Automated screening of gynecologic cytology: a comparison of results.

Francesc Alameda, Lara Pijuan, Belen Lloveras, Imma Soler, Emilia Romero, Ramon Carreras, Sergio Serrano
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引用次数: 0

Abstract

Objective: To compare the results among conventional gynecologic cytology liquid-based cytology and manual screening and liquid-based cytology automatically screened.

Study design: The results of 53,311 cervicovaginal samples, corresponding to 53,311 women of Barcelona, Spain are reviewed. The cases are subdivided into 19,742 conventional cervicovaginal samples; 17,596 liquid-based cytology, manually screened samples; and 15,973 liquid-based automated-screened samples.

Results: The automated screening increases the atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion detection, in respect to liquid-based, manual screening and conventional cytology. In the follow-up, automated screening increases the diagnosis of squamous intraepithelial lesion (low-grade squamous intraepithelial lesion and high-grade squamous intraepithelial lesion).

Conclusion: Automated screening increases detection of all categories and increases the specificity for high-grade squamous intraepithelial lesion.

妇科细胞学自动筛选:结果比较。
目的:比较常规妇科细胞学液基细胞学与人工筛查和液基细胞学自动筛查的结果。研究设计:对53311份宫颈阴道样本的结果进行回顾,对应于西班牙巴塞罗那的53311名女性。病例细分为19,742例常规宫颈阴道样本;17596例液体细胞学检测,手工筛选样本;15973份液体自动筛选样品。结果:与液基筛查、人工筛查和常规细胞学筛查相比,自动筛查增加了意义不确定的非典型鳞状细胞和低级别鳞状上皮内病变的检出。在随访中,自动筛查增加了鳞状上皮内病变(低级别鳞状上皮内病变和高级别鳞状上皮内病变)的诊断。结论:自动化筛查增加了对所有类别的检测,并增加了对高级别鳞状上皮内病变的特异性。
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