Dermatopathology via a still-image telemedicine system: diagnostic concordance with direct microscopy.
Dermatopathology via a still-image telemedicine system: diagnostic concordance with direct microscopy.
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DOI：
10.1089/tmj.1.1997.3.27
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发表时间：
1997-01-01
期刊：
影响因子：
--
通讯作者：
Burdick, A E
中科院分区：
文献类型：
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作者：
Berman, B;Elgart, G W;Burdick, A E
目的：探讨静止图像远程医疗技术与直接显微镜对皮肤病理诊断的一致性。材料与方法：由一位皮肤科医生使用静止图像电话系统对79例皮肤标本进行检查，并与1年前同一皮肤科医生的直接显微镜诊断结果进行比较。结果：在有病史的情况下，79例中有66例诊断完全一致，符合率为84%。无病史的符合率为80%。对良性色素痣、炎症性疾病、良恶性非鳞癌的诊断符合率显著高于对鳞状细胞癌和原位鳞癌的诊断符合率(P=0.005)。结论：使用静止图像电话系统的远程皮肤病理学的诊断符合率低于直接显微镜观察者内的诊断符合率99%。
OBJECTIVE: To determine the concordance of dermatopathology diagnosis by still-image telemedicine technology and direct microscopy.MATERIALS AND METHODS: Skin specimens (N = 79) were examined by a dermatopathologist using a still-image phone system, and the diagnoses were compared with those made by the same dermatopathologist 1 year earlier by direct microscopy. The telemedical diagnoses were reached first without, and then with, patient histories.RESULTS: When the patient history was available, identical diagnoses were made in 66 of the 79 cases (84% concordance rate). Without patient history, the concordance rate was 80%. The diagnostic concordance rate for the diagnosis of benign nevocytic nevi, inflammatory diseases, and benign and malignant non-squamous cell carcinoma neoplasms was statistically significantly greater than the concordance rate for the diagnosis of squamous cell carcinoma and squamous cell carcinoma in situ (P = 0.005).CONCLUSIONS: The diagnostic concordance rate achieved by teledermatopathology using a still-image phone system fell short of the 99% intraobserver diagnostic concordance rate using direct microscopy.