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Related Concept Videos

Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
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Web based pathology assessment in RTOG 98-04.

Wendy A Woodward, Nour Sneige, Kathryn Winter

    Journal of Clinical Pathology
    |July 4, 2014
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    Summary
    This summary is machine-generated.

    Pathology review confirmed high accuracy for ductal carcinoma in situ (DCIS) eligibility in a clinical trial. However, a web-based teaching tool for pathologists was underutilized.

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    Area of Science:

    • Oncology
    • Pathology
    • Radiation Oncology

    Background:

    • Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer.
    • Identifying 'good risk' DCIS is crucial for treatment de-escalation.
    • Radiation Therapy Oncology Group (RTOG) 98-04 aimed to identify DCIS patients who do not benefit from radiation.

    Purpose of the Study:

    • To assess the accuracy of pathological assessment for DCIS enrolment criteria.
    • To evaluate the utility and uptake of a web-based teaching tool for pathologists.

    Main Methods:

    • Central pathology review of 10% of submitted DCIS cases.
    • Pathologists used an optional web-based teaching tool.
    • Eligibility criteria included exclusion of close/positive margins and grade 3 disease.

    Main Results:

    • 95% of reviewed DCIS cases were accurately graded.
    • 89% of reviewed DCIS cases met pathological eligibility criteria.
    • Only 13% of cases indicated the teaching tool was used, with one user submitting grade 3 DCIS.

    Conclusions:

    • Central pathology review confirmed high concordance with enrolment criteria, especially for grading.
    • The web-based teaching tool was underutilized by submitting pathologists.