Reprodutibilidade do diagnóstico histopatológico de dermatoses por fotomicrografias digitais versus microscopia óptica convencional

Schettini, Fernanda Almeida; Ferreira, Luíz Carlos Lima; Schettini, Antônio Pedro Mendes; Camelo, Romildo Torres

doi:10.1590/s0365-05962011000300011

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Digital Pathology systems have been used in Latin America for morphometric analysis (Sanz Pupo et al 2006), histology (Araújo et al 2009), histochemistry (Melo-Júnior et al 2006, immunohistochemistry (Araújo-Filho et al 2006;Silva Júnior et al 2009), neuropathology (Peixoto-Santos and Blumcke 2021), medical education (Monteiro et al 2015;Pérez et al 2016), and reproducibility research (Schettini et al 2011). Besides those reports, the experts in the panel also report utilizing DP systems for measurements of cancer invasive borders, static cytometry, intra-operatory biopsy analyses, creation of digital archives, telepathology, research, publications, and videoconferencing.…”

Section: Current Dp Uses In Latin Americamentioning

confidence: 99%

“…The tridimensional distribution of material, the multiple stains used in routine practice, and the lack of tissue reference are some of the cytology-specific challenges that make standardization of the technique more difficult (Zhang et al 2020). Kumar et al published a recent review (Schettini et al 2011) concentrating on this issue.…”

Section: Utilization Of Digital Pathology In the Routine Diagnostic W...mentioning

confidence: 99%

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Digital pathology in Latin America

et al. 2023

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Digital pathology (DP) adoption in Latin America has expanded slower than in developed regions, probably due to many barriers not seen in the latter areas. This article aims to present the current scenario in the region, highlighting barriers and possible solutions to encourage its adoption in Latin American countries.Methods An expert panel of 9 Latin American medical pathologists and 1 information technology specialist participated in an online modified Delphi panel, utilizing a third-party platform (iAdvise, Within3, USA). Thirteen pre-prepared questions were answered interactively.Results Experts' observations confirm the paucity of labs in the region that utilize digital pathology technology. The panel ranked obtaining second opinions and presenting images remotely as the main benefit of a digital pathology system, although many others were cited as well. Cost of implantation was the main barrier mentioned by the experts. Payers' and decision makers' lack of awareness of benefits ranked second as a barrier to DP implementation. Internet infrastructure was also mentioned as a concerning issue in the region. Besides diagnostic pathology services, proposed revenue incomes included commercialization of digital services to other institutions, loan agreements of equipment and software, and organizing courses for pathologists or residents. The need for alternative reimbursement methods for diagnostic services was also mentioned. A regional network of collaborating institutions was also suggested as a viable solution to reach distant areas and laboratories lacking the technology.Conclusions The benefits of DP are clear to the expert panel, but cost and lack of awareness of its benefit may be hampering its widespread adoption in Latin America.

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Section: Current Dp Uses In Latin Americamentioning

confidence: 99%

Section: Utilization Of Digital Pathology In the Routine Diagnostic W...mentioning

confidence: 99%

Digital pathology in Latin America

et al. 2023

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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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Pathology and Telepathology Methods in the Child Health and Mortality Prevention Surveillance Network

Martines

Ritter

Gary

et al. 2019

Clinical Infectious Diseases

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This manuscript describes the Child Health and Mortality Prevention Surveillance (CHAMPS) network approach to pathologic evaluation of minimally invasive tissue sampling (MITS) specimens, including guidelines for histopathologic examination and further diagnostics with special stains, immunohistochemistry, and molecular testing, as performed at the CHAMPS Central Pathology Laboratory (CPL) at the Centers for Disease Control and Prevention, as well as techniques for virtual discussion of these cases (telepathology) with CHAMPS surveillance locations. Based on review of MITS from the early phase of CHAMPS, the CPL has developed standardized histopathology-based algorithms for achieving diagnoses from MITS and telepathology procedures in conjunction with the CHAMPS sites, with the use of whole slide scanners and digital image archives, for maximizing concurrence and knowledge sharing between site and CPL pathologists. These algorithms and procedures, along with lessons learned from initial implementation of these approaches, guide pathologists at the CPL and CHAMPS sites through standardized diagnostics of MITS cases, and allow for productive, real-time case discussions and consultations.

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Reprodutibilidade do diagnóstico histopatológico de dermatoses por fotomicrografias digitais versus microscopia óptica convencional

Cited by 4 publications

References 10 publications

Digital pathology in Latin America

Digital pathology in Latin America

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

Pathology and Telepathology Methods in the Child Health and Mortality Prevention Surveillance Network

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