRegistered Nurse (RN) or Licensed Practical Nurse (LPN) license, relevant nursing education, background checks, and ongoing performance evaluations.Confidently receiving compassionate and competent nursing care from licensed and experienced professionals.
PharmacistsPharmacy degree, valid Liberian Pharmacist License, knowledge of drug interactions and safe dispensing practices, background checks.Ensured access to safe and accurately dispensed medications, with knowledgeable advice on usage and potential side effects.
Laboratory TechniciansCertification in Medical Laboratory Technology, proficiency in diagnostic testing, adherence to quality control standards, background checks.Reliable and accurate laboratory test results crucial for effective medical diagnosis and management.
Allied Health Professionals (e.g., Physiotherapists, Radiologists)Appropriate professional qualifications and licenses, specialized training, and demonstrated competency in their respective areas.Access to a range of specialized healthcare services delivered by credentialed and skilled practitioners.

Key Indicators of Franance Health's Verified Providers:

  • Rigorous Verification Process: Franance Health employs a multi-faceted approach to credentialing, ensuring that all affiliated healthcare professionals meet stringent standards of education, training, and experience.
  • Licensure and Certification: All providers undergo thorough checks to confirm valid and current medical licenses and certifications from recognized Liberian and international bodies.
  • Professional Background Checks: Comprehensive background checks are conducted to assess professional conduct, ethical standing, and any disciplinary actions.
  • Peer Review and Performance Monitoring: Franance Health actively engages in peer review processes and continuously monitors the performance of its providers to ensure ongoing quality and adherence to best practices.
  • Commitment to Continuous Professional Development (CPD): Verified providers are expected to participate in regular CPD activities, keeping their knowledge and skills up-to-date with the latest medical advancements.
  • Patient Satisfaction and Feedback: Franance Health values patient experience and incorporates feedback mechanisms to ensure high levels of satisfaction and to identify areas for improvement.
  • Adherence to Ethical Standards: All Franance Health providers are bound by a strict code of ethics, prioritizing patient well-being, confidentiality, and respect.

Scope Of Work For Histopathology & Cytology

This Scope of Work (SOW) outlines the requirements for Histopathology and Cytology services. It defines the technical deliverables, standard specifications, and quality control measures to ensure accurate and timely diagnostic reporting. The services encompass gross examination, tissue processing, embedding, sectioning, staining, microscopic examination, and interpretation of both histopathology and cytology specimens. Key objectives include providing reliable diagnostic information for patient management, adhering to established laboratory standards, and maintaining comprehensive documentation.

