| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○組織 (推奨): |
| ○著者 (必須): | 1. | (英) Shinohara Shizu (日) (読)
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| 2. | (英) Bychkov Andrey (日) (読)
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| 3. | (英) Munkhdelger Jijgee (日) (読)
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| 4. | (英) Kuroda Kishio (日) (読)
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| 5. | (英) Yoon Han-Seung (日) (読)
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| 6. | (英) Fujimura Shota (日) (読)
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| 7. | (英) Tabata Kazuhiro (日) (読)
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| 8. | (英) Furusato Bungo (日) (読)
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| 9. | (英) Niino Daisuke (日) (読)
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| 10. | (英) Morimoto Shinpei (日) (読)
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| 11. | (英) Yao Takashi (日) (読)
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| 12. | (英) Itoh Tomoo (日) (読)
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| 13. | (英) Aoyama Hajime (日) (読)
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| 14. | (英) Tsuyama Naoko (日) (読)
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| 15. | (英) Mikami Yoshiki (日) (読)
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| 16. | (英) Nagao Toshitaka (日) (読)
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| 17. | (英) Ikeda Tohru (日) (読)
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| 18. | (英) Fukushima Noriyoshi (日) (読)
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| 19. | (英) Harada Oi (日) (読)
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| 20. | (英) Kiyokawa Takako (日) (読)
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| 21. | (英) Yoshimi Naoki (日) (読)
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| 22. | (英) Aishima Shinichi (日) (読)
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| 23. | (英) Maeda Ichiro (日) (読)
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| 24. | (英) Mori Ichiro (日) (読)
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| 25. | (英) Yamanegi Koji (日) (読)
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| 26. | 常山 幸一 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.病理系.疾患病理学])
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| 27. | (英) Katoh Ryohei (日) (読)
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| 28. | (英) Izumi Miki (日) (読)
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| 29. | (英) Oda Yoshinao (日) (読)
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| 30. | (英) Fukuoka Junya (日) (読)
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| ○題名 (必須): | □ | (英) Substantial improvement of histopathological diagnosis by whole-slide image-based remote consultation. (日)
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| ○要約 (任意): | □ | (英) Consultation by subspecialty experts is the most common mode of rendering diagnosis in challenging cases in pathological practice. Our study aimed to highlight the diagnostic benefits of whole-slide image (WSI)-based remote consultation. We obtained diagnostically challenging cases from two institutions from the years 2010 and 2013, with histological diagnoses that contained keywords "probable," "suggestive," "suspicious," "inconclusive," and "uncertain." A total of 270 cases were selected for remote consultation using WSIs scanned at 40 × . The consultation process consisted of three rounds: the first and second rounds each with 12 subspecialty experts and the third round with six multi-expertise senior pathologists. The first consultation yielded 44% concordance, and a change in diagnosis occurred in 56% of cases. The most frequent change was from inconclusive to definite diagnosis (30%), followed by minor discordance (14%), and major discordance (12%). Out of the 70 cases which reached the second round, 31 cases showed discrepancy between the two consultants. For these 31 cases, a consensus diagnosis was provided by six multi-expertise senior pathologists. Combining all WSI-based consultation rounds, the original inconclusive diagnosis was changed in 140 (52%) out of 266 cases. Among these cases, 80 cases (30%) upgraded the inconclusive diagnosis to a definite diagnosis, and 60 cases (22%) changed the diagnosis with major or minor discordance, accounting for 28 cases (10%) and 32 cases (12%), respectively. We observed significant improvement in the pathological diagnosis of difficult cases by remote consultation using WSIs, which can further assist in patient healthcare. A post-study survey highlighted various benefits of WSI-based consults. (日)
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| ○キーワード (推奨): | 1. | (英) Humans (日) (読)
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| 2. | (英) Microscopy (日) (読)
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| 3. | (英) Pathology, Surgical (日) (読)
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| 4. | (英) Remote Consultation (日) (読)
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| 5. | (英) Telepathology (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Virchows Archiv (European Society of Pathology)
(pISSN: 0945-6317, eISSN: 1432-2307)
| ○ISSN (任意): | □ | 1432-2307
ISSN: 0945-6317
(pISSN: 0945-6317, eISSN: 1432-2307) Title: Virchows Archiv : an international journal of pathologyTitle(ISO): Virchows ArchSupplier: Springer Online Journal ArchivePublisher: Springer (NLM Catalog)
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| ○巻 (必須): | □ | 481
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| ○号 (必須): | □ | 2
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| ○頁 (必須): | □ | 295 305
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| ○年月日 (必須): | □ | 西暦 2022年 6月 7日 (令和 4年 6月 7日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1007/s00428-022-03327-2 (→Scopusで検索)
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| ○PMID (任意): | □ | 35672584 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) PublicationType: Journal Article (日)
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