Sirintrapun Sahussapont Joseph, Rudomina Dorota, Mazzella Allix, Feratovic Rusmir, Alago William, Siegelbaum Robert, Lin Oscar
Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
J Pathol Inform. 2017 Sep 7;8:35. doi: 10.4103/jpi.jpi_25_17. eCollection 2017.
The first satellite center to offer interventional radiology procedures at Memorial Sloan Kettering Cancer Center opened in October 2014. Two of the procedures offered, fine needle aspirations and core biopsies, required a rapid on-site cytologic evaluation of smears and biopsy touch imprints for cellular content and adequacy. The volume and frequency of such evaluations did not justify hiring on-site cytotechnologists, and therefore, a dynamic robotic telecytology (TC) solution was created. In this article, we provide data on our experience with this active implementation. Sakura VisionTek was selected as our robotic TC solution.
A retrospective analysis of all TC evaluations from this satellite site was performed. Information was collected on demographics, lesion location, imaging modality; a comparison of TC-assisted adequacy with final adequacy was also conducted.
An analysis of 439 cases was performed over a period of 23 months with perfect correlation in 92.7% (407/439) of the cases. An adequacy upgrade (inadequate specimen becomes adequate) in 6.6% (29/439) of the cases. An adequacy downgrade (adequate specimen becomes inadequate), is near zero at 0.7% (3/439) of the cases.
Dynamic robotic TC is effective for immediate evaluations performed without on-site cytotechnology staff. The overall intent of this article is to present data and concordance rates as outcome metrics. Thus far, such outcome metrics have exceeded our expectations. Our TC implementation shows high, perfect concordance. Adequacy upgrades are minor but more relevant and impressive is a near zero adequacy downgrade. Our full implementation has been so successful that plans are in place for configurations at future satellite sites.
纪念斯隆凯特琳癌症中心的首个提供介入放射学程序的卫星中心于2014年10月开业。所提供的两项程序，即细针抽吸和粗针活检，需要对涂片和活检触片进行快速现场细胞学评估，以确定细胞内容物和充分性。此类评估的数量和频率不足以聘请现场细胞技术人员，因此，创建了一种动态机器人远程细胞学（TC）解决方案。在本文中，我们提供了关于这一积极实施经验的数据。樱花视觉技术公司被选为我们的机器人TC解决方案。
对该卫星站点的所有TC评估进行回顾性分析。收集了有关人口统计学、病变位置、成像方式的信息；还对TC辅助的充分性与最终充分性进行了比较。
在23个月的时间里对439例病例进行了分析，92.7%（407/439）的病例具有完美的相关性。6.6%（29/439）的病例标本充分性得到提升（不充分的标本变得充分）。标本充分性降级（充分的标本变得不充分）的情况接近零，为0.7%（3/439）。
动态机器人TC对于在没有现场细胞技术人员的情况下进行即时评估是有效的。本文的总体目的是将数据和一致性率作为结果指标呈现出来。到目前为止，此类结果指标超出了我们的预期。我们的TC实施显示出高度、完美的一致性。充分性提升幅度较小，但更相关且令人印象深刻的是充分性降级情况接近零。我们的全面实施非常成功，以至于已经制定了在未来卫星站点进行配置的计划。
