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学科主题: 基础医学
题名:
Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China
作者: Li, Xinxia1,2; Gong, Encong1; McNutt, Michael A.1; Liu, Jianying1; Li, Feng2; Li, Ting3; Anderson, Virginia M.4; Gu, Jiang1,4
关键词: telepathology ; feasibility ; diagnostic accuracy ; microscopy
刊名: HUMAN PATHOLOGY
发表日期: 2008-02-01
DOI: 10.1016/j.humpath.2007.06.008
卷: 39, 期:2, 页:236-242
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pathology
研究领域[WOS]: Pathology
关键词[WOS]: ROBOTIC TELEPATHOLOGY ; SYSTEM ; IMPLEMENTATION
英文摘要:

To assess the feasibility, including diagnostic accuracy and time cost, of a real-time telepathology system with pathologic slides, 600 cases covering a wide spectrum of lesions from 16 organ systems were tested. The "correct" diagnosis (gold standard) was established as a consensus by 2 experienced pathologists. The cases were first examined by 4 pathologists at different levels of experience with dynamic telepathology. Cases were then reviewed by the same pathologists using light microscopy in a blinded fashion 3 weeks to 2 months later. A diagnosis, together with reading times for telepathology and light microscopy, was recorded for each case. Diagnostic accuracy by telepathology was 94.8% (569/600), 93.3% (560/600), 91.6% (550/600), and 97% (388/400) for pathologists A, B, C, and D, respectively. Telepathologic diagnosis was concordant with the gold standard and with direct microscopy, with a mean of 94.2% and 99.26%, respectively. Most cases (5 10 or 85%) were diagnosed in 15 to 40 minutes by telepathology, with a mean of 17.0 minutes. The time needed to review a slide by telepathology was 3 to 4 times longer than that of standard light microscopy. All 4 pathologists were able to render a diagnosis in all cases. Our results showed that robotic telepathology is sufficiently accurate for primary diagnosis in surgical pathology, but modifications in laboratory protocols, telepathology hardware, and internet speed are needed to reduce the time necessary for diagnosis by telepathology before this method may be deemed suitable for use in a busy practice. (C) 2008 Elsevier Inc. All rights reserved.

语种: 英语
WOS记录号: WOS:000252605400013
Citation statistics:
内容类型: 期刊论文
版本: 出版稿
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66118
Appears in Collections:基础医学院_病理学系_期刊论文

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作者单位: 1.Peking Univ, Hlth Sci Ctr, Dept Pathol, Beijing 100083, Peoples R China
2.Shihezi Univ, Sch Med, Dept Pathol, Xinjiang 832002, Peoples R China
3.Peking Univ, Hosp 1, Dept Pathol, Beijing 100034, Peoples R China
4.SUNY Hlth Sci Ctr, Dept Pathol, Brooklyn, NY 11203 USA

Recommended Citation:
Li, Xinxia,Gong, Encong,McNutt, Michael A.,et al. Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China[J]. HUMAN PATHOLOGY,2008,39(2):236-242.
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