CategoryDescriptionStandard Specifications / DeliverablesKey Performance Indicators (KPIs)
Histopathology Specimen ReceptionReceipt, verification, and logging of all surgical biopsy and resection specimens.Secure chain of custody, accurate patient and specimen identification, appropriate fixation and containerization.Specimen reconciliation rate (100%); Turnaround time (TAT) for accessioning (<2 hours).
Gross ExaminationDetailed macroscopic examination and description of surgical specimens.Accurate measurement, description of lesions, identification of anatomical structures, appropriate sampling for processing, photographic documentation (if required).Completeness of gross description (98%); Adherence to standardized grossing protocols.
Tissue Processing and EmbeddingDehydration, clearing, infiltration with paraffin wax, and embedding of tissue fragments.Complete tissue infiltration, uniform block formation, avoidance of air bubbles and tissue distortion, appropriate orientation of tissue.Rate of processing artifacts (<1%); Successful embedding rate (99%).
SectioningCutting of thin tissue sections from paraffin blocks.Section thickness (typically 3-5 µm), smooth and continuous ribbons, avoidance of tears or folds, appropriate placement on slides.Section quality (98% acceptable); TAT for sectioning post-embedding (<1 day).
Staining (Hematoxylin and Eosin - H&E)Routine staining of tissue sections to visualize cellular morphology.Adequate nuclear (hematoxylin) and cytoplasmic (eosin) staining, minimal background staining, good contrast, consistent quality.Staining quality (99% acceptable); TAT for H&E staining (<1 day).
Special Stains and Immunohistochemistry (IHC)Application of specialized stains to highlight specific cellular components or markers.Appropriate reagent use, correct incubation times and temperatures, positive and negative controls performed, interpretation of stain results.Accuracy of special stain results (95% for non-complex stains); TAT for special stains (<3 days).
Microscopic Examination & DiagnosisDetailed examination of stained slides by a qualified pathologist.Systematic evaluation of tissue architecture, cellular morphology, identification of pathological processes, correlation with clinical information.Diagnostic accuracy (based on external quality assessment and peer review); Turnaround time for final report (e.g., routine biopsy < 5 working days, complex cases < 10 working days).
Cytology Specimen ReceptionReceipt, verification, and logging of all cytology specimens (e.g., FNA, Pap smears, fluids).Secure chain of custody, accurate patient and specimen identification, appropriate collection medium and container.Specimen reconciliation rate (100%); TAT for accessioning (<2 hours).
Cytology Smear PreparationPreparation of diagnostic smears from cellular material.Even cell distribution, minimal smudging, preservation of cellular morphology, adequate cellularity.Smear quality (98% acceptable); TAT for smear preparation (<1 day).
Cytology Staining (e.g., Papanicolaou - Pap)Staining of cytology smears to visualize cellular morphology.Optimal nuclear and cytoplasmic staining, clear background, good cellular detail, consistent quality.Staining quality (99% acceptable); TAT for Pap staining (<2 days).
Microscopic Examination & Diagnosis (Cytology)Detailed examination of stained slides by a qualified cytopathologist.Evaluation of cellular morphology, nuclear and cytoplasmic features, identification of abnormalities, assessment of cellularity and background.Diagnostic accuracy (based on external quality assessment and peer review); Turnaround time for final report (e.g., Pap smear < 5 working days, FNA < 3 working days).
ReportingGeneration of comprehensive and clear diagnostic reports.Inclusion of specimen details, gross description (histopathology), microscopic findings, diagnosis, and any ancillary test results. Clear and concise language, appropriate terminology, and recommendations (if applicable).Completeness of report content (98%); Adherence to reporting templates.
Quality AssuranceImplementation of internal and external quality control measures.Regular proficiency testing, internal slide reviews, correlation studies, participation in external quality assessment schemes (EQAS), adherence to CLIA/CAP/ISO standards.EQAS participation and satisfactory results; Rate of corrected reports (<0.5%).

Key Service Areas

  • Histopathology Services
  • Cytology Services
  • Specimen Handling and Processing
  • Staining and Ancillary Techniques
  • Microscopic Examination and Diagnosis
  • Reporting and Documentation
  • Quality Assurance and Control

Service Level Agreement For Histopathology & Cytology

This Service Level Agreement (SLA) outlines the performance standards and guarantees for Histopathology and Cytology services provided by [Service Provider Name] to [Client Name]. This agreement covers response times for sample processing and analysis, as well as uptime guarantees for the reporting and consultation systems.

Service ComponentService Level TargetMeasurement PeriodUptime/Response GuaranteeRemedy for Failure
Routine Histopathology Report Availability95% of routine histopathology cases reported within 7 business days.Monthly95%Service credits equivalent to 5% of monthly service fees if target is not met.
Urgent Histopathology Report Availability98% of urgent histopathology cases reported within 3 business days.Monthly98%Service credits equivalent to 10% of monthly service fees for affected cases if target is not met.
Routine Cytology Report Availability95% of routine cytology cases reported within 5 business days.Monthly95%Service credits equivalent to 5% of monthly service fees if target is not met.
Urgent Cytology Report Availability98% of urgent cytology cases reported within 2 business days.Monthly98%Service credits equivalent to 10% of monthly service fees for affected cases if target is not met.
Reporting System Uptime99.5%Monthly99.5%Service credits equivalent to 5% of monthly service fees if uptime falls below target for the reporting system.
Consultation System Uptime99.0%Monthly99.0%Service credits equivalent to 2.5% of monthly service fees if uptime falls below target for the consultation system.

Key Performance Indicators (KPIs)

  • Sample Turnaround Time (TAT): The time from sample receipt by the laboratory to the availability of a preliminary or final report.
  • Urgent Sample TAT: Expedited TAT for samples explicitly marked as urgent.
  • Reporting System Uptime: The percentage of time the reporting system is available for access and use.
  • Consultation System Uptime: The percentage of time the consultation platform is available for communication between pathologists and clinicians.
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