Delphi expert consensus for whole slide imaging in thyroid cytopathology.

Delphi method consensus panel digital pathology thyroid cytopathology validation whole slide imaging

Journal

Cytopathology : official journal of the British Society for Clinical Cytology
ISSN: 1365-2303
Titre abrégé: Cytopathology
Pays: England
ID NLM: 9010345

Informations de publication

Date de publication:
Nov 2023
Historique:
revised: 05 07 2023
received: 07 06 2023
accepted: 14 07 2023
pubmed: 2 8 2023
medline: 2 8 2023
entrez: 2 8 2023
Statut: ppublish

Résumé

Despite an increase in thyroid fine needle aspiration (FNA) and advances in whole slide imaging (WSI) adoption, digital pathology is still considered inadequate for primary diagnosis of these cases. Herein, we aim to validate the utility of WSI in thyroid FNAs employing the Delphi method strategy. A panel of experts from seven reference cytology centres was recruited. The study consisted of two consecutive rounds: (1) an open-ended, free-response questionnaire generating a list of survey items; and (2) a consensus analysis of 80 selected shared WSIs from 80 cases by six investigators answering six morphological questions utilising a 1 to 5 Likert scale. High consensus was achieved for all parameters, with an overall average score of 4.27. The broad majority of items (84%) were ranked either 4 or 5 by each physician. Two badly scanned cases were responsible for more than half of the low-ranked (≤2) values (57%). Good to excellent (≥3) diagnostic confidence was reached in more than 95.2% of cases. For most cases (78%) WSI assessment was not limited by technical issues linked to the image acquisition process. This systematic Delphi study indicates broad consensus among participating physicians on the application of DP to thyroid cytopathology, supporting expert opinion that WSI is reliable and safe for primary diagnostic purposes.

Identifiants

pubmed: 37530465
doi: 10.1111/cyt.13279
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

581-589

Subventions

Organisme : Italian Minister of University MUR Dipartimenti di Eccellenza 2023-2027 (l. 232/2016, art. 1, commi 314 - 337) and grant RF GR-2019-12368592

Informations de copyright

© 2023 The Authors. Cytopathology published by John Wiley & Sons Ltd.

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Auteurs

Stefano Marletta (S)

Department of Diagnostics and Public Health, Section of Pathology, University of Verona, Verona, Italy.
Department of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy.

Maria Salatiello (M)

Department of Public Health, University of Naples Federico II, Naples, Italy.

Liron Pantanowitz (L)

Department of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Claudio Bellevicine (C)

Department of Public Health, University of Naples Federico II, Naples, Italy.

Massimo Bongiovanni (M)

Cytopathology, SYNLAB Suisse SA, Lausanne, Switzerland.

Emanuela Bonoldi (E)

Niguarda Cancer Center, Milan, Italy.

Gisele De Rezende (G)

Niguarda Cancer Center, Milan, Italy.

Guido Fadda (G)

Department of Human Pathology of the Adulthood and of the Developing Age "Gaetano Barresi", Faculty of Medicine and Surgery, University of Messina, Messina, Italy.

Paolo Incardona (P)

Complex Structure of Anatomic Pathology, ASST Spedali Civili of Brescia, Brescia, Italy.

Enrico Munari (E)

Pathology Unit, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.

Fabio Pagni (F)

Department of Medicine and Surgery, Pathology, University of Milano-Bicocca, IRCCS (Scientific Institute for Research, Hospitalization and Healthcare) Fondazione San Gerardo dei Tintori, Monza, Italy.

Esther Diana Rossi (ED)

Division of Anatomic Pathology and Histology, Fondazione Policlinico Universitario A.Gemelli-IRCCS, Rome, Italy.

Giovanni Tallini (G)

Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), University of Bologna, Bologna, Italy.
Solid Tumor Molecular Pathology Laboratory, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Giancarlo Troncone (G)

Department of Public Health, University of Naples Federico II, Naples, Italy.

Clara Ugolini (C)

Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.

Elena Vigliar (E)

Department of Public Health, University of Naples Federico II, Naples, Italy.

Albino Eccher (A)

Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy.

Classifications MeSH