Assessment of Static Telecytological Diagnoses' Reproducibility in Cervical Smears Prepared by Means of Liquid-Based Cytology

Tsilalis, Thomas; Archondakis, Stavros; Meristoudis, Christos; Margari, Niki; Pouliakis, Abraham; Σκάγιας, Λάζαρος; Panayiotides, Ioannis G.; Karakitsos, Petros

doi:10.1089/tmj.2011.0167

Cited by 24 publications

(18 citation statements)

References 15 publications

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“…The intraobserver concordancy in cervical cytology, thyroid FNA, and urine cytology were not extremely high in the literature, consistent with the findings of the present study. [21][22][23][24] The reason for a lower Kappa agreement in cervical cytology, thyroid FNA, and urinary cytology and a higher Kappa agreement in the EUS-FNA and other groups was that the cytological atypia is more important than the structural atypia in the cytopathological diagnosis of first three groups. The present results indicated that the image quality (resolution) needed to show cytological atypia was higher than the level required to show structural atypia.…”

Section: Discussionmentioning

confidence: 99%

Telecytology: Is it possible with smartphone images?

Şahin

Hacısalihoğlu

Kirimlioglu

2017

Diagnostic Cytopathology

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IntroductionThis study aimed to discuss smartphone usage in telecytology and determine intraobserver concordance between microscopic cytopathological diagnoses and diagnoses derived via static smartphone images.MethodsThe study was conducted with 172 cytologic material. A pathologist captured static images of the cytology slides from the ocular lens of a microscope using a smartphone. The images were transferred via WhatsApp® to a cytopathologist working in another center who made all the microscopic cytopathological diagnoses 5‐27 months ago. The cytopathologist diagnosed images on a smartphone without knowledge of their previous microscopic diagnoses. The Kappa agreement between microscopic cytopathological diagnoses and smartphone image diagnoses was determined.ResultsThe average image capturing, transfer, and remote cytopathological diagnostic time for one case was 6.20 minutes. The percentage of cases whose microscopic and smartphone image diagnoses were concordant was 84.30%, and the percentage of those whose diagnoses were discordant was 15.69%. The highest Kappa agreement was observed in endoscopic ultrasound‐guided fine needle aspiration (1.000), and the lowest agreement was observed in urine cytology (0.665). Patient management changed with smart phone image diagnoses at 11.04%.ConclusionsThis study showed that easy, fast, and high‐quality image capturing and transfer is possible from cytology slides using smartphones. The intraobserver Kappa agreement between the microscopic cytopathological diagnoses and remote smartphone image diagnoses was high. It was found that remote diagnosis due to difficulties in telecytology might change patient management. The developments in the smartphone camera technology and transfer software make them efficient telepathology and telecytology tools.

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Section: Discussionmentioning

confidence: 99%

Telecytology: Is it possible with smartphone images?

Şahin

Hacısalihoğlu

Kirimlioglu

2017

Diagnostic Cytopathology

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“…From Greece, a study (n = 404) evaluated the accuracy and reproducibility of telecytological diagnosis for cervical smears. 163 Study cases included 135 benign, 92 atypical squamous cells, 62 low-grade squamous epithelial lesions, 26 high-grade squamous intraepithelial lesions, 26 squamous cells, and 2 adenocarcinomas. Digital images were transmitted to four board-certified cytopathologists.…”

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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“…Few recent studies evaluating the reproducibility of cytological screening using liquid-based preparations have demonstrated interesting results with image digitalisation. Tsilalis and colleagues [ 14 ] studied the performance of a group of pathologists who analysed digital cytology images; this same group reassessed the same images after 12 and 24 months, and the agreement between the readings varied from substantial to excellent, with kappa values varying between 0.79 and 0.97. Through the quality program in Austria, the Pap tests of patients with invasive cervical carcinoma collected in the 5 years prior to disease detection were re-evaluated.…”

Section: Discussionmentioning

confidence: 99%

Cervicovaginal cytology in patients undergoing pelvic radiotherapy using the Focalpoint system: results from the RODEO study

et al. 2015

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BackgroundEvaluate the performance of the Focalpoint system in identifying and classifying cervical cytology alterations from samples collected from patients treated with Radiotherapy (RT).MethodsThe reproducibility of manual and automated screening by cytotechnologists using the BD Focalpoint GS Imaging System was examined. Samples were collected from May 2010 to August 2011.ResultsA total of 378 treated with RT and 8,967 cytology samples from patients without previous RT, were evaluated. The kappa values for cytological diagnoses read manually and automated in cases without previous RT were as follows: < ASC-H vs. ≥ ASC-H = 0.71; < LSIL vs. ≥ LSIL = 0.66; and < HSIL vs. ≥ HSIL = 0.67. The kappa for cytological diagnoses in post-RT women have showed: < ASC-H vs. ≥ ASC-H = 0.71; < LSIL vs. ≥ LSIL = 0.65; < HSIL vs. ≥ HSIL = 0.57.ConclusionsThere was no significant difference among the kappa values we found. Post-RT cytology showed small diagnostic agreement between manual and automated examination.Virtual SlidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_231

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Assessment of Static Telecytological Diagnoses' Reproducibility in Cervical Smears Prepared by Means of Liquid-Based Cytology

Cited by 24 publications

References 15 publications

Telecytology: Is it possible with smartphone images?

Telecytology: Is it possible with smartphone images?

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

Cervicovaginal cytology in patients undergoing pelvic radiotherapy using the Focalpoint system: results from the RODEO study

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