Successful secure high-definition streaming telecytology for remote cytologic evaluation Journal Article

   


Authors: Sirintrapun, S.; Rudomina, D.; Mazzella, A.; Feratovic, R.; Lin, O.
Article Title: Successful secure high-definition streaming telecytology for remote cytologic evaluation
Abstract: Background: The use of minimally invasive procedures to obtain material for diagnostic purposes has become more prevalent in recent years. As such, there is increased demand for immediate cytologic adequacy assessment of minimally invasive procedures. The array of different locations in which rapid on-site evaluation (ROSE) is expected requires an ever-increasing number of cytology personnel to provide support for adequacy assessment. In our study, we describe the implementation process of a telecytology (TC) system in a high case volume setting and evaluate the performance of this activity. Methods: We performed retrospectively an analysis of all consecutive remote TC ROSE evaluations obtained for 15 months. The specimens were evaluated using a TC system. The ROSE adequacy assessment obtained at the time of the procedure was compared to the final cytopathologist-rendered adequacy assessment when all the material was available for review, including the alcohol-fixed preparations. Results: A total of 8106 distinct cases were analyzed. TC-assisted preliminary adequacy assessment was highly concordant with the final cytopathologist-rendered adequacy assessment. Perfect concordance or accuracy was at 93.1% (7547/8106). The adequacy upgrade rate (inadequate specimen became adequate) was 6.8% (551/8106), and the initial adequacy downgrade (adequate specimen became inadequate) was <0.1% (8/8106). Conclusions: The TC outcome demonstrates high concordance between the initial adequacy assessment and final cytopathologist-rendered adequacy assessment. Adequacy upgrades were minor but, more importantly, our results demonstrate a minimal adequacy downgrade. The process implemented effectively eliminated the need for an attending pathologist to be physically present onsite during a biopsy procedure. © 2017 Journal of Pathology Informatics.
Keywords: telepathology; telecytology; cytologic adequacy; live streaming; nonrobotic dynamic; rapid on-site adequacy evaluation
Journal Title: Journal of Pathology Informatics
Volume: 8
ISSN: 2229-5089
Publisher: Wolters Kluwer - Medknow  
Date Published: 2017-09-07
Start Page: 33
Language: English
DOI: 10.4103/jpi.jpi_18_17
PROVIDER: scopus
PMCID: PMC5609353
PUBMED: 28966833
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053431427&doi=10.4103%2fjpi.jpi_18_17&partnerID=40&md5=2f856f8a3b7b46893a01c367e335aa0e
Notes: Article -- Export Date: 1 October 2018 -- Source: Scopus
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MSK Authors
  1. Oscar Lin
    307 Lin
  2. Dorota E Rudomina
    35 Rudomina
  3. Rusmir Feratovic
    17 Feratovic
  4. Sahussapont Joseph Sirintrapun
    202 Sirintrapun
  5. Allix Leigh Mazzella
    4 Mazzella
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