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A GENTLE INTRODUCTION, IN EAST FRISIA

Deep learning for a telepathology network

20–22 April 2018 · Aurich, Germany · IMPACT

deepkapha.ai gave the deep learning session at a telemedicine meeting in Aurich, where pathologists from Cambodia, China and Afghanistan worked out what their network becomes next.

A speaker addresses the room from the lectern at Seminarhotel Aurich. The screen behind carries the deepkapha title slide, a line-drawn brain with circuitry and the words Deep Learning: A Gentle Introduction.

Aurich is a small town in East Frisia, in the north west corner of Germany. From 20 to 22 April 2018 the Seminarhotel on Grüner Weg hosted a meeting titled Bridging Distance between Countries: Telemedicine challenge and problems. deepkapha.ai gave the deep learning session. The title slide, still up on the screen as the room filled on the morning of the 21st, read "Deep Learning: A Gentle Introduction".

The register was set by everyone else on the programme. Chen Li presented the pathology department of the First People's Hospital of Liangshan Yi Autonomous Prefecture, a district of sixteen counties and one city in southwest China serving five million people, 52 per cent of them Yi. Dr Rauofi of the Institute of Pathology Balkh and the Family Health Hospital in Mazar-i-Sharif spoke on pathology in north Afghanistan. Vathana Serey Chhut, Gerhard Stauch and Socheat Eam covered Cambodia, between the University of Health Sciences in Phnom Penh and the Phnom Penh Institute of Pathology. Roughly thirty delegates sat at tables arranged around three sides of the room.

Then the meeting turned on itself. A flipchart from the working session is headed iPATH: Past, Present and Future, subtitled horizon planning. A curve runs from 1995 through 2015, 2020 and 2025. An opportunities and threats grid is drawn beside it in blue. A telepathology network built in the 1990s was asking, on paper and in front of everyone, what it should become.

That is why a gentle introduction was the right talk to give. Nobody in the room needed persuading about remote diagnosis. They had been sending images across borders for twenty years, to places where there is no pathologist at the other end. What they needed was a plain account of what a convolutional network can and cannot read off a slide, and where the labelled training data would have to come from. Deep learning entered that conversation as one option under consideration rather than a conclusion, which is where it belonged in April 2018.

Every fact here was read off text legible inside the photographs; the folder holds no deck or programme file. Dr Rauofi's first name is obscured in the one frame that carries it. Gerhard Stauch is listed on the programme with an Aurich affiliation, which makes him the likely local host, but no photograph ties the face to the name, so the caption does not. iPath is named on the flipchart but is not confirmed as the convening body, so it is not listed as a partner.

FROM THE FIELD · 08 FRAMES
The full meeting room during a session, around thirty delegates in name badges at tables facing the screen, laptops and notes in front of them.
The full meeting room during a session, around thirty delegates in name badges at tables facing the screen, laptops and notes in front of them.
Dr Rauofi of the Institute of Pathology Balkh and the Family Health Hospital, Mazar-i-Sharif, presents on pathology in north Afghanistan, the title slide behind him carrying a portrait of Boo Ali Sina.
Dr Rauofi of the Institute of Pathology Balkh and the Family Health Hospital, Mazar-i-Sharif, presents on pathology in north Afghanistan, the title slide behind him carrying a portrait of Boo Ali Sina.
Chen Li presents at the lectern, gesturing to her slide on Liangshan Yi Autonomous Prefecture in southwest China and its sixteen counties and one city.
Chen Li presents at the lectern, gesturing to her slide on Liangshan Yi Autonomous Prefecture in southwest China and its sixteen counties and one city.
The meeting room from the back, delegates seated around three sides of the table arrangement, the programme booklet for Bridging Distance between Countries open on the table in the foreground.
The meeting room from the back, delegates seated around three sides of the table arrangement, the programme booklet for Bridging Distance between Countries open on the table in the foreground.
A delegate stands beside the flipchart at the front of the room, notes in hand, addressing the seated audience during the working session.
A delegate stands beside the flipchart at the front of the room, notes in hand, addressing the seated audience during the working session.
Flipchart from the strategy session headed iPATH: Past, Present & Future, subtitled horizon planning, a hand-drawn curve running from 1995 through 2015, 2020 and 2025 with an opportunities and threats grid sketched alongside in blue.
Flipchart from the strategy session headed iPATH: Past, Present & Future, subtitled horizon planning, a hand-drawn curve running from 1995 through 2015, 2020 and 2025 with an opportunities and threats grid sketched alongside in blue.
Tarry Singh, wearing a delegate badge, stands with one of the meeting's hosts in the lobby of Seminarhotel Aurich.
Tarry Singh, wearing a delegate badge, stands with one of the meeting's hosts in the lobby of Seminarhotel Aurich.
WITH
Institute of Pathology Balkh and Family Health Hospital, Mazar-i-SharifFirst People's Hospital of Liangshan Yi Autonomous PrefectureUniversity of Health Sciences, Phnom PenhPhnom Penh Institute of Pathology
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