Advertisement

Utility of WhatsApp as a Tool for Tele-oncopathology for Oral Lesions

  • Neha Garg
  • Nadeem TanveerEmail author
  • Jyotsana Harit Gaur
Original Article
  • 15 Downloads

Abstract

Traditional telepathology techniques like whole slide imaging and robotic microscopy are too expensive to be used in developing countries. With the advent of smartphones with high-resolution cameras and faster internet services, it is now possible to send good-quality images to pathologist for diagnosis. To study the utility of WhatsApp image transfer in the histopathological diagnosis of common oral malignant and benign lesions. A total of 100 cases of oral biopsy were included in the study. These comprised of 58 cases of squamous cell carcinoma, 33 cases of oral leukoplakia, 3 cases of oral lichen planus and 6 cases of moderate to severe dysplasia. The conventional microscopy diagnosis made by glass slide viewing was taken as the gold standard and the concordance of the WhatsApp diagnosis with the gold standard was calculated for each category of diagnosis and also for all the 100 cases. The concordance rate for squamous cell carcinoma was 96.6%(56/58). For leukoplakia, there was 100%(33/33) concordance between the WhatsApp diagnosis and conventional microscopy. The concordance rates for dysplasia (4/6) and oral lichen planus (2/3) were 66.7% each. Hence, for all the categories taken together, the overall concordance rate was 95%. A concordance rate of 95% is very encouraging; however, for routine diagnostic use in telepathology, there is still a long way to go. With the availability of better smartphone cameras and faster internet, it will be possible to send better quality images in the future. The pathologists will also learn where to draw the line and ask for glass slides for final diagnosis.

Keywords

Smartphone assisted telepathology Oral biopsy Tele-oncopathology 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Sarode SC, Sarode GS, Anand R, Patil S, Unadkat H (2017) WhatsApp is an effective tool for obtaining second opinion in oral pathology practice. J Oral Pathol Med 46(7):513–519CrossRefGoogle Scholar
  2. 2.
    Goyal A, Tanveer N, Sharma P (2017) WhatsApp for teaching pathology postgraduates: a pilot study. J Pathol Inform 8:6CrossRefGoogle Scholar
  3. 3.
    Ekong D, Liu F, Brown GT, Ghosh A, Fontelo P (2017) Evaluation of android smartphones for telepathology. J Pathol Inform 8:16CrossRefGoogle Scholar
  4. 4.
    Petruzzi M, De Benedittis M (2016) WhatsApp: a telemedicine platform for facilitating remote oral medicine consultation and improving clinical examinations. Oral Surg Oral Med Oral Pathol Oral Radiol 121(3):248–254CrossRefGoogle Scholar
  5. 5.
    Sahin D, Hacisalihoglu UP, Kirimlioglu SH (2018) Telecytology: is it possible with smartphone images? Diagn Cytopathol 46(1):40–46CrossRefGoogle Scholar
  6. 6.
    Speiser JJ, Hughes I, Mehta V, Wojcik EM, Hutchens KA (2014) Mobile teledermatopathology: using a tablet PC as a novel and cost-efficient method to remotely diagnose dermatopathology cases. Am J Dermatopathol 36(1):54–57CrossRefGoogle Scholar
  7. 7.
    Fontelo P, Liu F, Yagi Y (2015) Evaluation of a smartphone for telepathology: lessons learned. J Pathol Inform 6:35CrossRefGoogle Scholar
  8. 8.
    Morrison AS, Gardner JM (2014) Smart phone microscopic photography: a novel tool for physicians and trainees. Arch Pathol Lab Med 138:1002CrossRefGoogle Scholar
  9. 9.
    Crane GM, Gardner JM (2016) Pathology image-sharing on social media: recommendations for protecting privacy while motivating education. AMA J Ethics 18:817–825CrossRefGoogle Scholar
  10. 10.
    Isom J, Walsh M, Gardner JM (2017) Social media and pathology: where are we now and why does it matter? Adv Anat Pathol 24:294–303CrossRefGoogle Scholar

Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Department of PathologyUniversity College of Medical SciencesDelhiIndia

Personalised recommendations