阴道镜医师对三种更常见的腺性宫颈前体瘤数字图像识别的一致意见

IF 0.4 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Giselle Fachetti-Machado, Rosane Ribeiro Figueiredo-Alves, Marise Amaral Rebouças Moreira, Rita Maira Zanine, Maria José de Camargo, Eliana Pereira dos Reis
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引用次数: 0

摘要

背景:消除宫颈癌的全球战略可能会导致宫颈前体瘤变患病率下降,导致需要提高阴道镜诊断性能,这可能会受到负面影响。本研究的目的是评估五名阴道镜检查人员对三张孤立的阴道镜图像和不同程度的阴道镜检查结果的一致性。方法:在本回顾性研究中,两名原阴道镜医师检查了2005年至2018年期间治疗的患者的阴道镜图像,根据国际宫颈病理学和阴道镜术语对其进行分类,并评估其是否存在阻塞扩张的成组腺体,内翻边界是否融合的醋酸白色绒毛,以及圆柱形上皮区域的非典型血管。之后,三位独立的阴道镜检查专家也对这些阴道镜检查结果进行了分类。使用Kappa (κ)系数评估三位独立的阴道镜检查结果与两位原始阴道镜检查结果之间的一致程度。结果:在纳入的822例患者中,67.4%诊断为宫颈上皮内瘤变(CIN) 2级或3级,6.8%为原位腺癌,11.8%为CIN 1级。每张图像的一致性范围为κ 0.14至0.37 (p <0.001)。具有内陷边界的醋酸白绒毛(κ 0.15-0.37)、主要(κ 0.29-0.46)和次要(κ 0.14-0.36)阴道镜检查结果的一致性最高(p≤0.001)。结论:三名独立的、两名原阴道镜检查人员对三个独立的阴道镜图像的识别一致性从弱到一般,对大、小阴道镜检查结果的识别一致性从弱到中等,具有统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Agreement among Colposcopists on the Identification of Three Digital Images More Frequently Seen in Glandular Cervical Precursor Neoplasias
Background: Global strategies to eliminate cervical cancer will probably be followed by a drop in prevalence of precursor cervical neoplasias, leading to the need of improving colposcopic diagnostic performance that may negatively be affected. The aim of this study was to assess agreement among five colposcopists regarding the presence of three isolated colposcopic images, and different degrees of colposcopic findings. Methods: In this retrospective study, two original colposcopists examined colposcopic images of patients treated between 2005 and 2018, classified them following the International Federation for Cervical Pathology and Colposcopy terminology, and evaluated them for the presence of obstructed dilated grouped glands, aceto-white villi with invaginated borders fused or not, and atypical vessels in cylindrical epithelium area. Posteriorly, three independent colposcopists also classified those colposcopic findings. The degree of agreement between the findings of the three independent, and the two original colposcopists was assessed using the Kappa (κ) coefficient. Results: Among the 822 included patients, 67.4% had a diagnosis of cervical intraepithelial neoplasia (CIN) grades 2 or 3, 6.8% of adenocarcinoma in situ, and 11.8% of CIN 1. The agreement for each image ranged from κ 0.14 to 0.37 (p < 0.001). The highest agreements occurred for aceto-white villi with invaginated borders (κ 0.15–0.37), major (κ 0.29–0.46), and minor (κ 0.14–0.36) colposcopic findings (p ≤ 0.001). Conclusions: The agreement among the three independent, and the two original colposcopists was statistically significant, ranging from weak to regular for the identification of three isolated colposcopic images, and from weak to moderate for the identification of major and minor colposcopic findings.
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
241
审稿时长
1 months
期刊介绍: CEOG is an international, peer-reviewed, open access journal. CEOG covers all aspects of Obstetrics and Gynecology, including obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine. All submissions of cutting-edge advances of medical research in the area of women''s health worldwide are encouraged.
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