Cervico-vaginal static telecytology for positive malignancy diagnosis confirmation pilot test of the brigade as appropriation model Telecitología cervicovaginal estática para la confirmación de diagnósticos positivos de malignidad prueba piloto de la brigada como modelo de apropiación

Abstract

Pilot trial of the appropriation model of cervico-vaginal static telecytology for positive case confirmation conducted in a vulnerable neighborhood in Cartagena (Colombia). The efficiency and efficacy of the model is assessed by meaos of quality grading of sent images, verification of virtual diagnosis by the same pathologist and platform efficacy. Eightyfour cervical smears were taken during a bealth brigade. They were processed and read by the cytotechnologist. Five were diagnosed as positive for malignancy. They were transmitted by the galénica-telesalud (GT) software and were documented with S digital images of the significant fields and Ieft available in the internet. The pathologist accessed the internet and evaluated the clinical data and images, and verified the readings he himself had performed by the conventional method. Image taking efficiency and remote reading efficacy depend on an adequate training. Telecytology becomes an efficient meaos for continuing education, support for cytohistology technicians who work in isolated regions and brigade services which improve screening for cervical and uterine cancer, a public health problem in Colombia and worldwide.