在口腔细胞学中,与传统光显微镜相比,基于Origami的纸张显微镜的精度和感知
M E Adhi Sivasankari1, Harikrishnan Prasad1, Kenniyankumar Srichinthu1
1Department of Oral Pathology and Microbiology, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.
Journal of microscopy and ultrastructure
|July 10, 2025
概括
折叠镜是一种便携式纸张显微镜,可以在口腔细胞学涂抹中准确地识别细胞. 这种低成本的诊断工具显示出良好的观察者间一致性,使其成为大量口腔癌查的宝贵工具.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 显微镜的使用方法
- 公共卫生 公共卫生
背景情况:
- 口腔癌查依赖于视觉检查,但细胞学涂抹的现场诊断具有挑战性.
- 折叠镜为资源有限的设置提供了一个低成本的便携式显微镜解决方案.
- 这项研究研究了Foldscope对口腔细胞学涂抹分析的实用性.
研究的目的:
- 为了比较Foldscope的诊断准确度与口腔细胞学涂抹的标准光显微镜.
- 用两种显微镜方法评估观察者之间在识别细胞学特征上的一致性.
主要方法:
- 两名经验丰富的检查员使用折叠镜和光显微镜评估了35个口腔细胞学涂抹.
- 每位检查员使用Foldscope两次,间隔15天,以评估可重现性.
- 使用kappa统计数据分析了观察者间的共识.
主要成果:
- 两位检查员都用折叠镜准确地识别了上皮细胞.
- 粘膜细胞,炎症细胞和微生物是可以识别的,尽管精度略有降低.
- 观察者间的一致性在折叠镜检查中相对较好,尤其是在实践后.
结论:
- 折叠镜显示出其作为一种有价值的工具的潜力,用于快速地在现场诊断皮细胞学涂抹.
- 适当的培训和实践可以提高Foldscope在口腔癌大规模查计划中的实用性.
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