Telepathology diagnosis of prostate needle biopsies

作者: Michael H Weinstein , Jonathan I Epstein

DOI: 10.1016/S0046-8177(97)90274-4

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摘要: Abstract We conducted a prospective analysis of the diagnostic accuracy static-image telepathology system (Roche RIAS, Elon College, NC) in interpretation needle biopsies prostate (NBx). Two hundred consecutive cases received consultation were included. Each case was examined by one researchers (MHW), and images captured either according to areas concern designated referring pathologist (set A; 100 cases) or judgment MHW B; cases). The other researcher (JIE) daily rendered diagnoses first on video then direct microscopy. Accuracy diagnosis categorized as 0 (correct), 1 (minor error), 2 (major 3 (deferred). An average 5.49 per set A, 5.28 for B. Seventy-seven, 9, 5 0, 1, 2, 3, respectively, 78, 17, 4 cases, Video versus type errors five carcinoma markedly atypical, two atypical nonspecific granulomatous prostatitis, benign atypical. In these difficult NBx, allowed an essentially correct almost all cases. number required reasonable, excellent quality. However, varied from A B, with fractions nondeferred that given totaling 91% 99%, respectively ( P

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