Validation of diagnostic accuracy using digital slides in routine histopathology 英文参考文献.docVIP
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Validation of diagnostic accuracy using digital slides in routine histopathology 英文参考文献
Fónyadetal.DiagnosticPathology2012,7:35
/content/7/1/35
RESEARCH
OpenAccess
Validationofdiagnosticaccuracyusingdigital
slidesinroutinehistopathology
LászlóFónyad1*?,TiborKrenács1?,PéterNagy1?,AttilaZalatnai1?,JuditCsomor1?,ZoltánSápi1?,JuditPápay1?,
JúliaSch?nléber1?,CsabaDiczházi1?andBélaMolnár2?
Abstract
Background:Robusthardwareandsoftwaretoolshavebeendevelopedindigitalmicroscopyduringthepast
yearsforpathologists.Reportshavebeenadvocatedthereliabilityofdigitalslidesinroutinediagnostics.Wehave
designedaretrospective,comparativestudytoevaluatethescanningpropertiesanddigitalslidebaseddiagnostic
accuracy.
Methods:8pathologistsreevaluated306randomlyselectedcasesfromourarchives.Theslideswerescannedwith
a20×Plan-Apochromatobjective,usinga3-chipHitachicamera,resulting0.465μm/pixelresolution.Slide
managementwassupportedwithdedicatedDataBaseandViewersoftwaretools.Pathologistsusedtheiroffice
PCsforevaluationandreachedthedigitalslidesviaintranetconnection.Thediagnosticcoherencyanduncertainty
relatedtodigitalslidesandscanningqualitywereanalyzed.
Results:Goodtoexcellentimagequalityofslideswasrecordedin96%.Inhalfofthecritical61digitalslides,poor
imagequalitywasrelatedtosectionfoldsorfloatings.In88.2%ofthestudiedcasesthedigitaldiagnoseswerein
fullagreementwiththeconsensus.Outoftheoverall36incoherentcases,7(2.3%)weregradedrelevantwithout
anyrecordeduncertaintybythepathologist.Excludingthenon-fieldspecificcasesfromeachpathologist’ srecord
thisratiowas1.76%ofallcases.
Conclusions:Ourresultsrevealedthat:1)digitalslidebasedhistopathologicaldiagnosescanbehighlycoherent
withthoseusingopticalmicroscopy;2)thecompetencyofpathologistsisafactormoreimportantthanthequality
ofdigitalslide;3)poordigitalslidequalitydonotendangerpatientsafetyastheseerrorsarerecognizablebythe
pathologistandfurtheractionsforcorrectioncouldbetaken.
Virtualslides:Thevirtualslide(s)forthisarticlecanbefoundhere:http://www.diagnosticpathology.diagnomx.eu/
vs/1913324336747310.
Keywords:Retrospectivestudy,Surgicalpathol
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