title: Integration of tablet technologies in the e-laboratory of cytology: a health technology assessment.
abstract: BACKGROUND
  Although tablet systems are becoming a powerful technology, particularly useful in every application of medical imaging, to date no one has investigated the acceptance and performance of this technology in digital cytology. The specific aims of the work were (1) to design a health technology assessment (HTA) tool to assess, in terms of performance and acceptance, the introduction of tablet technologies (wearable, portable, and non portable) in the e-laboratories of cytology and (2) to test the tool in a first significant application of digital cytology.
  
  
  METHODS
  An HTA tool was proposed operating on a domain of five dimensions of investigation comprising the basic information of the product of digital cytology, the perceived subjective quality of images, the assessment of the virtual navigation on the e-slide, the assessment of the information and communication technologies features, and the diagnostic power. Six e-slides regarding studies of cervicovaginal cytology digitalized by means of an Aperio ( www.aperio.com ) scanner and uploaded onto the www.digitalslide.it Web site were used for testing the methodology on three different network connections.
  
  
  RESULTS
  Three experts of cytology successfully tested the methodology on seven tablets found suitable for the study in their own standard configuration. Specific indexes furnished by the tool indicated both a high degree of performance and subjective acceptance of the investigated technology.
  
  
  CONCLUSIONS
  The HTA tool thus could be useful to investigate new tablet technologies in digital cytology and furnish stakeholders with useful information that may help them make decisions involving the healthcare system. From a global point of view the study demonstrates the feasibility of using the tablet technology in digital cytology.
authors.affiliation: 1 The Italian National Institute of Health , Rome, Italy .
authors.forename: Daniele
authors.initials: D
authors.lastname: Giansanti
authors.forename: Marco
authors.initials: M
authors.lastname: Pochini
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Giovagnoli
mesh_terms: D003585:Cell Biology; D040421:Cell Phone; D034201:Computers, Handheld; D003584:Cytological Techniques; D006801:Humans; D007558:Italy; D018511:Systems Integration; D013673:Technology Assessment, Biomedical / Q000379:methods*; D017216:Telemedicine / Q000379:methods*
keywords: e-health; technology; telehealth; telepathology