title: Integrating a Web-Based Whole-Slide Imaging System and Online Questionnaires in a National Cytopathology Peer Comparison Educational Program in Taiwan.
abstract: OBJECTIVE
  In a peer comparison educational program, transferring glass slides between laboratories and collecting responses are time- and cost-consuming. Integrating a web-based whole-slide imaging (WSI) system and online questionnaires may serve as a promising solution.
  
  
  METHODS
  Five gynecologic Papanicolaou-stained smears and 5 nongynecologic slides were selected. The 10 whole-slide images were acquired by a Leica SCN-400 system and released via an Aperio eSlide Manager. Online questionnaires generated by Google Forms with access to the 10 whole-slide images were released to all the practitioners in Taiwan by e-mail. After closing the program, an online posttest feedback survey was conducted.
  
  
  RESULTS
  A total of 302 participants joined the gynecologic test, and 291 joined the nongynecologic test. The correct interpretation rates were 81.8-93.7% in the former and 28.5-93.1% in the latter. In the posttest feedback survey, there were 63.2% of the participants reporting first-time WSI experience, and 97.9% of them said they would like to participate in a similar program again.
  
  
  CONCLUSIONS
  Integrating a web-based WSI system and online questionnaires is an easy method to access nationwide practitioners. Participants can make interpretations using WSI even without prior experience. The model is valuable for those who want to initiate a large-scale cytopathology peer comparison educational program.
authors.affiliation: Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Jen-Fan
authors.initials: JF
authors.lastname: Hang
authors.forename: Wen-Yih
authors.initials: WY
authors.lastname: Liang
authors.forename: Chih-Yi
authors.initials: CY
authors.lastname: Hsu
authors.forename: Chiung-Ru
authors.initials: CR
authors.lastname: Lai
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000379:methods*; D020407:Internet / Q000706:statistics & numerical data*; D060787:Neoplasm Grading; D065006:Papanicolaou Test; D010336:Pathology / Q000193:education*; D011379:Prognosis; D065310:Squamous Intraepithelial Lesions of the Cervix / Q000382:microbiology / Q000473:pathology*; D011795:Surveys and Questionnaires; D013624:Taiwan; D013663:Teaching / Q000379:methods*; D014245:Trichomonas Infections / Q000382:microbiology / Q000473:pathology; D014246:Trichomonas vaginalis / Q000302:isolation & purification; D002578:Uterine Cervical Dysplasia / Q000382:microbiology / Q000473:pathology*