دورية أكاديمية
Accuracy of frozen section remote subspecialty consultation using real-time telepathology and whole-slide imaging in gynecologic cases.
| العنوان: | Accuracy of frozen section remote subspecialty consultation using real-time telepathology and whole-slide imaging in gynecologic cases. |
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| المؤلفون: | Treece CLB; Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, US., Filipek J; Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, US., Makker J; Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, US., Moatamed NA; Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, US., Rodriguez EF; Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, US. |
| المصدر: | American journal of clinical pathology [Am J Clin Pathol] 2024 Jan 04; Vol. 161 (1), pp. 35-41. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 0370470 Publication Model: Print Cited Medium: Internet ISSN: 1943-7722 (Electronic) Linking ISSN: 00029173 NLM ISO Abbreviation: Am J Clin Pathol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Oxford : Oxford University Press Original Publication: Philadelphia [etc.] Lippincott [etc.] |
| مواضيع طبية MeSH: | Telepathology*/methods , Remote Consultation*, Female ; Humans ; Frozen Sections/methods ; Software |
| مستخلص: | Objectives: Intrapathology consultation is recommended for complex cases during frozen section (FS) as routine practice. In our institution, solicited second opinions were traditionally provided by in-person consultation (IPC). Whole-slide imaging (WSI) was implemented in 2018 as an alternative but replaced by videoconferencing in 2020. Here, we assess the accuracy of remote FS consultation using these digital modalities vs IPC. Methods: Gynecologic FS cases over a 4-year period overseen by 2 intraoperative consultants were grouped by consultation method: (1) IPC, (2) WSI, and (3) videoconferencing. Accuracy was determined by concordance between the FS and final report diagnoses. Turnaround time between the 3 groups was analyzed using SPSS statistical software (IBM). Results: Using WSI and videoconferencing, 100% concordance was observed, while the IPC group had a 98.5% concordance rate. Videoconferencing, however, showed longer turnaround times (mean, 45.59 minutes) than IPC (mean, 33.36 minutes). Although turnaround time positively correlated with the number of FS specimens, blocks, and H&E slides per case, no statistically significant differences in the number of specimens, blocks, and H&E slides generated were found among the consultation methods. Conclusions: Even though turnaround time using videoconferencing is longer, the accuracy of WSI and videoconferencing for remote FS consultation is equivalent to IPC. It is therefore a safe method for conducting intrapathology FS consultation in challenging surgical cases. (© The Author(s) 2023. Published by Oxford University Press on behalf of American Society for Clinical Pathology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: WSI; frozen section; intrapathology consultation; remote consultation; telepathology; videoconferencing |
| تواريخ الأحداث: | Date Created: 20230828 Date Completed: 20240105 Latest Revision: 20240105 |
| رمز التحديث: | 20240105 |
| DOI: | 10.1093/ajcp/aqad105 |
| PMID: | 37639561 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1943-7722 |
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| DOI: | 10.1093/ajcp/aqad105 |