Reference Center

The Reference Center of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation conducts an extensive list of immunohistochemical and pathomorphological studies in cooperation with medical institutions for their patients.

How to refer a patient.

1.A number of immunohistochemical and pathomorphological studies can be performed at the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation, to any resident of the Russian Federation, at the expense of the territorial funds of the CHI, if there is a referral form 057/y-04.

For registration of MHI services, you need the correct direction in the form 057/u-04.

In addition to the form 057/y, the following data for the patient must be provided for registration of MHI services:

• a copy of the patient’s passport (cover page and registration page);
• a copy of the patient’s CHI policy on both sides;
• copy of SNILS;
• informed consent signed by the patient.

List of immunohistochemical and pathomorphological studies paid for under the CHI:

1. Histological examination (revision of glasses and histoscans, as well as a description of the results of pathoanatomic examination of biopsy material).
2. Immunohistochemical examination of histological material by various markers.
3. FISH examination of HER2 biopsy material for diagnoses of “malignant neoplasm of the breast” and “malignant neoplasm of the stomach”.
4. FISH studies of ALK and ROS1 biopsy material in the diagnosis of lung cancer.

2.Studies that are not paid for under the compulsory medical insurance system are performed under a corporate agreement between the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation and a medical institution. The current price list of the pathoanatomic service of the FSBI “NMIC of Radiology” of the Ministry of Health of the Russian Federation is available at the link.

To conclude a contract, it is necessary to send the details of the organization and the coordinates of the contact person to E-mail: referencelogistics@nmicr.ru for Shatalov Pyotr Alekseevich.

The timing of immunohistochemical and pathomorphological studies is from 5 to 20 working days from the date of receipt of the biomaterial by the laboratory, depending on the complexity of the study and the quality of the biomaterial.

It is possible to consult histological scans.
Consultation of histological scans is possible on the basis of the following services (pre-registration is required):

1. Histoscan
2. CaseViewer
3. Olympus OlyVIA
4. Dpathology

To conduct a consultation, it is necessary to create a request in the telemedicine system and upload the patient’s histoscans to one of these services. After downloading the histoscans in the “Participants” tab, you need to add the following email address for possible viewing: nmictelemed@yandex.ru

The reference center of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation is reviewing the results of radiation research methods as part of a request for telemedicine consultations in the “doctor-doctor” format.

Rules for providing telemedicine consultations on the profile of “Radiation diagnostics”

1. Research should be sent to the reference center in DICOM format
2. The forwarded patient data should be anonymized when downloading from PACS
3. The data provided for consultation must necessarily have accompanying medical documentation (referral, anamnesis, clinical laboratory and instrumental data)
4. The purpose of the consultation should be indicated in the direction:
   • discrepancy of anamnesis, clinical / instrumental / laboratory data with the data of radiation diagnostic methods;
   • discrepancy between conclusions when performing two or more methods of radiation diagnostics (CT/MRI/PET-CT);
   • difficulties of interpretation of the study at the place of its conduct (including differential diagnosis of detected changes);
   • clarification of the prevalence of the identified tumor process (staging and restading)
   • evaluation of the effectiveness of the therapy (evaluation of dynamics).

5. The directed research should be of proper quality:
   • performed with contrast enhancement using automated injectors, in compliance with the rules of contrast for a specific organ/area (dynamic contrast enhancement, multiphase with respect to time intervals, etc.)
   • the study area covers the entire area of “interest”, including the potential area of regional lymphogenic metastasis
   • MRI scanning protocols recommended by experts of international committees.