Abstract
Diagnostic reproducibility and accuracy in cytology and histology are major issues in oncologic screening programs (cervix, breast and colorectal cancer). Slides standard set represents the most used method to compare diagnostic proficiency. Emilia-Romagna Region (Italy) realized a software to manage cytological and histological whole-slides digital images building, a picture case storage and communication system (PACS) among pathologists in Emilia-Romagna Region and realizing an e-learning platform (Docebo) for applicants: slides were “a teaching system” for a retraining program. Collected and catalogued cases in an on-line digital archive of slides, enact as database for a casistic atlas online.
Highlights
Diagnostic reproducibility and accuracy in cytology and histology are the main issues in Oncologic Screening of cervix, breast and colorectal cancer: it can be achieved by programs for quality assurance (QA)
15 pathologists of regional units attended the colon-rectal QA and the diagnostic reproducibility have been evaluated matching their results with the final gold standard diagnosis reached during the consensus conference
95 cytologists and 32 histopathologists have been involved in the cervical cancer screening QA
Summary
Diagnostic reproducibility and accuracy in cytology and histology are the main issues in Oncologic Screening of cervix, breast and colorectal cancer: it can be achieved by programs for quality assurance (QA). All the information on conventional samples are transferred into a file, archived, catalogued, duplicated or advice for quality control, but is especially available at distance and from multiple locations simultaneously with drastic reduction of time needed to achieve proficiency test reproducibility [1]. All suppliers offer services into private or public networks server in the literature [2] and software able to track scanned cases stored in comprehensive database to build large casistic archives online [3] Tools are already available for a teleconference discussion of cases with vision of cytological preparations on line [4,5], educational programs with integrated digital slides are poorly developed or proficiency tests for continuing education and professional updating are accessible
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