Integrating a Web-Based Whole-Slide Imaging System and Online Questionnaires in a National Cytopathology Peer Comparison Educational Program in Taiwan

Hang, Jen‐Fan; Liang, Wen-Yih; Hsu, Chih‐Yi; Lai, Cheng‐chung

doi:10.1159/000430901

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…Our department implemented virtual microanatomy applications for medical students for about 2 months during the lockdown using "Leica Acquire, version 3.4.6" (Leica Microsystems, Switzerland). Its use as a virtual classroom for pathological anatomy activities was demonstrated previously (Attardi et al, 2018;Hang et al, 2015). This platform now offers functions with great interactivity and collaborative potential; however, its use has not yet been described in anatomy education.…”

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confidence: 99%

Online lessons of human anatomy: Experiences during the COVID‐19 pandemic

Zarcone

Saverino

2021

Clinical Anatomy

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The social distancing measures necessitated by the COVID-19 pandemic have resulted in the migration of human anatomy lessons to virtual platforms. Even student communities have had to relocate online. The virtual replacement of visual-spatial and social elements, essential for studying anatomy, has posed particular challenges for educators. Our department used Microsoft Teams, an online communication platform, in conjunction with Visible Body, a 3D anatomical modeling program, EdiErmes online resources, and Leica Acquire for teaching microscopic anatomy. We delivered about 160 h of both synchronous and asynchronous lessons for students on the medical degree program per academic year. In this study, we compare face-to-face and distance teaching in order to define these different approaches better and to evaluate the final student scores. The aim is to debate the relevance of distance learning pedagogy to the design of new online anatomy teaching courses and the development of online learning. Analysis of the final scores showed that anatomy examinations after the online course had a statistically significantly higher average value than those obtained at the end of the face-to-face course. The experience at the University of Genoa shows that distance learning in the teaching of human anatomy was perceived by most students as useful and positive. Distance learning can be an effective support for anatomy teaching, facilitating a different mode of learning in which lessons and study are more sensitive to the individual's schedule and needs. Of course, we should not and cannot exclude face-to-face teaching.

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confidence: 99%

Online lessons of human anatomy: Experiences during the COVID‐19 pandemic

Zarcone

Saverino

2021

Clinical Anatomy

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“…[16] In addition, these tools can easily reach a large number of practitioners. [17] There are now multiple examples of virtual microscopy in medical and veterinary schools and residency programs across the country. [18192021] Virtual microscopy is also used for continuing medical education, licensure/board examinations, and teaching.…”

Section: Discussionmentioning

confidence: 99%

RecutClub.com: An Open Source, Whole Slide Image-based Pathology Education System

Christensen¹,

Lee²,

Thrall³

et al. 2017

Journal of Pathology Informatics

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Background:Our institution's pathology unknown conferences provide educational cases for our residents. However, the cases have not been previously available digitally, have not been collated for postconference review, and were not accessible to a wider audience. Our objective was to create an inexpensive whole slide image (WSI) education suite to address these limitations and improve the education of pathology trainees.Materials and Methods:We surveyed residents regarding their preference between four unique WSI systems. We then scanned weekly unknown conference cases and study set cases and uploaded them to our custom built WSI viewer located at RecutClub.com. We measured site utilization and conference participation.Results:Residents preferred our OpenLayers WSI implementation to Ventana Virtuoso, Google Maps API, and OpenSlide. Over 16 months, we uploaded 1366 cases from 77 conferences and ten study sets, occupying 793.5 GB of cloud storage. Based on resident evaluations, the interface was easy to use and demonstrated minimal latency. Residents are able to review cases from home and from their mobile devices. Worldwide, 955 unique IP addresses from 52 countries have viewed cases in our site.Conclusions:We implemented a low-cost, publicly available repository of WSI slides for resident education. Our trainees are very satisfied with the freedom to preview either the glass slides or WSI and review the WSI postconference. Both local users and worldwide users actively and repeatedly view cases in our study set.

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“…Some studies report that the quality of digital images is high, 22,23 but in other studies, diagnosticians stated a preference for LM for diagnostic work. 9,17,26 Even if these appear to be important limitations for the adoption of WSI for cytology, other studies highlight how a specific training and discussion meetings with simultaneous viewing of WSI cases can have a positive effect on WSI acceptance and changing of management routine. 6…”

Section: The D Iag Nos Ti Cian S At Workmentioning

confidence: 99%

Current state of whole slide imaging use in cytopathology: Pros and pitfalls

Eccher¹,

Girolami²

2020

Cytopathology

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Whole slide imaging (WSI) allows generation of large whole slide images and their navigation with zoom in and out like a true virtual microscope. It has become widely used in surgical pathology for many purposes, such as education and training, research activity, teleconsultation, and primary diagnosis. However, in cytopathology, the use of WSI has been lagging behind histology, mainly due to the cytological specimen's characteristics, as groups of cells of different thickness are distributed throughout the slide. To allow the same focusing capability of light microscope, slides have to be scanned at multiple focal planes, at the cost of longer scan times and larger file size. These are the main technical pitfalls of WSI for cytopathology, partly overcome by solutions like liquid‐based preparations. Validation studies for the use in primary diagnosis are less numerous and more heterogeneous than in surgical pathology. WSI has been proved effective for training students and successfully used in proficiency testing, allowing the creation of digital cytology atlases. Longer scan times are also a barrier for use in rapid on‐site evaluation, but WSI retains its advantages of easy sharing of images for consultation, multiple simultaneous viewing in different locations, the possibility of unlimited annotations and easy integration with medical records. Moreover, digital slides set the laboratory free from reliance on a physical glass slide, with no more concern of fading of stain or slide breakage. Costs are still a problem for small institutions, but WSI can also represent the beginning of a more efficient way of working.

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Integrating a Web-Based Whole-Slide Imaging System and Online Questionnaires in a National Cytopathology Peer Comparison Educational Program in Taiwan

Cited by 8 publications

References 9 publications

Online lessons of human anatomy: Experiences during the COVID‐19 pandemic

Online lessons of human anatomy: Experiences during the COVID‐19 pandemic

RecutClub.com: An Open Source, Whole Slide Image-based Pathology Education System

Current state of whole slide imaging use in cytopathology: Pros and pitfalls

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