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Quantitative detection of screening for cervical lesions with ThinPrep Cytology Test

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Clinical Oncology and Cancer Research

Abstract

Objective

To investigate the available parameters in gynecological screening for cervical lesions by liquid-based cytology technology (ThinPrep Cytology Test, TCT) and The Bethesda System (TBS), also with computer image analysis.

Methods

With application of the image analysis system, all grades of cervical lesion cells were detected quantitatively and sorted in atypical squamous cells of undetermined significance (ASCUS), atypical squamous cells-cannot exclude HSIL (ASC-H), low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL) and cervical squamous cell carcinoma (SCC) with the mean optical density (MOD), average grey (AG), positive units (PU), and nucleus to cytoplasmic ratio (N: C). Differences between each group of cells were compared and analyzed statistically.

Results

Apart from four stereologic parameters in LSIL and HSIL groups there were no differences among them, in the other groups, there was statistically significant in differences between MOD, AG and PU values. Differences between them in the ratio of nucleus to cytoplasm were highly statistically significant.

Conclusion

Stereological indexes may serve as a screening tool for cervical lesions. The image analysis system is expected to become a new means of cytological assisted diagnosis.

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References

  1. Renshaw AA, Young NA, Birdsong GG, et al. Comparison of performance of conventional and ThinPrep gynecologic preparations in the College of American Pathologists Gynecologic Cytology Program. Arch Pathol Lab Med 2004; 128: 17–22.

    PubMed  Google Scholar 

  2. Davey E, d’Assuncao J, Irwig L, et al. Accuracy of reading liquid based cytology slides using the ThinPrep Imager compared with conventional cytology: prospective study. BMJ 2007; 335: 31–38.

    Article  PubMed  Google Scholar 

  3. Su T. Application and valuation of liquid-based cytology technology in cervical lesions. Guo Ji Fu Chan Ke Xue Za Zhi 2004; 31: 252–255 (Chinese).

    Google Scholar 

  4. Lang JH. Modern prevention strategies of cervical cancer. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2007; 29: 575–578 (Chinese).

    PubMed  Google Scholar 

  5. Quddus MR, Neves T, Reilly ME, et al. Does the ThinPrep Imaging System increase the detection of highrisk HPV-positive ASC-US and AGUS? The Women and Infants Hospital experience with over 200000 cervical cytology cases. Cytojournal 2009; 6: 15–21.

    Article  PubMed  Google Scholar 

  6. Grace A, McBrearty P, Troost S, et al. Comparative study: conventional cervical and ThinPrep Pap tests in a routine clinical setting. Cytopathology 2002; 13: 200–205.

    Article  CAS  PubMed  Google Scholar 

  7. Alves VA, Bibbo M, Schmitt FC, et al. Comparison of manual and automated methods of liquid-based cytology. A morphologic study. Acta Cytol 2004; 48: 187–193.

    Google Scholar 

  8. Lozano R. Comparison of computer-assisted and manual screening of cervical cytology. Gynecol Oncol 2007; 104: 134–138.

    Article  PubMed  Google Scholar 

  9. Widdows K, Kingdom JC, Ansari T. Double immunolabelling of proliferating villous cytotrophoblasts in thick paraffin sections: integrating immuno-histochemistry and stereology in the human placenta. Placenta 2009; 30: 735–738.

    Article  CAS  PubMed  Google Scholar 

  10. Niu HY, Shen H. The expression and significance of ABCG2 in lung carcinoma. Zhongguo Ti Shi Xue Yu Tu **ang Fen ** 2007; 12: 167–171 (Chinese).

    Google Scholar 

  11. Odaci E, Bilen H, Hacimuftuoglu A, et al. Long-term treatments with low- and high dose olanzapine change hepatocyte numbers in rats. A stereological and histopathological study. Archives of Medical Research 2009; 40: 139–145.

    Article  CAS  PubMed  Google Scholar 

  12. Boost T. A comparison of screening times between the ThinPrep Imager and conventional cytology. Diagn Cytopathol 2009; 37: 661–664.

