迈向远程控制远程细胞学诊断的实现——来自美国东南部一家大型学术医疗中心的验证研究。
Toward realization of remote controlled telecytopathology-a validation study from a large academic medical center from the southeast United States.
作者信息
Siddiqi Anwer, Smotherman Carmen, Saremian Jinous, Shiguang Liu, Alzubaidi Yasir, Masood Shahla
机构信息
Department of Pathology, University of Florida, College of Medicine-Jacksonville, Jacksonville, Florida.
Department of Community Health and Family Medicine, University of Florida, College of Medicine-Jacksonville, Jacksonville, Florida.
出版信息
J Am Soc Cytopathol. 2022 Sep-Oct;11(5):320-327. doi: 10.1016/j.jasc.2022.04.003. Epub 2022 Apr 20.
INTRODUCTION
With increase in the number and types of biopsies requiring rapid on-site evaluation for adequacy, telecytopathology is one of the solutions.
MATERIALS AND METHODS
Using a microscope camera with MS Surface Pro, a live telecytopathology audio video feed for the adequacy of 55 study set validation cases was sent over Zoom from the satellite hospital over 10 miles away with cytopathologists at the main hospital. The study set cases included Diff-Quik-stained smears and core imprints.
RESULTS
The overall percent of positive agreement (accuracy) for adequacy during rapid on-site evaluation via telecytopathology was 96%. Core imprint percentage for positive agreement was slightly higher (96.2%), than fine-needle aspiration smears (95.8%).
CONCLUSIONS
Use of telecytopathology is the best solution for optimizing the cytopathologist's time for evaluating biopsy adequacy from distant sites.
简介
随着需要快速现场评估的活检数量和类型的增加，远程细胞学成为解决方案之一。
材料与方法
使用具有 MS Surface Pro 的显微镜摄像头，将来自 10 英里外卫星医院的 55 例研究集验证病例的实时远程细胞学音频视频实时传输至 Zoom，由主医院的细胞病理学家进行评估。研究集病例包括 Diff-Quik 染色涂片和核心印模。
结果
通过远程细胞学进行快速现场评估的总体充分性阳性一致率（准确性）为 96%。核心印模的阳性一致率略高（96.2%），而细针抽吸涂片则为 95.8%。
结论
使用远程细胞学是优化细胞病理学家从远程站点评估活检充分性的最佳解决方案。
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