Jialdasani Rajasa, Desai Sangeeta, Gupta Monica, Kothari Ashok, Deshpande Ruta, Shet Tanuja, Ramadwar Mukta, Kane Shubhada, Chinoy Roshni
Department of Pathology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, and Department of Pathology, Pramukhswami Medical College, Karamsad, Anand, Gujarat, India.
J Telemed Telecare. 2006;12(6):311-4. doi: 10.1258/135763306778558132.
We analysed 46 telecytology cases sent from two rural hospitals about 500 km from a tertiary cancer centre. The cases were submitted for second opinion over a period of two years and evaluated using a static store and forward telecytology approach. A total of 715 digital images were studied (average 15 per case). Forty-one of the 46 cases (89%) were reported within 3 days and 54% of cases were reported within one working day. The aspiration smears and images were found to be of diagnosable quality in 89 and 93% of the cases, respectively. The diagnostic concordance was assessed by comparing the telecytology diagnosis, glass slide diagnosis and final histopathology diagnosis (when available). A clinically useful diagnosis was rendered in 91% cases with 74% complete concordance. Five out of 46 cases (11%) were deferred for glass slide review. Store and forward telecytology using the Internet is a rapid and effective method of providing expert diagnosis in cytology.
我们分析了从距离一家三级癌症中心约500公里的两家乡村医院送来的46例远程细胞学病例。这些病例在两年时间里被提交以求二次诊断意见，并采用静态存储转发远程细胞学方法进行评估。共研究了715张数字图像（平均每例15张）。46例中的41例（89%）在3天内得到报告，54%的病例在1个工作日内得到报告。穿刺涂片和图像分别在89%和93%的病例中具有可诊断质量。通过比较远程细胞学诊断、玻片诊断和最终组织病理学诊断（如可用）来评估诊断一致性。91%的病例给出了临床有用的诊断，其中74%完全一致。46例中有5例（11%）被推迟进行玻片复查。利用互联网的存储转发远程细胞学是一种在细胞学中提供专家诊断的快速有效方法。
