FOLDOSCOPE SCOPE IN NEUROSURGERY A FEASIBLE AND NOVEL TECHNIQUE

Abstract

Background: Intra operative squash cytology in identifying CNS lesions and availability of conventional microscope and trained pathologist remains a global health problem especially in remote areas of developing countries which have limited resources .In this study, we evaluated the performance of a low- cost, smartphone attachable paper-based microscope when used for classifying images of Squash cytology of CNS lesions in remote areas and it impact on intraoperative consultation. Samples Methodology: collected during operating CNS pathology From Month Of March,2018 To September 2020 Were Included. Total 22 Cases Were Included but 15 cases were operated in our institute. Intraoperative Squash is done at operating table with the sample tissue and images through foldscope were sent to pathologist electronically and time noted to get the result. Same tissue slides images acquired through conventional microscope are compared with images acquired by foldscope. Mobile phone-based microscope acquired ima Results: ges were observed and compared with a conventional microscope and found the morphology of the tissue sections was signicantly similar to that of conventional light microscope images. The intraoperative time to get the report signicantly reduced in remote settings. With its clear limitations, improvements Conclusion: can be made to transform it into a cost-effective use device exclusively in the diagnosis of cancer in remote and emergency situations.