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http://hdl.handle.net/1843/65355| Type: | Artigo de Periódico |
| Title: | Fully digital pathology laboratory routine and remote reporting of oral and maxillofacial diagnosis during the COVID-19 pandemic: a validation study |
| Authors: | Anna Luíza Damaceno Araújo Felipe Paiva Fonseca Marcio Ajudarte Lopes Paul Speight Syed Ali Khurram Jacks Jorge Júnior Manoela Domingues Martins Oslei Paes de Almeida Alan Roger Santos-Silva Pablo Agustin Vargas Gleyson Kleber do Amaral-Silva Maria Eduarda Pérez-de-Oliveira Karen Patricia Domínguez Gallagher Cinthia Veronica Bardalez Lopez de Caceres Ana Luiza Oliveira Corrêa Roza Amanda Almeida Leite Bruno Augusto Linhares Almeida Mariz Carla Isabelly Rodrigues-Fernandes |
| Abstract: | The role of digital pathology in remote reporting has seen an increase during the COVID-19 pandemic. Recently, recommendations had been made regarding the urgent need of reorganizing head and neck cancer diagnostic services to provide a safe work environment for the staff. A total of 162 glass slides from 109 patients over a period of 5 weeks were included in this validation and were assessed by all pathologists in both analyses (digital and conventional) to allow intraobserver comparison. The intraobserver agreement between the digital method (DM) and conventional method (CM) was considered almost perfect (κ ranged from 0.85 to 0.98, with 95% CI, ranging from 0.81 to 1). The most significant and frequent disagreements within trainees encompassed epithelial dysplasia grading and differentiation among severe dysplasia (carcinoma in situ) and oral squamous cell carcinoma. The most frequent pitfall from DM was lag in screen mirroring. The lack of details of inflammatory cells and the need for a higher magnification to assess dysplasia were pointed in one case each. The COVID-19 crisis has accelerated and consolidated the use of online meeting tools, which would be a valuable resource even in the post-pandemic scenario. Adaptation in laboratory workflow, the advent of digital pathology and remote reporting can mitigate the impact of similar future disruptions to the oral and maxillofacial pathology laboratory workflow avoiding delays in diagnosis and report, to facilitate timely management of head and neck cancer patients. |
| Subject: | Pathology, oral COVID-19 Carcinoma Chancre |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | FAO - DEPARTAMENTO DE CLÍNICA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | https://doi.org/10.1007/s00428-021-03075-9 |
| URI: | http://hdl.handle.net/1843/65355 |
| Issue Date: | 13-Mar-2021 |
| metadata.dc.url.externa: | https://link.springer.com/article/10.1007/s00428-021-03075-9 |
| metadata.dc.relation.ispartof: | Virchows archiv |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Fully digital pathology laboratory routine and remote reporting of oral and maxillofacial diagnosis during the covid-19 pandemic a validation study.pdf | 19.89 MB | Adobe PDF | View/Open |
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