Web-based oil immersion whole slide imaging increases efficiency and clinical team satisfaction in hematopathology tumor board.
Web-based oil immersion whole slide imaging increases efficiency and clinical team satisfaction in hematopathology tumor board.
复制标题
基于Web的油浸入整个幻灯片成像可提高血液病理学肿瘤板的效率和临床团队满意度。
DOI：
10.4103/2153-3539.143336
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发表时间：
2014
影响因子：
--
通讯作者：
Salama ME
中科院分区：
文献类型：
--
作者：
Chen ZW;Kohan J;Perkins SL;Hussong JW;Salama ME
全载玻片成像（WSI）广泛用于教育和研究，但越来越多地用于简化临床工作流程。我们介绍了我们在血液学/肿瘤学肿瘤委员会/治疗计划会议（TPC）中使用油浸WSI介绍血液/骨髓穿刺涂片、核心活检和组织切片的满意度和时间利用率方面的经验。在油浸条件下以20倍放大率扫描淋巴结和骨髓核心活检，并以83倍放大率扫描血液/骨髓涂片，并上传到在线图书馆，其中感兴趣区域将通过网络浏览器以数字方式显示注释。将病理学家准备用于扫描的载玻片所需的时间与准备显微镜投影（MP）所需的时间进行比较。还比较了TPC期间提交病例所需的时间。使用10分评价调查来评估临床医生对每种介绍方法的满意度。WSI和MP之间的血液病理学家准备时间无显著差异。然而，与MP相比，WSI的演示时间明显更短，因为在使用WSI进行TPC之前完成了幻灯片的选择和注释，从而能够更有效地使用TPC演示时间。调查结果显示，临床参与者对图像质量、相关发现的呈现效率、临床决策的辅助以及病理学呈现的总体满意度的满意度显著提高。大多数受访者还注意到WSI减少了晕动病。与MP相比，全载玻片成像（特别是能够使用油扫描）可提供更高质量的图像，并显著提高临床医生的满意度。WSI通过允许事先选择幻灯片来简化TPC的准备工作，从而提高TPC演示期间的效率。
Whole slide imaging (WSI) is widely used for education and research, but is increasingly being used to streamline clinical workflow. We present our experience with regard to satisfaction and time utilization using oil immersion WSI for presentation of blood/marrow aspirate smears, core biopsies, and tissue sections in hematology/oncology tumor board/treatment planning conferences (TPC). Lymph nodes and bone marrow core biopsies were scanned at ×20 magnification and blood/marrow smears at 83X under oil immersion and uploaded to an online library with areas of interest to be displayed annotated digitally via web browser. Pathologist time required to prepare slides for scanning was compared to that required to prepare for microscope projection (MP). Time required to present cases during TPC was also compared. A 10-point evaluation survey was used to assess clinician satisfaction with each presentation method. There was no significant difference in hematopathologist preparation time between WSI and MP. However, presentation time was significantly less for WSI compared to MP as selection and annotation of slides was done prior to TPC with WSI, enabling more efficient use of TPC presentation time. Survey results showed a significant increase in satisfaction by clinical attendees with regard to image quality, efficiency of presentation of pertinent findings, aid in clinical decision-making, and overall satisfaction regarding pathology presentation. A majority of respondents also noted decreased motion sickness with WSI. Whole slide imaging, particularly with the ability to use oil scanning, provides higher quality images compared to MP and significantly increases clinician satisfaction. WSI streamlines preparation for TPC by permitting prior slide selection, resulting in greater efficiency during TPC presentation.