Evidence map›Paper›PMID 40507220›Full record

ArticleCancers2025

Application of Telepathology for Rapid On-Site Evaluation of Touch Imprint Cytology in CT-Guided Percutaneous Transthoracic Core Needle Biopsy of Pulmonary Nodules: The Experience of Our Multidisciplinary Thoracic Tumor Board.

Stefano Lucà, Riccardo Monti, Carminia Maria Della Corte, Antonia Cantisani, Immacolata Cozzolino, Eduardo Clery, Martina Amato, Laura Marone, Francesca Capasso, Gaetano Di Guida and 6 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

16 authors.

Stefano LucàDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Riccardo MontiDepartment of Precision Medicine, Radiology Unit, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Carminia Maria Della CorteDepartment of Precision Medicine, Medical Oncology, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.ORCID 0000-0002-3396-8099
Antonia CantisaniDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Immacolata CozzolinoDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Eduardo CleryDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Martina AmatoDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Laura MaroneDepartment of Precision Medicine, Radiology Unit, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Francesca CapassoDepartment of Translational Medicine, Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Gaetano Di GuidaDepartment of Precision Medicine, Medical Oncology, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Beatrice LeonardiDepartment of Translational Medicine, Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.ORCID 0000-0002-5595-6849
Floriana MorgilloDepartment of Precision Medicine, Medical Oncology, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Alfonso FiorelliDepartment of Translational Medicine, Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.ORCID 0000-0002-0628-613X
Renato FrancoDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Marco MontellaDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.ORCID 0000-0002-8588-7653
Giovanni VicidominiDepartment of Translational Medicine, Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer remains the leading cause of cancer-related mortality, often diagnosed at advanced stages, where minimally invasive tissue sampling is essential for diagnosis and molecular profiling. Rapid On-Site Evaluation (ROSE) enhances the diagnostic yield of small biopsies, but is frequently limited by a shortage of pathologists and logistical constraints. Telepathology offers a potential solution by enabling remote real-time assessment. This study evaluates the feasibility, diagnostic accuracy, and efficiency of telecytology-assisted ROSE (TC-ROSE) using touch imprint cytology (TIC) during CT-guided transthoracic core needle biopsy (CNB) of pulmonary nodules.

methods50 patients underwent CNB. TIC samples were assessed and evaluated on-site or remotely via a fully remote-controlled microscope system (OCUS

resultsDiagnostic samples were obtained in 86% of TIC samples, with full concordance (100%) between TC-ROSE and traditional ROSE. The slides required approximately 140 s for scanning, and the overall evaluation time was around 3 min per case. Overall, 100% of TICs were adequately assessed by both pathologists and non-pathologists. No increased number of complications was recorded among patients with TCROSE, compared to those ROSE evaluated. The remote setup allowed pathologists to maintain routine workflows, improving time efficiency.

conclusionsThe findings confirm that telecytology is a viable, accurate, and efficient approach to ROSE, offering a practical solution for overcoming workforce and logistical barriers, particularly in settings with limited pathology resources.

Indexed as

digital pathologynon-small cell lung cancerpercutaneous transthoracic core needle biopsypulmonary nodulesRapid On-Site Evaluationtelecytologytelepathologytouch imprint cytology

Identifiers

PMID40507220
PMCPMC12153523

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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.