TY -的AU -科斯特洛,肖恩SP AU -约翰斯顿,丹尼尔·J AU - Dervan彼得AU -奥谢,丹尼尔·G PY - 2003 DA - 2003/6/13 TI -开发和评估虚拟幻灯片病理学:一个新工具在Telepathology乔- J地中海互联网Res SP - e11六世- 5 - 2 KW - Telepathology KW -互联网KW - telemicroscopy KW -远程诊断KW -虚拟幻灯片KW -病理KW -成像AB -背景:虚拟病理切片是一个交互式显微镜模拟器，通过互联网或CD-ROM显示一个完整的15.53毫米x 11.61毫米的数字化组织切片。虚拟病理幻灯片模拟了显微镜的使用，包括放大倍数的逐步增加(从16倍增加到2000倍)和在X和Y笛卡尔方向上的横向运动。这使得病理学家可以在任何放大倍率下浏览载玻片上的任何区域，类似于传统显微镜。目的:评价虚拟病理切片诊断的准确性和可接受性。方法:随机抽取10份乳腺针芯活检，交给17名至少有2年病理实践经验的病理学家或实习病理学家。参与者必须在线检查每个病例，并使用在线反馈表格提供诊断分类。记录的数据允许检查观察者间可变性和用户满意度。结果:10张玻片中有9张与原始玻片诊断一致。幻灯片的一致性百分比在35.3%至100%之间，幻灯片之间的平均一致性百分比为66.5%。 The average Kappa statistics for interobserver agreement was 0.75 while average percentage concordance amongst participants was 66.5%. Participants looked at an average of 22 fields of view while examining each slide. Confidence: 81.25% of the participants indicated confidence using the Virtual Pathology Slide to make a diagnostic decision, with 56.25% describing themselves as "reasonably confident," 18.75% as "confident," and 6.25% as "very confident." Ease of use: 68.75% reported the system as "easy" or "very easy" to use. Satisfaction: 87.5% of participants expressed satisfaction with image quality, with 43.75% describing the image quality as "adequate," 25% describing it as "good," and 18.75% describing the image quality as "excellent." Pathologists with a working bandwidth greater than 20 kilobits per second found the download speed of the Virtual Pathology Slide "adequate" or better. Conclusions: Results from this study show that the Virtual Pathology Slide can be used to make a correct diagnostic decision, and that the system is a realistic alternative to dynamic telepathology. SN - 1438-8871 UR - //www.mybigtv.com/2003/2/e11/ UR - https://doi.org/10.2196/jmir.5.2.e11 UR - http://www.ncbi.nlm.nih.gov/pubmed/12857667 DO - 10.2196/jmir.5.2.e11 ID - info:doi/10.2196/jmir.5.2.e11 ER -