Application of digital slide scanning in external quality assessment program on intestinal parasites.

Annals of Saudi medicine Pub Date : 2024-11-01 Epub Date: 2024-12-05 DOI:10.5144/0256-4947.2024.369
Vien Tien Nguyen, Phuc Thi Diem Huynh, Phuong Thi Be Nguyen, Dang Ngoc Tran, Vien Truong Nguyen, Dat Quoc Ngo, Chuon Van Le
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引用次数: 0

Abstract

Background: Intestinal parasitic infections remain prevalent in Viet Nam. Therefore, ensuring quality assurance in intestinal parasite testing is crucial for screening laboratories. The challenges associated with liquid or glass slide samples necessitate the exploration of digital slide applications, which can offer numerous benefits to program suppliers and participants.

Objectives: Compare the true and concordance rates of digital and glass slides for diagnosis.

Design: Experimental research design.

Materials and methods: In total, 30 medical professionals from 30 hospitals participated in the trial. The sets of slides encompassed a range of densities, including negative and coinfected slides. Seven types of glass slides were selected for scanning and digital slide production.

Main outcome measures: The primary outcomes were true and concordance variables. Secondary outcomes included time sample sending and time completion. The digital slides were uploaded to a secure website for participant access while glass slides were sent individually by mail. Data collection involved participants analyzing specimens and reporting their results using a scoring method based on parasite detection and identification accuracy.

Sample size: 210 glass and digital slide-reading results each.

Results: The mean true rate between original and glass slides diagnosis was 97.6% (range 90.0%-100%), and it slightly increased to 98.1% (range 90.0%-100%) when using digital slides. The average concordance diagnosis rate between glass and digital slides was 99.5%. Importantly, there were no differences in the diagnostic results between glass and digital slides. The findings revealed that the use of digital slides reduced the total time required by approximately 1.1 days compared with that of glass slides.

Conclusion: Altogether, the application of digital slides in the external quality assessment program for intestinal parasites offers convenience for users through online platforms and saves operational time process.

Limitations: The small sample size in this experimental study limited the statistical significance of the comparisons.

数字切片扫描在肠道寄生虫外部质量评价中的应用。
背景:肠道寄生虫感染在越南仍然很普遍。因此,确保肠道寄生虫检测的质量对筛查实验室至关重要。与液体或玻璃载玻片样品相关的挑战需要探索数字载玻片应用程序,这可以为程序供应商和参与者提供许多好处。目的:比较数字载玻片和玻璃载玻片诊断的真实率和符合率。设计:实验研究设计。材料与方法:共有来自30家医院的30名医学专业人员参与了试验。各组载玻片包含一系列密度,包括阴性和共感染载玻片。选择7种类型的玻片进行扫描和数字玻片制作。主要结局指标:主要结局为真实和一致性变量。次要结果包括时间样本发送和时间完成。数码幻灯片被上传到一个安全的网站,供参与者访问,而玻璃幻灯片则通过邮件单独发送。数据收集涉及参与者分析标本并使用基于寄生虫检测和识别准确性的评分方法报告其结果。样本量:210个玻璃和数字幻灯片阅读结果。结果:原始玻片与玻片诊断的平均准确率为97.6%(范围90.0% ~ 100%),数字玻片的诊断准确率略高于98.1%(范围90.0% ~ 100%)。玻片与数字玻片的平均诊断率为99.5%。重要的是,玻片和数码玻片的诊断结果没有差异。研究结果显示,与使用玻璃载玻片相比,使用数字载玻片可减少约1.1天的总所需时间。结论:综上所述,数字化幻灯片应用于肠道寄生虫外部质量评估方案,通过在线平台方便了用户,节省了操作时间流程。局限性:本实验研究样本量小,限制了比较的统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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