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学科主题基础医学
Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China
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
2008-02-01
DOI10.1016/j.humpath.2007.06.008
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
引用统计
被引频次:13[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
版本出版稿
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66118
专题北京大学基础医学院_病理学系
北京大学基础医学院
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
推荐引用方式
GB/T 7714
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.
APA Li, Xinxia.,Gong, Encong.,McNutt, Michael A..,Liu, Jianying.,Li, Feng.,...&Gu, Jiang.(2008).Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China.HUMAN PATHOLOGY,39(2),236-242.
MLA Li, Xinxia,et al."Assessment of diagnostic accuracy and feasibility of dynamic telepathology in China".HUMAN PATHOLOGY 39.2(2008):236-242.
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