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远程皮肤病理学实践:一项系统综述。

Practice of Teledermatopathology: A Systematic Review.

作者信息

Saleh Jasmine

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI.

出版信息

Am J Dermatopathol. 2018 Sep;40(9):667-670. doi: 10.1097/DAD.0000000000001148.

Abstract

INTRODUCTION

Teledermatopathology has the potential to revolutionize the practice of diagnosing skin diseases. This review provides an overview of the advantages, limitations, and future directions of teledermatopathology.

METHODS

MEDLINE was searched via PubMed and Google Scholar databases for relevant articles published from 2012 to the present. Additional articles were also identified by hand-searching.

RESULTS

A total of 2675 citations were identified in the initial search. Two thousand five hundred seventy-three were excluded based on duplicates and review of titles and abstracts. Eighty studies failed to meet the inclusion criteria, resulting in a total of 22 articles for analysis. Nine additional articles were hand-searched.

CONCLUSIONS

Recent studies report that telepathology increases access to specialists, reduces interpretive errors and health care expenditures, improves the efficiency of workflow, and optimizes patient outcomes. It also facilitates international collaboration by widening global access to dermatopathology services and providing educational resources in underserved areas. However, the quality and regulations of digital slide imaging in teledermatopathology need to be improved.

摘要

引言

远程皮肤病理学有潜力彻底改变皮肤病诊断的实践。本综述概述了远程皮肤病理学的优势、局限性及未来发展方向。

方法

通过PubMed和谷歌学术数据库检索MEDLINE中2012年至今发表的相关文章。还通过手工检索确定了其他文章。

结果

初始检索共识别出2675条引用。基于重复及标题和摘要审查,排除了2573条。80项研究未符合纳入标准,最终共有22篇文章用于分析。另外手工检索到9篇文章。

结论

近期研究报告称,远程病理学增加了获得专家诊断的机会,减少了解读错误和医疗保健支出,提高了工作流程效率,并优化了患者治疗效果。它还通过扩大全球对皮肤病理学服务的获取并在服务不足地区提供教育资源,促进了国际合作。然而,远程皮肤病理学中数字载玻片成像的质量和监管需要改进。

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