Application of digital pathology remote consultation platform in the diagnosis of challenging histopathological cases
Objective:Although remote pathological diagnoses is increasingly demonstrating positive impacts in various aspects of the pathology field,its application in the diagnosis of challenging histopathological cases remains unclear.This study explores the application of a digital pathology remote consultation platform for expert consultation in challenging histopathological diagnoses.Method:A total of 407 complete records of challenging histopathological consultation cases from the"Digital Pathology Remote Diagnosis and Quality Control Platform"used by the Pathological Diagnosis Center of Chongqing Medical University from April 2013 to June 2023 were selected as the study subjects.The cases were categorized by system/organ/department proportion of consultation cases and expert opinions were summarized and classified.The consultation results were evaluated,and the timeliness of the consultations was analyzed.A questionnaire survey was also conducted to gauge the opinions of pathologists at the diagnosis center regarding the remote pathological consultation platform.Results:The three most common systems/organs in consultation cases were bone tissue,soft tissue,and the female reproductive system.The concordance rate between the in-house diagnosis and expert consultation diagnosis was 84.28%,with a discordance rate of 15.72%.The time taken for remote expert consultation diagnosis was 1 day for 67.81%of cases and more than 5 days for 6.88%of cases.The survey results indicated that 80.95%of pathologists agreed or strongly agreed that they would choose remote consultation for challenging cases,and 85.71%agreed or strongly agreed that they could learn from remote consultations Factors negatively impacting the quality of remote consultations included incomplete pathology and clinical information and poor quality of digital images.Conclusion:Remote consultation in histopathology can timely and effectively resolve diagnostic issues in challenging cases.It provides a convenient way for patients to receive consultations and positively impacts the diagnostic skills of pathologists.This approach offers valuable reference points for the development of intelligent diagnostic and treatment models.
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