Portal de Periódicos da CAPES

Robotic Telepathology for Intraoperative Remote Diagnosis Using a Still-Imaging–Based System

2001; Oxford University Press; Volume: 116; Issue: 5 Linguagem: Inglês

10.1309/d71y-7rle-jgjp-a427

1943-7722

Francesca Demichelis, Mattia Barbareschi, Sebastiana Boi, Claudio Clemente, Paolo Palma, Claudio Eccher, Stefano Forti,

Optical Coherence Tomography Applications

The aim of the present study was to assess whether a telemicroscopy system based on static imaging could provide a remote intraoperative frozen section service. Three pathologists evaluated 70 consecutive frozen section cases (for a total of 210 diagnoses) using a static telemicroscopy system (STeMiSy) and light microscopy (LM). STeMiSy uses a robotic microscope, enabling full remote control by consultant pathologists in a near real-time manner. Clinically important concordance between STeMiSy and LM was 98.6% (95.2% overall concordance), indicating very good agreement. The rates of deferred diagnoses given by STeMiSy and LM were comparable (11.0% and 9.5%, respectively). Compared with the consensus diagnosis, the diagnostic accuracy of STeMiSy and LM was 95.2% and 96.2%. The mean viewing time per slide was 3.6 minutes, and the overall time to make a diagnosis by STeMiSy was 6.2 minutes, conforming to intraoperative practice requirements. Our study demonstrates that a static imaging active telepathology system is comparable to dynamic telepathology systems and can provide a routine frozen section service.