Utility of WhatsApp as a Tool for Tele-oncopathology for Oral Lesions

Garg, Neha; Tanveer, Nadeem; Gaur, Jyotsana Harit

doi:10.1007/s13193-019-00919-4

Cited by 8 publications

(9 citation statements)

References 10 publications

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“…Garg et al found a very high concordance rate of 95% for smartphone-assisted telepathology for oral lesions. 7 Speiser et al recorded an even higher concordance of 98.6% for dermatopathology cases by using a different approach. They used a video shot on the smartphone camera instead of using static images.…”

Section: Discussionmentioning

confidence: 96%

“…WhatsApp reduces the size of the image to ensure that large number of images can be transferred in a small time. 7,8 The other limitation is imposed by the screen resolution of the reporting pathologist's smartphone. Both these problems can be solved by sending the images as email attachment or google drive transfer and by viewing them on the computer screen which has a bigger size and better resolution.…”

Section: Discussionmentioning

confidence: 99%

“…Static images also have an inherent problem of difficulty in orienting the different bits of tissue to one another. 7 The main problem encountered in the use of smartphone images for making a diagnosis was the pixilation of images on digital zoom. This would explain why in few cases, an occasional chorionic villus or plasma cell or hemosiderin-laden macrophage was missed and an erroneous diagnosis was given on smartphone-assisted telepathology.…”

Section: Discussionmentioning

confidence: 99%

“…This approach has been used in teaching pathology postgraduates, in teleoncopathology of oral lesions, in tele-dermatopathology, telecytology and so on. [5][6][7][8] A similar application of the smartphone camera in gynecological oncology is the use of smartphone as a replacement of colposcopy. A smartphone camera can be used to capture images of the cervix for VIA (Visual Inspection after Acetic Acid) and VILI (Visual Inspection after Lugol's Iodine).…”

Section: Introductionmentioning

confidence: 99%

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Smartphone‐assisted tele‐gynepathology: A pilot study

Kumar

Tanveer

Dixit

et al. 2020

J of Obstet and Gynaecol

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Introduction Traditional telepathology techniques like whole slide imaging require expensive equipment and are currently out of reach of the developing countries. However, the improvements in smartphone camera resolution and availability of faster internet have made smartphone‐assisted telepathology possible. Methods A total of 186 cases pertaining to gynecologic pathology reported by single consultant (NT) were retrieved from the records of the histopathology department. A trained histopathologist then photographed representative areas of each case by using the smartphone camera. After a wash off period of 6 months, the images along with the clinical details were sent by Whatsapp Messenger to the same reporting pathologist. The reporting pathologist replied with the diagnosis of each case by using Whatsapp. Results The smartphone diagnosis was concordant in 179/186 (96.2%) cases. The intraobserver concordance rates varied with the organ involved – it was highest for endometrial and myometrial pathology (123/126, 97.6%) lowest for ovarian lesions (08/10, 80%). For cervical pathology, it was 97.2% (35/36) and for fallopian tube pathology it was 92.9% (13/14). Conclusion Although the initial results of this pilot study are encouraging, there is a long way to go before smartphone‐assisted telepathology can be put to routine use for the second opinion. More experience of the pathologists with this technique and faster internet and better smartphone cameras will further improve the concordance of smartphone‐assisted telepathology diagnosis with conventional microscopy diagnosis.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Smartphone‐assisted tele‐gynepathology: A pilot study

Kumar

Tanveer

Dixit

et al. 2020

J of Obstet and Gynaecol

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“…The first is the problem of pixilation on zoom in. This is caused by reduction in the size of the image transferred by WhatsApp [11]. This can be overcome by either e-mailing the image or sharing the images as Google Drive attachments.…”

Section: Discussionmentioning

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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Efficiency of Mobile Video Sharing Application (WhatsApp®) in Live Field Image Transmission for Telepathology

et al. 2020

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Telepathology is in its nascent stages in India. Video calling applications in mobile phones can be efficiently used to transmit static and live field microscopic images hastening low cost telepathology. To evaluate the efficiency of WhatsApp® Video Calling for dynamic microscopy in distant diagnosis. Thirty haematoxylin and eosin stained slides of common pathologies were retrieved from the archives of Department of Oral Pathology and Microbiology, coded with relevant history and given to three untrained investigators. The investigators then connected a mobile phone with VOIP facility to a microscope using a custom adaptor. Dynamic fields were transferred to three independent pathologists via WhatsApp® video call. The pathologists attempted to diagnose the lesion based on the live field video over their display screen (phone). Audio quality was found to be better than that of video. In 70% of the cases, pathologists could render a diagnosis (13% gave a confirmed diagnosis, 57.7% gave a probable diagnosis). The average time taken for connecting the adaptor, connecting the call to the pathologist and then receiving the diagnosis was 9:30 min. In addition, proper history taking and staining of the tissue slides were critical to arrive at the diagnosis. WhatsApp® free VOIP facility helped untrained investigators to send the live-field pathologic fields to a specialist rendering histopathological diagnosis. The factors affecting the diagnosis included network stability, clarity of images transmitted, staining quality and contrast of nuclear details of the stain. The history, clinico-pathologic correlation, transmission of static images, training of the person transmitting the images plays a vital role in rendering accurate diagnosis. Telepathology over WhatsApp® video calling could be used as an efficient screening tool to identify suspicious lesions and follow-up critical cases.

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Utility of WhatsApp as a Tool for Tele-oncopathology for Oral Lesions

Cited by 8 publications

References 10 publications

Smartphone‐assisted tele‐gynepathology: A pilot study

Smartphone‐assisted tele‐gynepathology: A pilot study

Smartphone-Assisted Telecytopathology: An Intraobserver Concordance Study

Efficiency of Mobile Video Sharing Application (WhatsApp®) in Live Field Image Transmission for Telepathology

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