J Telemed Telecare - Telecytology for rapid assessment of cytological specimens.

Tópicos

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Resumo

We investigated the feasibility of telecytology for rapid on-site evaluation (ROSE) of cytological specimens. During a six-month study, 385 consecutive adult patients underwent image-guided fine needle aspiration biopsies of the lung or transbronchial needle aspirations of mediastinal lymph nodes. Direct smears were immediately wet-fixed and a cytopathologist or a trained cytotechnologist evaluated specimen adequacy using a telecytology system. Specimens were reported as adequate or inadequate. A total of 238 specimens (62%) were diagnosed without rapid assessment. The percentage of non-representative samples in the group without rapid evaluation was 42%. In the group of 147 specimens (38%) which underwent rapid evaluation, 48 (33%) were reported as inadequate and 99 (67%) as adequate. Only 22% of final diagnoses were non-representative, including samples which were assessed as inadequate by rapid evaluation. In three patients of 32, where the obtained material was recognized as adequate, final diagnoses were non-representative. Rapid evaluation with the use of telecytology improves the diagnostic yield of guided fine-needle aspiration biopsies by decreasing the percentage of non-representative specimens.

Resumo Limpo

investig feasibl telecytolog rapid onsit evalu rose cytolog specimen sixmonth studi consecut adult patient underw imageguid fine needl aspir biopsi lung transbronchi needl aspir mediastin lymph node direct smear immedi wetfix cytopathologist train cytotechnologist evalu specimen adequaci use telecytolog system specimen report adequ inadequ total specimen diagnos without rapid assess percentag nonrepres sampl group without rapid evalu group specimen underw rapid evalu report inadequ adequ final diagnos nonrepres includ sampl assess inadequ rapid evalu three patient obtain materi recogn adequ final diagnos nonrepres rapid evalu use telecytolog improv diagnost yield guid fineneedl aspir biopsi decreas percentag nonrepres specimen

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