Is Telepathology as Good as Pathology ?

  • People used to argue that digital pathology are not as good as glass histology slides.
  • However, if your technician is good, it doesn’t matter if it is digital or not digital.
  • A beautiful slide remains a beautiful slide.
  • Digitization is done on an existing glass slide and it is scanned by using a scanner. So we can diagnose it.

The answer to the question is, yes.

  • If you can digitize the scan, then you can diagnose it digitally.
  • The following paper validates this statement:
Digital pathology diagnosis is as good as the one made on a glass slide (classic histology).
This is a very recent paper (2020) is about a prospective multi-centered trial:
When a glass slide is subsequently by the same team, the same diagnosis is almost always made and in terms of diagnostic class, the accuracy reached 100%

  • When taking into account many pathologies examined with a glass slide and a month later through a digitized slide the concordance was 99% of the reports and the conclusions (major concorance) was 100%.
  • This paper thus validates that digital pathology can be as good as traditional histopathology at diagnosing the lesions (General pathology).

Babar Rao, MD. The Emerging Role of Tele-confocal and Tele-pathology in Global Dermatology. 8th World Congress of Teledermatology, Skin Imaging and AI in Skin diseases – November 2020

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