The use of digital microscopy as a teaching method for human pathology: a systematic review
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REVIEW AND PERSPECTIVES
The use of digital microscopy as a teaching method for human pathology: a systematic review Carla Isabelly Rodrigues-Fernandes 1 & Paul M. Speight 2 & Syed Ali Khurram 2 & Anna Luíza Damaceno Araújo 1 & Danyel Elias da Cruz Perez 3 & Felipe Paiva Fonseca 1,4,5 & Márcio Ajudarte Lopes 1 & Oslei Paes de Almeida 1 & Pablo Agustin Vargas 1,5 & Alan Roger Santos-Silva 1 Received: 26 December 2019 / Revised: 24 July 2020 / Accepted: 10 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Since digital microscopy (DM) has become a useful alternative to conventional light microscopy (CLM), several approaches have been used to evaluate students’ performance and perception. This systematic review aimed to integrate data regarding the use of DM for education in human pathology, determining whether this technology can be an adequate learning tool, and an appropriate method to evaluate students’ performance. Following a specific search strategy and eligibility criteria, three electronic databases were searched and several articles were screened. Eight studies involving medical and dental students were included. The test of performance comprised diagnostic and microscopic description, clinical features, differential, and final diagnoses of the specimens. The students’ achievements were equivalent, similar or higher using DM in comparison with CLM in four studies. All publications employed question surveys to assess the students’ perceptions, especially regarding the easiness of equipment use, quality of images, and preference for one method. Seven studies (87.5%) indicated the students’ support of DM as an appropriate method for learning. The quality assessment categorized most studies as having a low bias risk (75%). This study presents the efficacy of DM for human pathology education, although the high heterogeneity of the included articles did not permit outlining a specific method of performance evaluation. Keywords Whole slide imaging . Digital microscope . Human pathology . Education . Digital pathology
This article is part of the Topical Collection on Quality in Pathology Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00428-020-02908-3) contains supplementary material, which is available to authorized users. * Alan Roger Santos-Silva [email protected] 1
Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Bairro Areão, Piracicaba, São Paulo 13414-903, Brazil
2
Unit of Oral & Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
3
Department of Clinical and Preventive Dentistry, School of Dentistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
4
Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
5
Department of Oral Pathology and Oral biology, School of Dentistry, University of Pretori
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