<i>Smart teledermatopathology</i>: a feasibility study of novel, high‐value, portable, widely accessible and intuitive telepathology methods using handheld electronic devices

Lehman, Julia S.; Gibson, Lawrence E.

doi:10.1111/cup.12108

Cited by 23 publications

(19 citation statements)

References 9 publications

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“…Several other authors have found that the images acquired via cellphone adapters are comparable with standard captured images. [1617] In the appropriate setting, we recommend the use of the Magnifi or Snapzoom smartphone adapter to leverage smartphone cameras that many pathologists carry around with them. The use of smartphone adapters represents a novel solution for capturing digital images in low-resource environments or for rapid, focused consultation purposes.…”

Section: Resultsmentioning

confidence: 99%

Smartphone adapters for digital photomicrography

Roy

Pantanowitz

Amin

et al. 2014

Journal of Pathology Informatics

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Background:Photomicrographs in Anatomic Pathology provide a means of quickly sharing information from a glass slide for consultation, education, documentation and publication. While static image acquisition historically involved the use of a permanently mounted camera unit on a microscope, such cameras may be expensive, need to be connected to a computer, and often require proprietary software to acquire and process images. Another novel approach for capturing digital microscopic images is to use smartphones coupled with the eyepiece of a microscope. Recently, several smartphone adapters have emerged that allow users to attach mobile phones to the microscope. The aim of this study was to test the utility of these various smartphone adapters.Materials and Methods:We surveyed the market for adapters to attach smartphones to the ocular lens of a conventional light microscope. Three adapters (Magnifi, Skylight and Snapzoom) were tested. We assessed the designs of these adapters and their effectiveness at acquiring static microscopic digital images.Results:All adapters facilitated the acquisition of digital microscopic images with a smartphone. The optimal adapter was dependent on the type of phone used. The Magnifi adapters for iPhone were incompatible when using a protective case. The Snapzoom adapter was easiest to use with iPhones and other smartphones even with protective cases.Conclusions:Smartphone adapters are inexpensive and easy to use for acquiring digital microscopic images. However, they require some adjustment by the user in order to optimize focus and obtain good quality images. Smartphone microscope adapters provide an economically feasible method of acquiring and sharing digital pathology photomicrographs.

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Section: Resultsmentioning

confidence: 99%

Smartphone adapters for digital photomicrography

Roy

Pantanowitz

Amin

et al. 2014

Journal of Pathology Informatics

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“…[1][2][3][4] Currently, digital pathology is mostly used for research, medical education, tumor board presentations, archiving and in the healthcare system. [5][6][7][8][9][10][11][12][13][14][15] The advantages of using digital pathology are apparent.…”

Section: Discussionmentioning

confidence: 99%

Feasibility study in teledermatopathology: An examination of the histopathologic features of mycosis fungoides and spongiotic dermatitis

et al. 2017

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“…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 . This form of transmission is simple and economical for practices with low volume and limited resources .…”

Section: Introductionmentioning

confidence: 99%

“…This form of transmission is simple and economical for practices with low volume and limited resources . Other forms of telecytology include whole slide imaging, which requires digitization of slides in part or entirety, and real‐time telecytology, which involves streaming images from someone remotely operating the microscope or the use of robotics . For this study, the “store‐and‐forward” method was chosen to represent the most practical clinical use of telecytology based on current technologies commonly available to practitioners.…”

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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Smart teledermatopathology: a feasibility study of novel, high‐value, portable, widely accessible and intuitive telepathology methods using handheld electronic devices

Abstract: Smart teledermatopathology: a feasibility study of novel, high-value, portable, widely accessible and intuitive telepathology methods using handheld electronic devices

Cited by 23 publications

References 9 publications

Smartphone adapters for digital photomicrography

Smartphone adapters for digital photomicrography

Feasibility study in teledermatopathology: An examination of the histopathologic features of mycosis fungoides and spongiotic dermatitis

Impact of photographer experience and number of images on telecytology accuracy

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