Evaluation of static telepathology in veterinary diagnostic cytology

Maiolino, Paola; Restucci, Brunella; Papparella, Serenella; Vico, Gionata De

doi:10.1111/j.1939-165x.2006.tb00135.x

Cited by 11 publications

(17 citation statements)

References 19 publications

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“…50 In contrast to DP, static telepathology consists only of single images taken manually with a camera mounted on a light microscope in a quite time-consuming manner, while dynamic telepathology describes a quite cumbersome real-time streaming of visual fields by 1 active observer to a remote passive observers. 42 In veterinary pathology, static telepathology has been shown to achieve acceptable diagnostic accuracy and may currently be more common because of the affordability of the technical equipment. 42 Ergonomics Improved ergonomics may be another reason to integrate DP systems into the routine pathology workflow, as reported by Thorstenson et al 67 Based on a questionnaire, they showed that almost all pathologists experienced an improvement of ergonomics after implementation of DP into the diagnostic routine.…”

Section: Telepathologymentioning

confidence: 99%

“…42 In veterinary pathology, static telepathology has been shown to achieve acceptable diagnostic accuracy and may currently be more common because of the affordability of the technical equipment. 42 Ergonomics Improved ergonomics may be another reason to integrate DP systems into the routine pathology workflow, as reported by Thorstenson et al 67 Based on a questionnaire, they showed that almost all pathologists experienced an improvement of ergonomics after implementation of DP into the diagnostic routine.…”

Section: Telepathologymentioning

confidence: 99%

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The Pathologist 2.0: An Update on Digital Pathology in Veterinary Medicine

2017

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Using light microscopy to describe the microarchitecture of normal and diseased tissues has changed very little since the middle of the 19th century. While the premise of histologic analysis remains intact, our relationship with the microscope is changing dramatically. Digital pathology offers new forms of visualization, and delivery of images is facilitated in unprecedented ways. This new technology can untether us entirely from our light microscopes, with many pathologists already performing their jobs using virtual microscopy. Several veterinary colleges have integrated virtual microscopy in their curriculum, and some diagnostic histopathology labs are switching to virtual microscopy as their main tool for the assessment of histologic specimens. Considering recent technical advancements of slide scanner and viewing software, digital pathology should now be considered a serious alternative to traditional light microscopy. This review therefore intends to give an overview of the current digital pathology technologies and their potential in all fields of veterinary pathology (ie, research, diagnostic service, and education). A future integration of digital pathology in the veterinary pathologist's workflow seems to be inevitable, and therefore it is proposed that trainees should be taught in digital pathology to keep up with the unavoidable digitization of the profession.

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Section: Telepathologymentioning

confidence: 99%

Section: Telepathologymentioning

confidence: 99%

The Pathologist 2.0: An Update on Digital Pathology in Veterinary Medicine

2017

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“…Given that cytopathologists routinely assess slides of poor cellularity without the benefit of tissue architecture, the limitations of static telecytology do not invalidate its potential utility. Previously, practitioners needed to have costly equipment, including a microscope with a camera, but this is no longer a vital component . Access has expanded to nearly any person with a camera phone ± a scope adaptor …”

Section: Introductionmentioning

confidence: 99%

“…There are advantages to telecytology, particularly for practices that are not equipped with their own in‐house clinical pathology laboratory, which are the majority, or for those outside greater metropolitan areas with time‐limited options for transferring glass slides to a referral laboratory. The turnaround time for diagnosis is reduced if clinicians submit electronic images rather than sending slides in the mail or through a courier . Faster turnaround is anticipated to promote higher quality patient care and potentially more frequent submissions.…”

Section: Introductionmentioning

confidence: 99%

Impact of photographer experience and number of images on telecytology accuracy

Brooker

Krimer

Meichner

et al. 2019

Veterinary Clinical Pathol

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| INTRODUC TI ONAs technology continues to be incorporated into numerous facets of personal and professional life, it is not surprising that veterinary medicine is facing the same fate. Veterinarians are increasingly using telemedicine (the use of technology to practice medicine remotely) to facilitate more rapid connections to specialists, clients, and pharmacists. 1 Telecytology, which involves converting a microscopic image into a digital image that can be shared electronically, has its origins in human gynecologic studies but has been evolving for over a decade. 2,3 While different variations of telecytology exist, this study has focused on the accuracy of the "store-and-forward" or "static" method, which requires a sender to take still images of a slide and submit them to someone else for interpretation. 4 This form of transmission is simple and economical for practices with low volume and limited Abstract Background: Studies evaluating the potential impact of photographer experience or the number of images evaluated using the "store-and-forward" method of telecytology are not reported. Objectives:This study aimed to determine the diagnostic sensitivity (Se) and specificity (Sp) of static telecytology when images were taken by experienced and inexperienced cytologists and when the number of images taken varied. Clinical agreement between the diagnoses was compared. Methods: Fifty archived cytology cases were randomly chosen. A board-certified clinical pathologist and a recent veterinary graduate took five images of each case. A third pathologist made a preliminary diagnosis after reviewing two images, and a final diagnosis after reviewing all images. The gold standard for comparison was the glass slide cytologic diagnosis.Results: Se and Sp were higher for the experienced cytologist and the evaluation of more images, but differences were not statistically significant. Clinical agreement between the image and glass slide diagnoses was significantly higher when images were taken by an experienced rather than inexperienced cytologist after the evaluation of two (P = .007) and five images (P = .008). The telecytology diagnoses agreed with the gold standard diagnoses more frequently after evaluation of five images rather than two when images were captured by both the experienced (P < .001) and inexperienced cytologist (P < .001). Conclusions:There is more clinical agreement when the photographer has more cytology experience and when more images are provided for interpretation. K E Y W O R D Scytology, diagnostic test, digital cytology, telemedicine, veterinary S U PP O RTI N G I N FO R M ATI O NAdditional supporting information may be found online in the Supporting Information section at the end of the article.How to cite this article: Brooker AJ, Krimer PM, Meichner K, Garner BC. Impact of photographer experience and number of images on telecytology accuracy. Vet Clin Pathol.

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“…The authors conclude that this system worked adequately for routine use [33]. Other examples of static-image cytology have shown excellent accuracy and reproducibility among observers in a variety of organ systems and even for use in veterinary cytology practice [34,35,36,37]. …”

Section: Telediagnosis/teleconsultationmentioning

confidence: 99%

Digital Cytology: Current State of the Art and Prospects for the Future

Wilbur¹

2011

Acta Cytologica

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The growth of digital methods in pathology is accelerating. Digital images can be used for a variety of applications in cytology, including rapid interpretations, primary diagnosis and second opinions, continuing education and proficiency testing. All of these functions can be performed using small static digital images, real-time dynamic digital microscopy, or whole-slide images. This review will discuss the general principles of digital pathology, its methods and applications to cytologic specimens. As cytologic specimens have unique features compared to histopathology specimens, the key differences will be discussed. Technical and administrative issues in digital pathology applications and the outlook for the future of the field will be presented.

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Evaluation of static telepathology in veterinary diagnostic cytology

Abstract: Telepathology by e-mail provides acceptable efficacy and a faster turnaround time than post and can be applied to veterinary diagnostic cytology.

Cited by 11 publications

References 19 publications

The Pathologist 2.0: An Update on Digital Pathology in Veterinary Medicine

The Pathologist 2.0: An Update on Digital Pathology in Veterinary Medicine

Impact of photographer experience and number of images on telecytology accuracy

Digital Cytology: Current State of the Art and Prospects for the Future

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