ArticleJournal of pathology informatics2015
Utility of telepathology as a consultation tool between an off-site surgical pathology suite and affiliated hospitals in the frozen section diagnosis of lung neoplasms.
Article in Journal of pathology informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Systematic Review of the Use of Telepathology During Intraoperative Consultation.American journal of clinical pathology · 2020Pooled it
- Intraoperative confocal laser endomicroscopy for real-time in vivo tissue characterization during surgical procedures.Surgical endoscopy · 2019Trial
- Development and Assessment of Multiple Illumination Color Fourier Ptychographic Microscopy for High Throughput Sample Digitization.Sensors (Basel, Switzerland) · 2024Article
- Intraoperative assessment of axillary sentinel lymph nodes by telepathology.Breast cancer research and treatment · 2023Article
- The histopathological diagnosis of atypical meningioma: glass slide versus whole slide imaging for grading assessment.Virchows Archiv : an international journal of pathology · 2021Article
- Digital pathology in the time of corona.Journal of clinical pathology · 2020Review
- Efficiency of Mobile Video Sharing Application (WhatsApp®) in Live Field Image Transmission for Telepathology.Journal of medical systems · 2020Article
- Evaluation and comparison between smartphone and photomicrography based whole slide imaging.Journal of family medicine and primary care · 2020Article
- Being fully digital: perspective of a Dutch academic pathology laboratory.Histopathology · 2019Review
- Development of Whole Slide Imaging on Smartphones and Evaluation With ThinPrep Cytology Test Samples: Follow-Up Study.JMIR mHealth and uHealth · 2018Article
- Parathyroid Frozen Section Interpretation via Desktop Telepathology Systems: A Validation Study.Journal of pathology informatics · 2018Article
- Validation of Remote Digital Frozen Sections for Cancer and Transplant Intraoperative Services.Journal of pathology informatics · 2018Article
- Digital pathology in nephrology clinical trials, research, and pathology practice.Current opinion in nephrology and hypertension · 2017Review
- The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Review
- Robotic Telecytology for Remote Cytologic Evaluation without an On-site Cytotechnologist or Cytopathologist: An Active Quality Assessment and Experience of Over 400 Cases.Journal of pathology informatics · 2017Article
- Robotic Telecytology for Remote Cytologic Evaluation without an On-site Cytotechnologist or Cytopathologist: A Tale of Implementation and Review of Constraints.Journal of pathology informatics · 2017Article
- Turning Microscopy in the Medical Curriculum Digital: Experiences from The Faculty of Health and Medical Sciences at University of Copenhagen.Journal of pathology informatics · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreasingly, as in our institution, operating rooms are located in hospitals and the pathology suite is located at a distant location because of off-site consolidation of pathology services. Telepathology is a technology which bridges the gap between pathologists and offers a means to obtain a consultation remotely. We aimed to evaluate the utility of telepathology as a means to assist the pathologist at the time of intraoperative consultation of lung nodules when a subspecialty pathologist is not available to directly review the slide.
methodsCases of lung nodules suspicious for a neoplasm were included. Frozen sections were prepared in the usual manner. The pathologists on the intraoperative consultation service at two of our system hospitals notified the thoracic pathologist of each case after rendering a preliminary diagnosis. The consultation was performed utilizing a Nikon™ Digital Sight camera and web-based Remote Medical Technologies™ software with live video streaming directed by the host pathologist. The thoracic pathologist rendered a diagnosis without knowledge of the preliminary interpretation then discussed the interpretation with the frozen section pathologist. The interpretations were compared with the final diagnosis rendered after sign-out.
resultsOne hundred and three consecutive cases were included. The frozen section pathologist and a thoracic pathologist had concordant diagnoses in 93 cases (90.2%), discordant diagnoses in nine cases (8.7%), and one case in which both deferred. There was an agreement between the thoracic pathologist's diagnosis and the final diagnosis in 98% of total cases including 8/9 (88.9%) of the total discordant cases. In two cases, if the thoracic pathologist had not been consulted, the patient would have been undertreated.
conclusionsWe have shown that telepathology is an excellent consultation tool in the frozen section diagnosis of lung nodules.
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Registered trials
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.