Use of a low‐cost telecytopathology method for remote assessment of thyroid <scp>FNA</scp>s

Costa, Camilla; Pastorello, Ricardo; Mendonça, André Oliveira de; Tamaro, Caroline; Morais, Caroline de; Barbosa, Bárbara; Ribeiro, Karina Braga; Caivano, Alessandra; Saieg, Mauro

doi:10.1002/cncy.22026

Cited by 12 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are many tools available for telecytology, including low‐cost options. Videoconferencing software, which has become a ubiquitous feature of our professional and even social lives, can be used for telecytology applications as well 16,17 …”

Section: Social Media Networkmentioning

confidence: 99%

“…Videoconferencing software, which has become a ubiquitous feature of our professional and even social lives, can be used for telecytology applications as well. 16,17 It is uncertain what the future holds and how our interpersonal, professional, and educational interactions will be altered in the future. Although the challenges are great, the opportunities are great as well.…”

Section: Telecytologymentioning

confidence: 99%

See 1 more Smart Citation

Innovations: Innovating together while social distancing

Jiang¹,

Madrigal²

2020

Cancer Cytopathology

View full text Add to dashboard Cite

show abstract

Section: Social Media Networkmentioning

confidence: 99%

Section: Telecytologymentioning

confidence: 99%

Innovations: Innovating together while social distancing

Jiang¹,

Madrigal²

2020

Cancer Cytopathology

View full text Add to dashboard Cite

show abstract

“…These include remote doctor-to-doctor consultation for thyroid nodule and cancer evaluation ( 7 ), allowing experts in one geographic region to reach another in need. Similarly, methods to conduct both remote cytopathology ( 8 ) and operative pathology ( 9 ) consults have been examined. Remote monitoring of hospitalized, isolated patients after high-dose radioiodine therapy has been tested to help reduce personnel exposure to these patients ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Approach to the Patient With Thyrotoxicosis Using Telemedicine

Griffith

Bischoff

Baum

2020

The Journal of Clinical Endocrinology &Amp; Metabolism

View full text Add to dashboard Cite

Abstract Context The potential for endocrine care via telemedicine has been recognized since the early 2000s when clinical outcome data demonstrated improvements in glycemic control with telemedicine. The widespread use of telemedicine during the COVID-19 pandemic has pushed telemedicine beyond diabetes care and into clinical areas with a paucity of published data. The evaluation and treatment of thyrotoxicosis heavily relies on laboratory assessment and imaging with physical exam playing a role to help differentiate the etiology and assess the severity of thyrotoxicosis. Case Description We describe a patient presenting for evaluation of new thyrotoxicosis via telemedicine, and describe modifications to consider for thorough, safe evaluation via telemedicine. Conclusion Telemedicine may be an ideal way to assess and treat patients with thyrotoxicosis who are not able to physically attend a visit with an endocrinologist but still have access to a laboratory for blood draws. Potential challenges include access to imaging and high-volume surgeons if needed. Clinical and economic outcomes of telemedicine care of thyrotoxicosis should be studied so that standards of care for endocrine telemedicine can be established.

show abstract

“…5 Digital cytopathology, however, is slightly behind in terms of wider implementation, mainly due to technical issues such as the three-dimensionality of the specimens, paucicellular samples and the wide variability of preparations. [6][7][8] It has been widely used for telecytology and rapid on-site evaluation, 9,10 but few papers have compared actual diagnoses obtained using whole slide images (WSIs) with those obtained using glass slides [11][12][13] , and even fewer have followed the CAP guidelines for the validation of WSI in a clinical setting. 14 In the current study, we aimed to validate different types of cytological preparations for routine clinical use in digital pathology, following the 2021 CAP guidelines, and also to highlight specific characteristics and difficulties involved in the use of such preparations in clinical everyday digital sign-out.…”

mentioning

confidence: 99%

Validation of cytopathology specimens for digital pathology

et al. 2023

View full text Add to dashboard Cite

Introduction Digital cytopathology is being progressively implemented in centres worldwide, but impediments such as the three‐dimensionality of specimens and the size of scanned images have prevented its use from becoming widespread. This study aimed to validate the use of digital whole slide image scanning of cytopathology samples for routine sign‐out. Methods Specimens were scanned using the Leica Aperio GT 450 System. The following sample types were used: liquid‐based cytology, direct conventional smears from fine needle aspirates and cytospins. Cases were validated by the same pathologist who originally rendered the conventional diagnosis, with a washout of at least 3 months. Final digital diagnoses were compared to the original analogical diagnoses, and cases were considered concordant up to a one‐degree difference between the original and digital diagnoses. Reasons for the unsuccessful scanning of slides were also noted. The technical procedures followed the College of American Pathologists’ guidelines for digital pathology validation. Results A total of 730 slides from 383 cases (337 female, 51 male; median age 42) were successfully scanned. These cases consisted of the following sample types: 81 (21.1%) conventional smears, 240 (62.7%) liquid‐based cytology samples and 62 (16.2%) cytospins. There were only five discordant cases, with a 98.7% agreement between original and digital diagnoses using the difference rate of up to one degree. Seventy‐seven slides (10.5%) had to be rescanned due to technical problems. The main reasons for unsuccessful scanning were paucicellular samples (44; 57.1%), the thickness of the smears (18; 23.4%) and issues with the coverslip (15; 19.5%). Conclusion Cytological specimens can be successfully scanned and used for digital pathology, with excellent agreement with the original diagnoses.

show abstract

Use of a low‐cost telecytopathology method for remote assessment of thyroid FNAs

Cited by 12 publications

References 27 publications

Innovations: Innovating together while social distancing

Innovations: Innovating together while social distancing

Approach to the Patient With Thyrotoxicosis Using Telemedicine

Validation of cytopathology specimens for digital pathology

Contact Info

Product

Resources

About