WATS 3D:在胃肠道病理学家中对巴雷特食道相关性发育不良的观察者间研究
Deepa T Patil1, John R Goldblum2, Gregory Lauwers3
1Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Clinical and translational gastroenterology
|December 13, 2023
概括
胃肠道病理学家可以在短时间的培训后使用广域体样本 (WATS 3D) 准确诊断巴雷特食道形,显示出优秀的观察者间一致性和高诊断信心.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 细胞病理学 细胞病理学
背景情况:
- 巴雷特食道 (BE) 的管理依赖于检测失生症.
- 用3维计算机辅助分析 (WATS 3D) 进行大面积体样本采集,可增强在B.E.患者中发育不良的检测.
- 评估WATS 3D标本的诊断性能至关重要.
研究的目的:
- 评估使用WATS 3D标本诊断BE相关性发育不良的观察者间变异性.
- 评估没有先前经验的胃肠道 (GI) 病理学家对WATS 3D样本解释的准确性.
- 为了确定WATS 3D诊断在短时间的培训期间后的可重复性.
主要方法:
- 五位胃肠道病理学家接受了关于WATS 3D解释的4小时培训.
- 病理学家评估了来自60个WATS3D病例的数字图像 (非可塑性BE,低度可塑性,高度可塑性/食道腺癌).
- 每个病例都包括细胞块图像和液体细胞学/Papanicolaou染色涂抹图像.
主要成果:
- 总体而言,观察者之间达成了很好的共识 (kappa = 0.93).
- 对于瘤检测 (LGD,HGD,EAC) 观察到完全一致 (100%).
- 在91%的病例中,诊断完全有信心.
结论:
- 胃肠道病理学家可以在经过最低限度的培训后准确地解释WATS 3D标本.
- WATS 3D提供了一种可复制的方法来诊断BE相关的发育不良.
- 这种技术支持在BE管理中改进诊断能力.
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