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用于组织学诊断的比较数字显示器 (监视器):病理学用例

Giorgio Cazzaniga¹, Francesco Mascadri¹, Stefano Marletta²

¹Department of Medicine and Surgery, Pathology, IRCCS Fondazione San Gerardo dei Tintori, University of Milano-Bicocca, Monza, Italy.

Journal of clinical pathology

|March 27, 2024

概括

专门用于病理学的医疗监视器提供更快的全幻灯片图像 (WSI) 诊断和可比的准确性,以显微镜进行脏活检. 谨慎的显示选择对于安全的数字病理学工作流程至关重要.

科学领域:

数字病理学数字病理学
医疗成像医学成像
脏病理学脏病理学

背景情况:

病理学的数字化转型依赖于基于全幻灯片图像 (WSI) 的诊断.
创新技术对于使用WSI的初级诊断至关重要.

研究的目的:

将病理专用医疗监视器与传统显微镜和商业显示器进行比较,用于使用WSI进行脏活检诊断.
评估WSI诊断在不同类型的扫描仪和监视器等级之间的一致性.

主要方法:

通过使用来自三个扫描仪 (Aperio,3DHISTECH,Hamamatsu) 的WSI分析了60个脏活检.
诊断是在医疗级 (MG),专业级 (PG) 和消费者现货 (COTS) 监视器上进行的,而在洗期后进行显微镜诊断.
验证遵循美国病理学家学院 (WSI) 的指导方针.

主要成果:

MG监测速度更快 (6-8%的改善,p<0.01) 并显示出与COTS相比稍微更好的并发性疾病检测 (κ=1与0.96).
对于主要诊断的一致性在监视器类型 (κ=1) 中是相同的.
在特定得分中发现了微小的差异,MG和PG监测器与特定炎类型的参考报告的一致性更高.

结论:

硬件评估,特别是显示器选择,对于安全高效的数字病理学至关重要.
对显示技术进行适当的规划是必要的,以支持病理学的数字化转型.

关键词:

在WSI验证过程中,WSI的验证.数字病理学数字病理学医疗监视器监视医疗监视器一个神经病理学家 (nephropatholog).脏病理学脏病理学整个幻灯片图像的图像.

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