在内镜诊断中快速远程在线评估:对生物检测证明的呼吸系统细胞病理学的分析
Hatice Elmas1, Binnur Önal2, Stefan Steurer1
1Section Cytopathology, Institute of Pathology, University Medical Center Hamburg-Eppendorf UKE, D-20246 Hamburg, Germany.
Diagnostics (Basel, Switzerland)
|November 14, 2023
概括
快速远程在线细胞学评估准确地通过内镜活检诊断良性和恶性疾病. 这种电细胞学方法具有很高的灵敏度和特异性,使得临床决策迅速.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 病理学 病理学 病理学
- 数字健康数字健康
背景情况:
- 展望性研究评估内镜活检的快速远程在线细胞学评估.
- 专注于使用数字图像处理来诊断良性和恶性疾病.
研究的目的:
- 评估快速远程在线细胞学评估的有效性.
- 确定良性和恶性发现的诊断准确性.
- 评估对临床决策的影响.
主要方法:
- 对来自239名患者的314个快速远程在线细胞学评估 (印记,FNA,刷) 的分析.
- 电细胞学发现与最终细胞/组织学诊断的比较.
- 在现场评估期间记录评估时间.
主要成果:
- 获得了90.5%的灵敏度,98.5%的特异性和92.4%的正确分类率 (不包括不明确的情况).
- 在精细针吸收中,恶性瘤检测的灵敏度提高 (76.1%与92.5%相比).
- 平均评估时间为100秒.
结论:
- 快速的远程在线分析能够快速,准确地评估细胞学样本.
- 高的正确分类率 (>93%) 有助于快速纠正采样缺陷.
- 支持及时推导诊断和治疗方法.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
211
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
211
Endoscopic Studies II: Thoracocentesis
290
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
290
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
Endoscopic Procedures I: Esophagogastroduodenoscopy
128
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
128
Endoscopic Procedures V: ERCP
279
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
279


