The Use of Static Telecytology for Quality Assessment Purposes in the Evaluation of Cervical Smears Prepared by Means of Liquid-Based Cytology
Objective: The objective of this study was to investigate the role of telecytology as a tool with increased quality standards in the optimal evaluation of telecytological diagnoses proffered on the basis of digitized images from cervical smears prepared by means of liquid-based cytology. Materials a...
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| Veröffentlicht in: | Telemedicine journal and e-health 2020-12, Vol.26 (12), p.1522-1525 |
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| creator | Archondakis, Stavros Roma, Maria Kaladelfou, Evropi |
| description | Objective:
The objective of this study was to investigate the role of telecytology as a tool with increased quality standards in the optimal evaluation of telecytological diagnoses proffered on the basis of digitized images from cervical smears prepared by means of liquid-based cytology.
Materials and Methods:
The study was performed on representative digital cytological images from a total of 808 cervical smears (benign, 270; atypical squamous cells of undetermined significance, 184; low-grade squamous intraepithelial lesion, 124; high-grade squamous intraepithelial lesion, 174; squamous cell carcinoma, 52; and adenocarcinoma, 4) that were transferred through file transfer protocol to password-protected accounts for remote review by three independent cytopathologists. In addition to diagnosis, reviewers also commented on overall digital image quality. Contributor's and reviewer's diagnoses were collected, recorded, and statistically evaluated. Their reports were recorded and classified.
Results:
Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of digitized images and conventional slides. The overall interobserver agreement was almost perfect with κ values of 0.79–0.97.
Conclusions:
Static telecytology can be used as an alternative method for the cytological diagnosis of cervical smears, particularly in quality assurance programs. It is a prompt and valid method for quality assessment and proficiency testing and can be integrated into daily workflow. Digital images of cervical smears can be used for rapid and accurate diagnosis, by diminishing turnaround times and improving small cytology departments' quality indices. |
| doi_str_mv | 10.1089/tmj.2019.0303 |
| format | Article |
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The objective of this study was to investigate the role of telecytology as a tool with increased quality standards in the optimal evaluation of telecytological diagnoses proffered on the basis of digitized images from cervical smears prepared by means of liquid-based cytology.
Materials and Methods:
The study was performed on representative digital cytological images from a total of 808 cervical smears (benign, 270; atypical squamous cells of undetermined significance, 184; low-grade squamous intraepithelial lesion, 124; high-grade squamous intraepithelial lesion, 174; squamous cell carcinoma, 52; and adenocarcinoma, 4) that were transferred through file transfer protocol to password-protected accounts for remote review by three independent cytopathologists. In addition to diagnosis, reviewers also commented on overall digital image quality. Contributor's and reviewer's diagnoses were collected, recorded, and statistically evaluated. Their reports were recorded and classified.
Results:
Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of digitized images and conventional slides. The overall interobserver agreement was almost perfect with κ values of 0.79–0.97.
Conclusions:
Static telecytology can be used as an alternative method for the cytological diagnosis of cervical smears, particularly in quality assurance programs. It is a prompt and valid method for quality assessment and proficiency testing and can be integrated into daily workflow. Digital images of cervical smears can be used for rapid and accurate diagnosis, by diminishing turnaround times and improving small cytology departments' quality indices.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2019.0303</identifier><identifier>PMID: 32167860</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Carcinoma, Squamous Cell ; Cytological Techniques ; Female ; Humans ; Original Research ; Papanicolaou Test ; Telepathology ; Uterine Cervical Neoplasms - diagnosis ; Vaginal Smears</subject><ispartof>Telemedicine journal and e-health, 2020-12, Vol.26 (12), p.1522-1525</ispartof><rights>2020, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-2982e456489b40ef86822af3e998f88e35f2c6d2b9a406be2f5cfbc19ce0efda3</citedby><cites>FETCH-LOGICAL-c337t-2982e456489b40ef86822af3e998f88e35f2c6d2b9a406be2f5cfbc19ce0efda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32167860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Archondakis, Stavros</creatorcontrib><creatorcontrib>Roma, Maria</creatorcontrib><creatorcontrib>Kaladelfou, Evropi</creatorcontrib><title>The Use of Static Telecytology for Quality Assessment Purposes in the Evaluation of Cervical Smears Prepared by Means of Liquid-Based Cytology</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Objective:
The objective of this study was to investigate the role of telecytology as a tool with increased quality standards in the optimal evaluation of telecytological diagnoses proffered on the basis of digitized images from cervical smears prepared by means of liquid-based cytology.
Materials and Methods:
The study was performed on representative digital cytological images from a total of 808 cervical smears (benign, 270; atypical squamous cells of undetermined significance, 184; low-grade squamous intraepithelial lesion, 124; high-grade squamous intraepithelial lesion, 174; squamous cell carcinoma, 52; and adenocarcinoma, 4) that were transferred through file transfer protocol to password-protected accounts for remote review by three independent cytopathologists. In addition to diagnosis, reviewers also commented on overall digital image quality. Contributor's and reviewer's diagnoses were collected, recorded, and statistically evaluated. Their reports were recorded and classified.
