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Diagnostic accuracy in virtual dermatopathology


Mooney, Ellen; Kempf, Werner; Jemec, Gregor B E; Koch, Laine; Hood, Antoinette (2012). Diagnostic accuracy in virtual dermatopathology. Journal of Cutaneous Pathology, 39(8):758-761.

Abstract

BACKGROUND: Virtual microscopy is used for teaching medical students and residents and for in-training and certification examinations in the United States. However, no existing studies compare diagnostic accuracy using virtual slides and photomicrographs. The objective of this study was to compare diagnostic accuracy of dermatopathologists and pathologists using photomicrographs vs. digitized images, through a self-assessment examination, and to elucidate assessment of virtual dermatopathology.

METHODS: Forty-five dermatopathologists and pathologists received a randomized combination of 15 virtual slides and photomicrographs with corresponding clinical photographs and information in a self-assessment examination format. Descriptive data analysis and comparison of groups were performed using a chi-square test.

RESULTS: Diagnostic accuracy in dermatopathology using virtual dermatopathology or photomicrographs was similar: 0.70 vs. 0.73 respectively, p = 0.465. Order of administration of virtual dermatopathology and photomicrographs did not affect diagnostic accuracy. The vast majority (93%) of the participants felt the virtual slides were adequate for diagnosis and that virtual dermatopathology represented a useful tool for learning; 90% felt that virtual dermatopathology is useful tool for teaching dermatopathology.

CONCLUSION: No significant difference was observed in diagnostic accuracy using virtual dermatopathology compared to photomicrographs. Most participants felt virtual dermatopathology was adequate for diagnostic purposes and a useful tool for learning and teaching dermatopathology.

Abstract

BACKGROUND: Virtual microscopy is used for teaching medical students and residents and for in-training and certification examinations in the United States. However, no existing studies compare diagnostic accuracy using virtual slides and photomicrographs. The objective of this study was to compare diagnostic accuracy of dermatopathologists and pathologists using photomicrographs vs. digitized images, through a self-assessment examination, and to elucidate assessment of virtual dermatopathology.

METHODS: Forty-five dermatopathologists and pathologists received a randomized combination of 15 virtual slides and photomicrographs with corresponding clinical photographs and information in a self-assessment examination format. Descriptive data analysis and comparison of groups were performed using a chi-square test.

RESULTS: Diagnostic accuracy in dermatopathology using virtual dermatopathology or photomicrographs was similar: 0.70 vs. 0.73 respectively, p = 0.465. Order of administration of virtual dermatopathology and photomicrographs did not affect diagnostic accuracy. The vast majority (93%) of the participants felt the virtual slides were adequate for diagnosis and that virtual dermatopathology represented a useful tool for learning; 90% felt that virtual dermatopathology is useful tool for teaching dermatopathology.

CONCLUSION: No significant difference was observed in diagnostic accuracy using virtual dermatopathology compared to photomicrographs. Most participants felt virtual dermatopathology was adequate for diagnostic purposes and a useful tool for learning and teaching dermatopathology.

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4 citations in Web of Science®
4 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Dermatology Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2012
Deposited On:14 Dec 2012 09:40
Last Modified:05 Apr 2016 16:09
Publisher:Wiley-Blackwell
ISSN:0303-6987
Publisher DOI:https://doi.org/10.1111/j.1600-0560.2012.01931.x
PubMed ID:22765756

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