Evidence map›Paper›PMID 30607308›Full record

ArticleJournal of pathology informatics2018

Parathyroid Frozen Section Interpretation via Desktop Telepathology Systems: A Validation Study.

Edward Chandraratnam, Leonardo D Santos, Shaun Chou, Jun Dai, Juan Luo, Syeda Liza, Ronald Y Chin

Abstract read
In one paragraph

Article in Journal of pathology informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. The Critical Value of Telepathology in the COVID-19 Era.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Review
  3. 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

7 authors.

Edward ChandraratnamDepartment of Anatomical Pathology, Austpath Laboratories, Northmead, New South Wales, Australia.
Leonardo D SantosDepartment of Anatomical Pathology, Sydney South West Pathology Service, Liverpool Hospital, Liverpool, New South Wales, Australia.
Shaun ChouDepartment of Tissue Pathology and Diagnostic Oncology, Institute for Clinical Pathology and Medical Research, Westmead Hospital, Westmead, New South Wales, Australia.
Jun DaiDepartment of Otolaryngology Head and Neck Surgery, Nepean Hospital, Kingswood, New South Wales, Australia.
Juan LuoDepartment of Research and Development, Austpath Laboratories, Northmead, New South Wales, Australia.
Syeda LizaDepartment of Anatomical Pathology, Austpath Laboratories, Northmead, New South Wales, Australia.
Ronald Y ChinDepartment of Otolaryngology Head and Neck Surgery, Nepean Hospital, Kingswood, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelepathology can potentially be utilized as an alternative to having on-site pathology services for rural and regional hospitals. The goal of the study was to validate two small-footprint desktop telepathology systems for remote parathyroid frozen sections. SUBJECTS AND

methodsThree pathologists retrospectively diagnosed 76 parathyroidectomy frozen sections of 52 patients from three pathology services in Australia using the "live-view mode" of MikroScan D2 and Aperio LV1 and in-house direct microscopy. The final paraffin section diagnosis served as the "gold standard" for accuracy evaluation. Concordance rates of the telepathology systems with direct microscopy, inter-pathologist and intra-pathologist agreement, and the time taken to report each slide were analyzed.

resultsBoth telepathology systems showed high diagnostic accuracy (>99%) and high concordance (>99%) with direct microscopy. High inter-pathologist agreement for telepathology systems was demonstrated by overall kappa values of 0.92 for Aperio LV1 and 0.85 for MikroScan D2. High kappa values (from 0.85 to 1) for intra-pathologist agreement within the three systems were also observed. The time taken per slide by Aperio LV1 and MicroScan D2 within three pathologists was about 3.0 times (

conclusionsTelepathology diagnosis of parathyroidectomy frozen sections through small-footprint desktop systems is accurate, reliable, and comparable with in-house direct microscopy. Telepathology systems take longer than direct microscopy; however, the time taken is within clinically acceptable limits. Aperio LV1 takes shorter time than MikroScan D2 and is more user-friendly.

Indexed as

Frozen sectionsparathyroidectomytelepathologytime takenvalidation study

Identifiers

PMID30607308
PMCPMC6289003

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Registered trials

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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.