Results:
Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of digitized images and conventional slides. The overall interobserver agreement was almost perfect with κ values of 0.79–0.97.
Conclusions:
Static telecytology can be used as an alternative method for the cytological diagnosis of cervical smears, particularly in quality assurance programs. It is a prompt and valid method for quality assessment and proficiency testing and can be integrated into daily workflow. Digital images of cervical smears can be used for rapid and accurate diagnosis, by diminishing turnaround times and improving small cytology departments' quality indices.</description><subject>Carcinoma, Squamous Cell</subject><subject>Cytological Techniques</subject><subject>Female</subject><subject>Humans</subject><subject>Original Research</subject><subject>Papanicolaou Test</subject><subject>Telepathology</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Vaginal Smears</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu3CAQhlHUKEmTHHutOPbiLQYbwzFdbdJKGzVRNmcL46ElwmYDOJJfIs9crN322tMwMx8fEj9Cn0qyKomQX9PwsqKklCvCCDtBF2Vd84JxLj8sZ0aKmtPmHH2M8YUQUpUNPUPnjJa8EZxcoPfdb8DPEbA3-CmpZDXegQM9J-_8rxkbH_DjpJxNM76JEWIcYEz4YQp7nztsR5yyYfOm3JRv-3ERrSG8Wa0cfhpAhYgfAuxVgB53M74HNcYF2trXyfbFNxXzYn187wqdGuUiXB_rJXq-3ezW34vtz7sf65ttoRlrUkGloFDVvBKyqwgYwQWlyjCQUhghgNWGat7TTqqK8A6oqbXpdCk1ZLpX7BJ9OXj3wb9OEFM72KjBOTWCn2JLWdMwxoWQGS0OqA4-xgCm3Qc7qDC3JWmXCNocQbtE0C4RZP7zUT11A_T_6L9_ngF2AJaxGkdnoYOQ_qP9AzGClYs</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Archondakis, Stavros</creator><creator>Roma, Maria</creator><creator>Kaladelfou, Evropi</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201201</creationdate><title>The Use of Static Telecytology for Quality Assessment Purposes in the Evaluation of Cervical Smears Prepared by Means of Liquid-Based Cytology</title><author>Archondakis, Stavros ; Roma, Maria ; Kaladelfou, Evropi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-2982e456489b40ef86822af3e998f88e35f2c6d2b9a406be2f5cfbc19ce0efda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Carcinoma, Squamous Cell</topic><topic>Cytological Techniques</topic><topic>Female</topic><topic>Humans</topic><topic>Original Research</topic><topic>Papanicolaou Test</topic><topic>Telepathology</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Vaginal Smears</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Archondakis, Stavros</creatorcontrib><creatorcontrib>Roma, Maria</creatorcontrib><creatorcontrib>Kaladelfou, Evropi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Archondakis, Stavros</au><au>Roma, Maria</au><au>Kaladelfou, Evropi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Use of Static Telecytology for Quality Assessment Purposes in the Evaluation of Cervical Smears Prepared by Means of Liquid-Based Cytology</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>26</volume><issue>12</issue><spage>1522</spage><epage>1525</epage><pages>1522-1525</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Objective:
The objective of this study was to investigate the role of telecytology as a tool with increased quality standards in the optimal evaluation of telecytological diagnoses proffered on the basis of digitized images from cervical smears prepared by means of liquid-based cytology.
Materials and Methods:
The study was performed on representative digital cytological images from a total of 808 cervical smears (benign, 270; atypical squamous cells of undetermined significance, 184; low-grade squamous intraepithelial lesion, 124; high-grade squamous intraepithelial lesion, 174; squamous cell carcinoma, 52; and adenocarcinoma, 4) that were transferred through file transfer protocol to password-protected accounts for remote review by three independent cytopathologists. In addition to diagnosis, reviewers also commented on overall digital image quality. Contributor's and reviewer's diagnoses were collected, recorded, and statistically evaluated. Their reports were recorded and classified.
Results:
Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of digitized images and conventional slides. The overall interobserver agreement was almost perfect with κ values of 0.79–0.97.
Conclusions:
Static telecytology can be used as an alternative method for the cytological diagnosis of cervical smears, particularly in quality assurance programs. It is a prompt and valid method for quality assessment and proficiency testing and can be integrated into daily workflow. Digital images of cervical smears can be used for rapid and accurate diagnosis, by diminishing turnaround times and improving small cytology departments' quality indices.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>32167860</pmid><doi>10.1089/tmj.2019.0303</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Carcinoma, Squamous Cell Cytological Techniques Female Humans Original Research Papanicolaou Test Telepathology Uterine Cervical Neoplasms - diagnosis Vaginal Smears |
| title | The Use of Static Telecytology for Quality Assessment Purposes in the Evaluation of Cervical Smears Prepared by Means of Liquid-Based Cytology |
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