PDF(Pubmed)
Abstract：
Telediagnosis uses information and communication technologies to support diagnosis, shortening geographical distances. It helps make decisions about various oral lesions. The objective of this scoping review was to map the existing literature on digital strategies to assist in the diagnosis of oral squamous cell carcinoma. this review was structured based on the 5-stage methodology proposed by Arksey and O\'Malley, the Joanna Briggs Institute Manual for Evidence Synthesis and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. The methods were registered on the Open Science Framework. The research question was: What digital strategies have been used to assist in the diagnosis of oral squamous cell carcinoma? The search was conducted on PubMed/MEDLINE, Scopus, Web of Science, Embase, and ScienceDirect. Inclusion criteria comprised studies on telediagnosis, teleconsultation or teleconsultation mediated by a professional and studies in English, without date restrictions. The search conducted in June 2023 yielded 1,798 articles, from which 16 studies were included. Telediagnosis was reported in nine studies, involving data screening through applications, clinical images from digital cameras, mobile phones or artificial intelligence. Histopathological images were reported in four studies. Both, telediagnosis and teleconsultation, were mentioned in seven studies, utilizing images and information submission services to platforms, WhatsApp or applications. One study presented teleconsultations involving slides and another study introduced teleconsultation mediated by a professional. Digital strategies telediagnosis and teleconsultations enable the histopathological diagnosis of oral cancer through clinical or histopathological images. The higher the observed diagnostic agreement, the better the performance of the strategy.
摘要：
远程诊断使用信息和通信技术来支持诊断，缩短地理距离。它有助于对各种口腔病变做出决定。这项范围审查的目的是绘制有关数字策略的现有文献，以协助诊断口腔鳞状细胞癌。这篇综述是基于Arksey和O\'Malley提出的5阶段方法构建的，JoannaBriggs研究所的证据综合手册，并遵循系统审查和Meta分析扩展的首选报告项目进行范围审查。这些方法已在开放科学框架上注册。研究问题是：在口腔鳞状细胞癌的诊断中使用了哪些数字策略？在PubMed/MEDLINE上进行了搜索，Scopus,WebofScience,Embase,和科学直接。纳入标准包括远程诊断研究，由专业人员和英语专业人员调解的远程会诊或远程会诊，没有日期限制。2023年6月进行的搜索产生了1,798篇文章，其中包括16项研究。九项研究报告了远程诊断，涉及通过应用程序进行数据筛选，来自数码相机的临床图像，手机或人工智能。在四项研究中报告了组织病理学图像。两者,远程诊断和远程会诊,在七项研究中提到，利用图像和信息提交服务到平台，WhatsApp或应用程序。一项研究介绍了涉及幻灯片的远程会诊，另一项研究介绍了由专业人员介导的远程会诊。数字策略远程诊断和远程咨询可以通过临床或组织病理学图像对口腔癌进行组织病理学诊断。观察到的诊断一致性越高，策略的性能越好。
