Abstract:The current results confirmed the feasibility of VM for proficiency tests with 2 main problems noted. First, primary screeners had difficulties meeting the mandatory time allocation; however, with increased familiarity with the software, the screening times decreased. Second, the 3-dimensional nature of certain lesions made them difficult to interpret even on monolayered, liquid-based preparations. Creation of a more user-friendly software interface and better methods to capture depth of focus should make this… Show more
“…The visual expertise learned by radiologists is an example of a search-related task, in which the radiologist identifies visual "targets" in an image containing both expected and "distractor" elements (Wen et al, 2016;Wolfe et al, 2015). Screening tests, both in radiology and pathology, are generally performed using a visual search model (Stewart et al, 2007;Wolfe, 1995). In this visual task, search is required because everything in the visual field cannot be identified and processed simultaneously.…”
“…The visual expertise learned by radiologists is an example of a search-related task, in which the radiologist identifies visual "targets" in an image containing both expected and "distractor" elements (Wen et al, 2016;Wolfe et al, 2015). Screening tests, both in radiology and pathology, are generally performed using a visual search model (Stewart et al, 2007;Wolfe, 1995). In this visual task, search is required because everything in the visual field cannot be identified and processed simultaneously.…”
“…Pilot results for scanning cytology slides (both conventional and thin layer techniques) appeared not to provide satisfactory results so this was not further pursued. This was mainly because multiple focus planes are needed for most cytological cases to obtain wellfocused cells [13].…”
“…[9][10][11][12][13] Some WSI scanners are capable of composing a three-dimension-like image by using multifocus frame images, and others can create a multilayer scanning image, which, for example, are stacked 10 layers each 2 lm apart along the z-axis. 13 Indeed, Dee et al 12 have reported the three-dimensional WSI system was useful for the education and testing of cervical cytology.…”
The limitation of cytologic still images is one of the reasons why telecytology has not met with widespread acceptance by the cytology community. Cytologic still image only displays a single depth of field, and this is a particularly acute problem in cytology where the specimen is often much thicker than a single microscopic depth of focus. In this article, we examine the validity of a "z-axis" video of a microscopic field of interest.After observing videos of fields of interest from 10 cases, five cytotechnologists reached suitable cytologic findings and diagnosed the fields correctly in great majority of cases. Five other cytotechnologists, who looked only at a single representative still image, could not always make a correct diagnosis. The difference between two observer groups was statistically significant by Wilcoxon's matched pairs signed-rank test.The results indicate that "z-axis" video of microscopic field of interest provides a similar experience to "focusing through" observation of the specimen under a microscope and may improve an accuracy of primary telecytodiagnosis. And we expect that video image telecytology will strongly influence cytology, especially in education and training.
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