Evaluation of Accuracy and Repeatability of Static Telepathology Diagnosis in Assessing the Severity of Dysplasia in Cer
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ORIGINAL ARTICLE
Evaluation of Accuracy and Repeatability of Static Telepathology Diagnosis in Assessing the Severity of Dysplasia in Cervical Samples Neda Bagherzadeh1 • Nama Mohammadian Roshan1,2 • Amirhossein Jafarian1 Received: 21 February 2020 / Revised: 26 July 2020 / Accepted: 6 August 2020 / Published online: 12 August 2020 Association of Gynecologic Oncologists of India 2020
Abstract Background Telemedicine is one of the leading medical territories, and telepathology and telecytology are subsets of telemedicine. This study was designed to evaluate static telepathology in cervical biopsies. Materials and Methods After obtaining approval from the ethics committee of the University, 90 cervical biopsies were extracted from the archive of CIN. These samples were blindly selected and evaluated by fourth-year pathology residents. Then, two experienced pathologists in the field of pathology evaluated the samples. They were reevaluated after 3 months. Data were coded and entered in the SPSS software version 16. The convergence of intrapersonal and interpersonal of diagnoses was compared. Results 90 samples were evaluated which contained 270 glass slides. Samples were colored by the H&E method. A total of 808 digital images with a size of 675 megabits were extracted. Each image size was 835 kilobits with 1840 * 3260 mm dimensions. Convergence between pathologists and over a time period was examined. There was a relatively good convergence of intrapersonal and interpersonal of diagnoses for glass and digital slides. The reliability of the methods was acceptable and good. Conclusion In comparison, there is no significant difference in the intrapersonal and interpersonal reliability of diagnoses for glassy and digital slides, but the diagnosis agreement between them is lower. Keywords Pathology Telemedicine Cervix Dysplasia
Introduction Digital telepathology is one of the sub-branches of telepathology, in the process of which, digital images are depicted out of microscopic slides. Then, through various connecting methods, the images are sent to another location to a pathologist to interpret the sample with the help of & Nama Mohammadian Roshan [email protected] Neda Bagherzadeh [email protected]; [email protected] Amirhossein Jafarian [email protected] 1
Cancer Molecular Pathology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2
Knowledge and Health City, In the End of Shahid Fakouri Blvd (In Front of Fakouri 94), Mashhad, Razavi Khorasan, Iran
received images and finally give the most precise diagnosis [1]. Over the last decade, due to great advances in digital image technology, the increased power of computer processing and the high rate of improvement in internet connections, this method has attracted attention [2]. Telepathology is based on three methods: 1. Static telepathology: digital images are captured out of slides by someone who is an expert in pathology, then the images are delivered to the destination [3–5]. 2. Dynamic telepathology or Real Time: t
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