Abstract
Divergent descriptions of histopathologic images induce inter- and intra-observer variability in diagnosis. Even though a controlled terminology exists to describe medical imaging, pathologists do not always agree on the visual representation of the descriptive terms. The main purpose of our work is to define a methodology to build a standardized visual coding system unambiguously characterizing the terms of a microglossary. The methodology follows two steps: 1) the acquisition of experts' descriptions of images using the microglossary and 2) a consensus derivation. The procedure was applied on a set of 85 histopathological images of breast tumors described by two experts. Among the 339 objects selected in images, 176 were detected by both experts, 77% localized at the same place and 25% also identically labeled. The microglossary was enriched and illustrated via the resulting consensual descriptions. The contribution of this work supports relevant indexing of biomedical images and image-related information.
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- Bidgood W. D., Jr, Horii S. C., Prior F. W., Van Syckle D. E. Understanding and using DICOM, the data interchange standard for biomedical imaging. J Am Med Inform Assoc. 1997 May-Jun;4(3):199–212. doi: 10.1136/jamia.1997.0040199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bidgood W. D., Jr The SNOMED DICOM microglossary: controlled terminology resource for data interchange in biomedical imaging. Methods Inf Med. 1998 Nov;37(4-5):404–414. [PubMed] [Google Scholar]
- Fleming K. A. Evidence-based pathology. J Pathol. 1996 Jun;179(2):127–128. doi: 10.1002/(SICI)1096-9896(199606)179:2<127::AID-PATH519>3.0.CO;2-Z. [DOI] [PubMed] [Google Scholar]
- Hatton C., Woods J., Dhir R., Bastacky S., Epstein J., Miller G., Greenson J., Wojno K., Becich M. Application of UMLS indexing systems to a WWW-based tool for indexing of digital images. Proc AMIA Annu Fall Symp. 1997:420–423. [PMC free article] [PubMed] [Google Scholar]
- Lehmann H. P., Nguyen B., Freedman J. Delivering labeled teaching images over the Web. Proc AMIA Symp. 1998:418–422. [PMC free article] [PubMed] [Google Scholar]
- Rosai J. Standardized reporting of surgical pathology diagnoses for the major tumor types. A proposal. The Department of Pathology, Memorial Sloan-Kettering Cancer Center. Am J Clin Pathol. 1993 Sep;100(3):240–255. doi: 10.1093/ajcp/100.3.240. [DOI] [PubMed] [Google Scholar]
- Stheeman S. E., van 't Hof M. A., Mileman P. A., van der Stelt P. F. Use of the Delphi technique to develop standards for quality assessment in diagnostic radiology. Community Dent Health. 1995 Dec;12(4):194–199. [PubMed] [Google Scholar]
- de Vet H. C., Koudstaal J., Kwee W. S., Willebrand D., Arends J. W. Efforts to improve interobserver agreement in histopathological grading. J Clin Epidemiol. 1995 Jul;48(7):869–873. doi: 10.1016/0895-4356(94)00225-f. [DOI] [PubMed] [Google Scholar]