کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3441671 | 1595031 | 2006 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Prediction of cervical histologic results using an abbreviated Reid Colposcopic Index during ALTS Prediction of cervical histologic results using an abbreviated Reid Colposcopic Index during ALTS](/preview/png/3441671.png)
ObjectiveThe purpose of this study was to determine the accuracy of an abbreviated Reid Colposcopic Index (RCI) to detect cervical intraepithelial neoplasia (CIN) 2 and CIN 3 during the National Cancer Institute (NCI) ASCUS LSIL Triage Study (ALTS).Study designColposcopists from 4 ALTS clinical centers indicated an RCI score after colposcopically examining subjects. Colposcopy quality control reviewers also documented an RCI score for the same subjects after assessing their digitized cervical images. Associations of colposcopist and reviewer RCI scores with histologic results were evaluated. Agreement rates between colposcopists and reviewers were calculated for colposcopic impression.ResultsOverall RCI score agreement was poor (weighted Kappa = 0.17). The sensitivity, specificity, positive and negative predictive values of a colposcopist's RCI score of >3/6 to detect CIN 3 or worse were 37.3% (95% CI 32.5%-42.3%), 89.7% (88.6%-90.8%), 30.8% (26.7%-35.2%), and 92.1% (91.1%-93.0%), respectively. The 3 colposcopic signs were not individually sensitive in detecting CIN 3.ConclusionColposcopists using the RCI in the ALTS trial failed to detect CIN 2/3 at the levels expected.
Journal: American Journal of Obstetrics and Gynecology - Volume 194, Issue 3, March 2006, Pages 704–710