Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Telepathologic review: utility, diagnostic accuracy, and interobserver variability on a difficult case consultation

S S Raab1, R A Robinson, T E Snider

  • 1Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City 52242-1009, USA.

Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc
|June 1, 1997
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Surgical emphysema reduction: A viable alternative in the era of endobronchial valves].

Revue des maladies respiratoires·2025
Same author

Controlled donation after circulatory death lung transplantation: Results of the French protocol including in situ abdominal normothermic regional perfusion and ex vivo lung perfusion.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation·2023
Same author

The evolutionary heritage and ecological uniqueness of Scots pine in the Caucasus ecoregion is at risk of climate changes.

Scientific reports·2021
Same author

Scholarship in Teaching: An Approach to Enhancing the Value and Academic Standing of Teaching.

Medical science educator·2021
Same author

Characterization of archaeal symbionts of sponges from the coral reef ecosystems of the Gulf of Mannar, Southeast coast of India.

Saudi journal of biological sciences·2021
Same author

RADIORYTHMIC: Phase III, Opened, Randomized Study of Postoperative Radiotherapy Versus Surveillance in Stage IIb/III of Masaoka Koga Thymoma after Complete Surgical Resection.

Clinical lung cancer·2021

Pathologists achieved higher diagnostic accuracy using light microscopy compared to telepathology for difficult cases. Diagnostic uncertainty often led pathologists to request light microscopic review, especially for complex cases.

Area of Science:

  • Anatomic Pathology
  • Medical Informatics
  • Diagnostic Imaging

Background:

  • Telepathology offers remote diagnostic capabilities but its accuracy compared to traditional methods is debated.
  • Difficult case consultations present unique challenges for diagnostic accuracy.

Purpose of the Study:

  • To compare the diagnostic accuracy of telepathologic analysis versus light microscopic review for difficult anatomic pathology cases.
  • To evaluate pathologists' reliance on light microscopy after initial telepathologic assessment.

Main Methods:

  • Retrospective analysis of 105 difficult anatomic pathology consultation cases.
  • Five pathologists performed real-time telepathologic and light microscopic reviews.
  • Comparison of diagnoses against the original consultation ('gold standard') and assessment of requests for light microscopy review.

Related Experiment Videos

Main Results:

  • Pathologists performed significantly better using light microscopy than telepathology (P = .005).
  • Diagnostic uncertainty prompted requests for light microscopy review in 64% of cases.
  • Incorrect telepathologic diagnoses were almost always followed by a request for light microscopy review.

Conclusions:

  • Light microscopy provides superior diagnostic accuracy for difficult pathology consultations compared to telepathology.
  • Telepathology shows high accuracy in areas of pathologist expertise, but diagnostic uncertainty necessitates light microscopy.
  • Pathologists rarely make incorrect diagnoses via telepathology without subsequently requesting light microscopic review.