Telecytology in East Africa: a feasibility study of forty cases using a static imaging system.
We conducted a pilot study to assess the feasibility of telecytology as a diagnostic tool in difficult cases originating from a hospital in East Africa. Forty cytology cases considered difficult by a referring pathologist were posted on a telepathology website. Six pathologists independently assesse...
| Publicado en: | Journal of Telemedicine & Telecare Vol. 18; no. 1; pp. 7 - 13 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104508774&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104508774 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1357633X 8OL jtl: Journal of Telemedicine & Telecare issn: 1357633X maglogo: Y pubinfo: dt: Jan2012 vid: 18 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 104508774 104508774 2011444175 NLM22052967 104508774 ppf: 7 ppct: 6 formats: tig: atl: Telecytology in East Africa: a feasibility study of forty cases using a static imaging system. aug: au: Kumar, Neeta Busarla, Satya Vara Prasad Sayed, Shahin Kirimi, Jesca Muthoni Okiro, Patricia Gakinya, Samuel Mukono Moloo, Zahir Sohani, Aliyah R affil: Department of Pathology, Massachusetts General Hospital, 55 Fruit Street, WRN 219, Boston, MA 02114, USA arsohani@partners.org. sug: subj: Cytodiagnosis Methods Telepathology Standards Africa, East Pilot Studies Human Internet Health Screening Methods Observer Bias Telepathology Methods ab: We conducted a pilot study to assess the feasibility of telecytology as a diagnostic tool in difficult cases originating from a hospital in East Africa. Forty cytology cases considered difficult by a referring pathologist were posted on a telepathology website. Six pathologists independently assessed the static images. Telecytology diagnoses were compared with the consensus diagnoses made on glass slides and also with the histogical diagnoses when available. The diagnostic agreement of the six pathologists was 71-93% and tended to be higher for pathologists with more experience. Reasons for discordance included poor image quality, presence of diagnostic cells in thick areas of smears, sampling bias and screening errors. The consensus diagnoses agreed with histological diagnoses in all 17 cases in which a biopsy was performed. Diagnostic accuracy rates (i.e. telecytology diagnosis vs. histological diagnosis) for individual pathologists were 65-88%. To ensure diagnostic accuracy both referring and consulting pathologists must have adequate training in cytology, image acquisition and image-based diagnosis and the diagnostic questions of importance must be clearly communicated by the referring pathologist when posting a case. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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