    Article  PubMed  Google Scholar 

  13. Ge Y, Smith D, Schwartz MR, et al. Image-guided ThinPrep Papanicolaou tests and cotesting with highrisk human papillomavirus in women aged 30 years and older in a low-risk private practice population. Cancer Cytopathol 2009; 117: 326–332.

    Article  PubMed  Google Scholar 

  14. Pinco J, Goulart RA, Otis CN, et al. Impact of digital image manipulation in cytology. Arch Pathol Lab Med 2009; 133: 57–61.

    PubMed  Google Scholar 

  15. Rahimi S, Carnovale-Scalzo C, Marani C, et al. Comparison of conventional Papanicolaou smears and fluid-based, thin-layer cytology with colposcopic biopsy control in central Italy: a consecutive sampling study of 461 cases. Diagn Cytopathol 2009; 37: 1–3.

    Article  PubMed  Google Scholar 

  16. Pacheco MC, Conley RC, Pennington DW, et al. Concordance between original screening and final diagnosis using imager vs. manual screen of cervical liquid-based cytology slides. Acta Cytol 2008; 52: 575–578.

    PubMed  Google Scholar 

  17. Ho C, Khalil M, Duggan MA. Higher diagnostic accuracy with the ThinPrep method in a simulated intraoperative environment. Cytopathology 2009; 20: 91–95.

    Article  CAS  PubMed  Google Scholar 

  18. Zhu J, Norman I, Elfgren K, et al. A comparison of liquid-based cytology and Pap smear as a screening method for cervical cancer. Oncol Rep 2007; 18: 157–160.

    PubMed  Google Scholar 

  19. Zhang FF, Banks HW, Langford SM, et al. Accuracy of ThinPrep Imaging System in detecting low-grade squamous intraepithelial lesions. Arch Pathol Lab Med 2007; 131: 773–776.

    PubMed  Google Scholar 

  20. Lipari L, Mauro A, Tortorici S, et al. Immunohistochemical and transcriptional expression of the matrix metalloproteinases MMP-2 and MMP-9 in normal and pathological human oral mucosa. J Biol Regul Homeost Agents 2009; 23: 259–267.

    CAS  PubMed  Google Scholar 

  21. Chivukula M, Saad RS, Elishaev E, et al. Introduction of the Thin Prep Imaging System (TIS): experience in a high volume academic practice. Cytojournal 2007; 4: 6.

    Article  PubMed  Google Scholar 

  22. Behtash N, Mehrdad N. Cervical cancer: screening and prevention. Asian Pac J Cancer Prev 2006; 7: 683–686.

    PubMed  Google Scholar 

  23. Runowicz CD. Molecular screening for cervical cancer — time to give up Pap tests? NEJM 2007; 357: 1650–1653.

    Article  CAS  PubMed  Google Scholar 

  24. Thrall MJ, Russell DK, Bonfiglio TA, et al. Use of the ThinPrep Imaging System does not alter the frequency of interpreting Papanicolaou tests as atypical squamous cells of undetermined significance. Cytojournal 2008; 5: 10–15.

    Article  PubMed  Google Scholar 

  25. Papillo JL, St John TL, Leiman G. Effectiveness of the ThinPrep Imaging System: clinical experience in a low risk screening population. Diagn Cytopathol 2008; 36: 155–160.

    Article  PubMed  Google Scholar 

Download references

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Corresponding author

Correspondence to Kui-sheng Chen.

Additional information

This work was supported by a grant from the Natural Science Foundation of Henan Province, China (No.102300410078).

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Zhang, Hx., Song, Ym., Li, Sh. et al. Quantitative detection of screening for cervical lesions with ThinPrep Cytology Test. Clin. Oncol. Cancer Res. 7, 299–302 (2010). https://doi.org/10.1007/s11805-010-0535-7

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  • DOI: https://doi.org/10.1007/s11805-010-0535-7

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