A Novel “Work from Home Setup” for Telepathology Second Opinion of Oral Lesions

AbstractThe advent of smartphones with high-resolution cameras has opened up new possibilities in the field of telepathology for a second opinion especially in the COVID-19 era. The aim of this study was to  evaluate the intraobserver concordance of a novel “work from home setup” with conventional microscopy diagnosis taken as the gold standard. A total of 90 cases of oral biopsies diagnosed by one pathologist were photographed with a smartphone camera. The static images were transferred via Googl e Drive and viewed on a 40-inch LED television screen connected by an HDMI cable to a laptop by the same pathologist. A wash-off period of 4 months was provided to avoid recall bias. The intraobserver concordance of Google Drive transfer and conventional microscopy was calculated. The cases in whic h the conventional slide microscopy and smartphone image diagnosis (SPID) via Google Drive were concordant constituted 98.9% (89/90), and the ones with discordant diagnoses made up 1.1% (01/90). Smartphone-assisted telepathology can be useful for a second opinion. The images can be stored on a Googl e Drive and then downloaded to a personal computer and viewed on large-screen television to attain high levels of diagnostic accuracy.
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research