Evidence map›Paper›PMID 19961250›Full record

ArticleArchives of pathology & laboratory medicine2009

Whole-slide imaging digital pathology as a platform for teleconsultation: a pilot study using paired subspecialist correlations.

David C Wilbur, Kalil Madi, Robert B Colvin, Lyn M Duncan, William C Faquin, Judith A Ferry, Matthew P Frosch, Stuart L Houser, Richard L Kradin, Gregory Y Lauwers and 15 more

Abstract read
In one paragraph

Article in Archives of pathology & laboratory medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Review
  4. Review
  5. Article
  6. The experience of introducing telepathology in Mongolia.Journal of pathology informatics · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Validation of a digital pathology system including remote review during the COVID-19 pandemic.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    Article
  14. Review
  15. Article
  16. Article
  17. Whole slide imaging equivalency and efficiency study: experience at a large academic center.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

David C WilburDepartment of Pathology, James Homer Wright Pathology Laboratories, Massachusetts General Hospital, and the Department of Pathology, Harvard Medical School, Boston, MA 02114, USA. dwilbur@partners.org
Kalil Madi
Robert B Colvin
Lyn M Duncan
William C Faquin
Judith A Ferry
Matthew P Frosch
Stuart L Houser
Richard L Kradin
Gregory Y Lauwers
David N Louis
Eugene J Mark
Mari Mino-Kenudson
Joseph Misdraji
Gunnlauger P Nielsen
Martha B Pitman
Andrew E Rosenberg
R Neal Smith
Aliyah R Sohani
James R Stone
Rosemary H Tambouret
Chin-Lee Wu
Robert H Young
Artur Zembowicz
Wolfgang Klietmann

Funding

THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
NIA NIH HHS P50 AG005134
6 · The paper itself

Abstract

context-Whole-slide imaging technology offers promise for rapid, Internet-based telepathology consultations between institutions. Before implementation, technical issues, pathologist adaptability, and morphologic pitfalls must be well characterized.

objective-To determine whether interpretation of whole-slide images differed from glass-slide interpretation in difficult surgical pathology cases.

design-Diagnostically challenging pathology slides from a variety of anatomic sites from an outside laboratory were scanned into whole digital format. Digital and glass slides were independently diagnosed by 2 subspecialty pathologists. Reference, digital, and glass-slide interpretations were compared. Operator comments on technical issues were gathered.

results-Fifty-three case pairs were analyzed. There was agreement among digital, glass, and reference diagnoses in 45 cases (85%) and between digital and glass diagnoses in 48 (91%) cases. There were 5 digital cases (9%) discordant with both reference and glass diagnoses. Further review of each of these cases indicated an incorrect digital whole-slide interpretation. Neoplastic cases showed better correlation (93%) than did cases of nonneoplastic disease (88%). Comments on discordant cases related to digital whole technology focused on issues such as fine resolution and navigating ability at high magnification.

conclusions-Overall concordance between digital whole-slide and standard glass-slide interpretations was good at 91%. Adjustments in technology, case selection, and technology familiarization should improve performance, making digital whole-slide review feasible for broader telepathology subspecialty consultation applications.

Indexed as

Diagnostic ImagingHumansPathology, ClinicalPathology, SurgicalRemote ConsultationReproducibility of ResultsTelepathology

Identifiers

PMID19961250
PMCPMC3694269

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.