Diagnostic Accuracy and Image Quality Using a USB Digital Eyepiece Camera for Telecytology—Georgian Experience

Kldiashvili, Ekaterina; Schräder, Thomas

doi:10.1089/tmj.2010.0079

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…The Republic of Georgia study (n = 420) evaluated the effectiveness of digital images for telecytology diagnosis. 150 Four cytologists provided diagnoses using digital images. ''There was 94% concordance in average between routine versus digital images diagnostic.…”

Section: Empirical Foundations Of Telepathologymentioning

confidence: 99%

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

Bashshur

Krupiński

Weinstein

et al. 2017

Telemedicine and e-Health

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The evidence regarding feasibility/acceptance of telepathology and related information technology applications has been well documented for several decades. The majority of evidentiary studies focused on intermediate outcomes, as indicated by comparability between telepathology and conventional light microscopy. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include use of telepathology and whole slide imaging for teaching, research, and outreach to resource-limited countries. Challenges still exist, however, in terms of use of telepathology as an effective diagnostic modality in clinical practice.

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Section: Empirical Foundations Of Telepathologymentioning

confidence: 99%

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

Bashshur

Krupiński

Weinstein

et al. 2017

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“… 15 27 29 43 46 48 49 Moreover, 11 studies investigated the effectiveness of telecolposcopy where an experienced clinician had made decisions and diagnosis remotely. 14 16 17 21 25 26 42 44 45 47 TM has also been used for collaboration and training between clinicians and medical students; for example, e-consultations between primary and secondary care clinicians discussing the care of patients 23 and in teleconferences providing expert and multidisciplinary input in oncological cases. 28 33 41 Furthermore, the role of TM in medical education has been assessed in three studies where trainees were provided feedback from an experienced surgeon remotely, during real-time surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Kldiashvili et al 23 evaluated ‘telecytology’ whereby 420 cytological images were assessed by on-site and off-site cytologists. 23 The study found a 94% concordance between routine versus digital images and 97% of digital images were rated as ‘good’ or ‘excellent’.…”

Section: Resultsmentioning

confidence: 99%

Evaluating the use of telemedicine in gynaecological practice: a systematic review

et al. 2020

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ObjectivesThe aim of this systematic review is to examine the use of telemedicine in the delivery and teaching of gynaecological clinical practice. To our knowledge, no other systematic review has assessed this broad topic.DesignSystematic review of all studies investigating the use of telemedicine in the provision of gynaecological care and education. The search for eligible studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and focused on three online databases: PubMed, Science Direct and SciFinder.Eligibility criteriaOnly studies within gynaecology were considered for this review. Studies covering only obstetrics and with minimal information on gynaecology, or clinical medicine in general were excluded. All English language, peer-reviewed human studies were included. Relevant studies published up to the date of final submission of this review were considered with no restrictions to the publication year.Data extractions and synthesisData extracted included author details, year of publication and country of the study, study aim, sample size, methodology, sample characteristics, outcome measures and a summary of findings. Data extraction and qualitative assessment were performed by the first author and crossed checked by the second author. Quality assessment for each study was assessed using the Newcastle-Ottawa scale.ResultsA literature search carried out in August 2020 yielded 313 records published between 1992 and 2018. Following a rigorous selection process, only 39 studies were included for this review published between 2000 and 2018. Of these, 19 assessed gynaecological clinical practice, eight assessed gynaecological education, one both, and 11 investigated the feasibility of telemedicine within gynaecological practice. 19 studies were classified as good, 12 fair and eight poor using the Newcastle-Ottawa scale. Telecolposcopy and abortion care were two areas where telemedicine was found to be effective in potentially speeding up diagnosis as well as providing patients with a wide range of management options. Studies focusing on education demonstrated that telementoring could improve teaching in a range of scenarios such as live surgery and international teleconferencing.ConclusionsThe results of this review are promising and demonstrate that telemedicine has a role to play in improving clinical effectiveness and education within gynaecology. Its applications have been shown to be safe and effective in providing remote care and training. In the future, randomised controlled studies involving larger numbers of patients and operators with measurable outcomes are required in order to be able to draw reliable conclusions.

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“…Ayatollahi et al [2] found an interobserver reproducibility of 0.71 between two institutions in Iran and United States of America for pleural cytology. In a large study of 420 cases, Kldiashvili and Schrader [3] showed a concordance of 94% for gynecologic cytology between routine microscopy and telecytology. Caron et al [4] found 100% interobserver concordance between submitting institutions and the referral centre for 10 cases of fine needle aspiration and 10 cases of gynecologic pathology by using whole slide digital imaging for telecytology consultation.…”

Section: Introductionmentioning

confidence: 99%

Smartphone-Assisted Telecytopathology: An Intraobserver Concordance Study

et al. 2020

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Introduction: Telecytology is the practice of cytology at a distance. The images captured by a camera are sent to the cytopathologist at a different location who views the images and reaches a diagnosis. Recently, smartphone-assisted telepathology has been evaluated for different subspecialities of pathology including cytology for second opinion. Materials and Methods: For the purpose of the study, a total of 151 cases of fine needle aspiration and 10 cases of urine cytology reported by a single pathologist were retrieved from the records. The images of all the cases were captured by a trained pathologist using the primary camera of a smartphone from the ocular of a binocular microscope. The images were sent by WhatsApp to the same pathologist who had made the conventional microscopy diagnosis. The images were viewed on the smartphone screen by the pathologist who replied with the diagnosis after analysing all the images with or without digital zoom. Results: A total of 154 cases out of 161 were correctly diagnosed on smartphone-assisted tele-pathology (overall intraobserver concordance of 95.6%). For head and neck swellings, the concordance was 65/70 (92.9%), for breast lesions, it was 23/24 (95.8%), and for miscellaneous swellings, it was 57/57 (100%). For urine cytology, the concordance rate was 9/10 (90%). Conclusion: Though the results of this study are encouraging, further improvement in the smartphone camera resolution and internet connectivity would enhance the utility of smartphone-assisted telecytopathology.

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Diagnostic Accuracy and Image Quality Using a USB Digital Eyepiece Camera for Telecytology—Georgian Experience

Abstract: digital images for cytology diagnostic are of adequate quality, with diagnostic concordance rates.

Cited by 6 publications

References 10 publications

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects

Evaluating the use of telemedicine in gynaecological practice: a systematic review

Smartphone-Assisted Telecytopathology: An Intraobserver Concordance Study

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