Telecytology: diagnostic accuracy in cervical-vaginal smears.
Stephen S. Raab,M. Sue Zaleski,Patricia A. Thomas,Theodore H. Niemann,Christina Isacson,Chris S. Jensen +5 more
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It is concluded that accuracy of telecytology is high, but less than that of light microscopy.Abstract:
Although cervical-vaginal telecytology is a promising tool, diagnostic accuracy has not been extensively evaluated. The authors examined the accuracy of five cytotechnologists who retrospectively reviewed 50 cervical-vaginal smears using the video monitor, and 2 months later, using the light microscope. Accuracy was expressed in terms of crude agreement with the original diagnosis and number of false positives (FPs) and false negatives (FNs). With a greater than one step difference as discrepant, the group crude agreement using the video monitor and the light microscope was 85.6% and 95.6%, respectively. The group number of FNs and FPs for the light microscope was 8 and 7, respectively, and for the video monitor was 34 and 7, respectively. There was a wide range of individual performance. We conclude that accuracy of telecytology is high, but less than that of light microscopy. The major reason for lower telecytologic accuracy was undercalling dysplasia.read more
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Telepathology: A ten-year progress report
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Diagnostic accuracy of an international static-imaging telepathology consultation service
Bradford E. Halliday,Achyut K. Bhattacharyya,Anna R. Graham,John R. Davis,S. Anne Leavitt,Ray B. Nagle,Wendy J Mclaughlin,Ricardo A. Rivas,Ralph Martinez,Elizabeth A. Krupinski,Ronald S. Weinstein +10 more
TL;DR: Inappropriate field selection and sampling biases of referring pathologists, as well as a tendency of static-image telepathologists to underestimate the complexity of some cases, may reduce the value of consultations based on the viewing of static images.
Journal ArticleDOI
Telepathology: current status and future prospects in diagnostic histopathology
TL;DR: Telepathology: current status and future prospects in diagnostic histopathology
Journal ArticleDOI
The impact of digital imaging in the field of cytopathology
TL;DR: The emerging role of computer-assisted screening and the application of digital imaging to the field of cytology, including telecytology, virtual microscopy, and the impact of online cytology resources is critically addressed.
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Informatics for practicing anatomical pathologists: marking a new era in pathology practice
TL;DR: It is clear from the current evidence that pathology informatics will continue to grow and have a major role in the future of the authors' specialty, however, it is also clear that it is not going to fully replace the human factor or the regular microscope.
References
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Book
Clinical Epidemiology: A Basic Science for Clinical Medicine
TL;DR: Clinical Epidemiology is a book dedicated to H.L. Mencken, Kurt Vonnegut, Jr., Douglas Adams, and the Emperor's New Clothes and Physicians and others who wish to recognize key clinical epidemiologic features of the diagnosis and management of patients will benefit from reading.
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The Bethesda System for Reporting Cervical/Vaginal Cytologic Diagnoses
Robert J. Kurman,Diane Solomon +1 more
Journal Article
Telepathology and the networking of pathology diagnostic services.
TL;DR: Receiver operator characteristic curve studies show that the pathologist's ability to discriminate benign from malignant breast tumors is similar using either a conventional light microscope or a video monitor with approximately 1000 lines of resolution.
Journal ArticleDOI
Remote frozen section service: a telepathology project in northern Norway.
Ivar S. Nordrum,Bjørn Engum,Eivind Rinde,Asgeir Finseth,Hans Ericsson,Michael Kearney,Helge Stalsberg,Tor J. Eide +7 more
TL;DR: For small hospitals with limited availability of local pathology services and for hospitals with a deficiency of specialists, telepathology may be a worthwhile substitute.