Comparative Use of Videos and Images Captured by Static Telecytological Applications for Quality Control and Teleconsultation Purposes

Comparative Use of Videos and Images Captured by Static Telecytological Applications for Quality Control and Teleconsultation Purposes

Stavros K. Archondakis (General Military Hospital of Athens, Greece)
Copyright: © 2021 |Pages: 11
DOI: 10.4018/IJRQEH.2021010103
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The objective of this study was to investigate the feasibility of implementing short videos captured by static telecytological applications for remote evaluation of cervical smears prepared by means of liquid-based cytology. The study was performed on representative short videos captured from a total of 404 cervical smears that were transferred via file transfer protocol to password-protected accounts for remote review by three independent cytopathologists. Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of short videos and digital images. Short videos production by static telecytology applications can be used as an alternative method for telecytological diagnosis of cervical smears, particularly for quality control purposes.
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Cytopathology laboratory's quality assessment is achieved by continuous monitoring of interobserver or intraobserver diagnostic reproducibility, and concordance between histological and cytological diagnosis. Internal and external quality control programs are focusing on the continuous monitoring of both interobserver and intraobserver diagnostic agreement (Chantziantoniou et al., 2017).

Telecytology is the interpretation of cytology material at a distance using digital images. The routine practice of telecytology may take place between a cytopathologist and another cytopathologist in a remote location (Caron et al., 2018). Static telecytology systems capture cytologic pictures in a digital format followed by transmission to a distant observer. In its purest form, a static system comprises of a digital microscopic workstation comprising of a microscope attached to a camera and a computer with high processing capacity and modem or internet connections. The same static telecytology systems can capture short representative videos from selected fields during microscopy. Digital images and videos can be stored to different directories, transferred via ðle transfer protocol to speciðc password-protected accounts, or shared via web and cloud applications (Brooker et al., 2019; Caron et al., 2018).

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