{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:02:45Z","timestamp":1788559365881,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T00:00:00Z","timestamp":1581638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cytopathology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Telecytology for second opinion consultation has largely been limited by technical issues, such as the inability to focus well on cellular material. Nevertheless, international telecytology consultation was undertaken at our institution with partners in China and Italy. To overcome issues with scanning cytology slides, we adopted a cell\u2010block (<jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>) preference for teleconsultation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Telecytology consultation cases received over a 7.5\u2010year period were retrospectively reviewed. Cytology glass slides were scanned without Z\u2010stacking using different whole slide scanners. For one referring site, only haematoxylin\u2010eosin\u2010stained <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content>s were scanned, as well as immunostains requested by consultants. For another host centre, aspirate smears were also scanned in some cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 51 non\u2010gynaecological cases (44 <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content> only) were evaluated from 48 patients. The specimens included pleural fluids (19), pancreas (14), lymph nodes (6), peritoneal fluids (2) and miscellaneous samples (10). The cytological diagnoses spectrum included 16 (31.37%) cases positive for malignancy, 7 (13.72%) positive for neoplasm, 6 (11.76%) suspicious for malignancy, 10 (19.60%) atypical, 10 (19.60%) negative for malignancy and 2 (3.92%) non\u2010diagnostic. In 42 (82.35%) cases, immunocytochemistry was requested. Turn\u2010around\u2010time ranged from 1.5 to 306\u00a0hours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our experience shows that international telecytology for consultation purposes involving non\u2010gynaecological cases is feasible. A second opinion interpretation was rendered in the majority (64.7%) of cases. Utilising <jats:styled-content style=\"fixed-case\">CB<\/jats:styled-content> only for cytology consultations by whole slide imaging solved focus issues that typically plague evaluation of cytology aspirate smears.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cyt.12800","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T14:06:16Z","timestamp":1579615576000},"page":"419-425","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The utility of cell blocks for international cytopathology teleconsultation by whole slide imaging"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1960-9847","authenticated-orcid":false,"given":"Swati","family":"Satturwar","sequence":"first","affiliation":[{"name":"Department of Pathology University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3039-4445","authenticated-orcid":false,"given":"Sara E.","family":"Monaco","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3334-5876","authenticated-orcid":false,"given":"Juan","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liron","family":"Pantanowitz","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000441192"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000442390"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5858\/135.2.211"},{"issue":"6","key":"e_1_2_8_5_1","first-page":"630","article-title":"Telepathologic review: utility, diagnostic accuracy, and interobserver variability on a difficult case consultation service","volume":"10","author":"Raab SS","year":"1997","journal-title":"Mod Pathol"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/2153-3539.170650"},{"issue":"3","key":"e_1_2_8_7_1","first-page":"449","article-title":"Three years of experience with routine use of telepathology in assessment of excisional and aspirate biopsies of breast lesions","volume":"46","author":"Hitchcock CL","year":"2005","journal-title":"Croat Med J"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MP.0000033928.11585.42"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2011.110418"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.090"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/2153-3539.91129"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.22822"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/105.5.599"},{"key":"e_1_2_8_14_1","first-page":"35","article-title":"Expert consultation for cervical carcinoma smears. 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