Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions
Background and study aims Telecytopathology (TCP) may allow proper and timely evaluation of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) specimens. The aim of this study was to evaluate the feasibility of TC through a multiplatform instant messenger smartphone application to evaluat...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2019-08-01
|
| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0965-6631 |
| _version_ | 1811323429900517376 |
|---|---|
| author | Rodrigo S. Machado Rafaela Richa Fabiano Callegari Giovana B. Souza Luciano L. Tolentino Frank S. Nakao Angelo Ferrari Jr. Ermelino Libera |
| author_facet | Rodrigo S. Machado Rafaela Richa Fabiano Callegari Giovana B. Souza Luciano L. Tolentino Frank S. Nakao Angelo Ferrari Jr. Ermelino Libera |
| author_sort | Rodrigo S. Machado |
| collection | DOAJ |
| description | Background and study aims Telecytopathology (TCP) may allow proper and timely evaluation of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) specimens. The aim of this study was to evaluate the feasibility of TC through a multiplatform instant messenger smartphone application to evaluate specimens of EUS-FNA of pancreatic solid lesions.
Patients and methods Twenty-three patients (14 male/9 female; median age: 56 yr.; age range: 33 – 86) with a solid pancreatic lesion were included. Exclusion criteria were as follows: age < 18 yr and predominantly cystic lesions. During each EUS-FNA, after each pass, the aspirated material was spread over a glass slide and was stained by the endoscopist. The glass slide was then reviewed on a microscope with a smartphone fitted in, and the most representative fields were captured and sent to the cytopathologist using WhatsApp Messenger.
Results In initial evaluation using TCP rapid on-site evaluation (ROSE), adequate cellularity of the glass slide was detected in 16 of 23 patients (69.6 %). An initial diagnosis of malignancy (positive or suspicious) was possible in 14 of 23 patients (60.8 %).
Conclusion The current study demonstrated the feasibility of a low-cost, Internet-based, telecytopathology system using WhatsApp Messenger to provide ROSE of EUS-FNA slides in patients with solid pancreatic lesions. |
| first_indexed | 2024-04-13T13:55:00Z |
| format | Article |
| id | doaj.art-fb11ae3cc37440ddb271e49b3f693b36 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-13T13:55:00Z |
| publishDate | 2019-08-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-fb11ae3cc37440ddb271e49b3f693b362022-12-22T02:44:14ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362019-08-010708E1027E103010.1055/a-0965-6631Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesionsRodrigo S. Machado0Rafaela Richa1Fabiano Callegari2Giovana B. Souza3Luciano L. Tolentino4Frank S. Nakao5Angelo Ferrari Jr.6Ermelino Libera7Department of Pediatrics, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPDepartment of Pathology, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPDepartment of Medicine, Division of Gastroenterology, Escola Paulista de Medicina/UNIFESPBackground and study aims Telecytopathology (TCP) may allow proper and timely evaluation of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) specimens. The aim of this study was to evaluate the feasibility of TC through a multiplatform instant messenger smartphone application to evaluate specimens of EUS-FNA of pancreatic solid lesions. Patients and methods Twenty-three patients (14 male/9 female; median age: 56 yr.; age range: 33 – 86) with a solid pancreatic lesion were included. Exclusion criteria were as follows: age < 18 yr and predominantly cystic lesions. During each EUS-FNA, after each pass, the aspirated material was spread over a glass slide and was stained by the endoscopist. The glass slide was then reviewed on a microscope with a smartphone fitted in, and the most representative fields were captured and sent to the cytopathologist using WhatsApp Messenger. Results In initial evaluation using TCP rapid on-site evaluation (ROSE), adequate cellularity of the glass slide was detected in 16 of 23 patients (69.6 %). An initial diagnosis of malignancy (positive or suspicious) was possible in 14 of 23 patients (60.8 %). Conclusion The current study demonstrated the feasibility of a low-cost, Internet-based, telecytopathology system using WhatsApp Messenger to provide ROSE of EUS-FNA slides in patients with solid pancreatic lesions.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0965-6631 |
| spellingShingle | Rodrigo S. Machado Rafaela Richa Fabiano Callegari Giovana B. Souza Luciano L. Tolentino Frank S. Nakao Angelo Ferrari Jr. Ermelino Libera Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions Endoscopy International Open |
| title | Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions |
| title_full | Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions |
| title_fullStr | Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions |
| title_full_unstemmed | Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions |
| title_short | Instant messenger smartphone application for endosonographer/cytopathologist real-time interaction at a distance in EUS-FNA for solid pancreatic lesions |
| title_sort | instant messenger smartphone application for endosonographer cytopathologist real time interaction at a distance in eus fna for solid pancreatic lesions |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-0965-6631 |
| work_keys_str_mv | AT rodrigosmachado instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT rafaelaricha instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT fabianocallegari instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT giovanabsouza instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT lucianoltolentino instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT franksnakao instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT angeloferrarijr instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions AT ermelinolibera instantmessengersmartphoneapplicationforendosonographercytopathologistrealtimeinteractionatadistanceineusfnaforsolidpancreaticlesions |