Document Detail

AutoCyte Prep system vs. conventional cervical cytology. Comparison based on 2,156 cases.
MedLine Citation:
PMID:  10756493     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the AutoCyte Prep system (Burlington, North Carolina) with conventional cervical cytology in a university medical center laboratory. STUDY DESIGN: Split-sample conventional and AutoCyte Preps were examined for 2,156 cases. Same-patient conventional and Prep slides were submitted to separate cytotechnologists blindly. The results were compared on review by a cytopathologist. The Prep slides were subsequently scanned on the AutoCyte Screen automated interactive system, with manual review of the flagged cases. The results were compared with anatomic pathology follow-up when available. RESULTS: Of the 158 squamous intraepithelial lesions (SILs) found by both methods, 78% were found by AutoCyte Prep, while 59% were found by conventional smear (P < .01). Among the discordant cases, thin-layer slides revealed 88% more LSIL lesions (P < .05), a comparable number of high grade SIL lesions and a single case of adenocarcinoma that was ambiguous on the conventional slide. The addition of AutoCyte assisted primary screening demonstrated a net benefit, recovering additional cases referenced as atypical glandular cells of undetermined significance and as high grade SIL. CONCLUSION: The AutoCyte Prep system affords excellent cellular presentations and superior sensitivity for SILs when compared to the conventional technique. The use of AutoCyte Screen, for primary screening demonstrated performance equivalent to manual screening, with a significant improvement in sensitivity when measured against biopsy results.
L Minge; M Fleming; T VanGeem; J W Bishop
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  45     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-06-21     Completed Date:  2000-06-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  179-84     Citation Subset:  IM    
Department of Pathology, Creighton University Medical Center, Omaha, Nebraska, USA.
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MeSH Terms
Adenocarcinoma / diagnosis,  pathology
Cervical Intraepithelial Neoplasia / diagnosis*,  pathology
Mass Screening
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Uterine Cervical Neoplasms / diagnosis*,  pathology
Vaginal Smears*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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