The use of automated readings in gynaecological cytology. The cytotechnician's viewpoint

Imma Soler Font, Emilia Romero Martos, Lara Pijuan Andújar, Belen Lloveras Rubio, Ramon Carreras Collado, Sergi Serrano Figueras, Francesc Alameda Quitllet

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

The use of automated technologies in gynaecological cytology is increasing in many departments of pathology. Amongst other things, it allows the cytotechnician and the cytologist to focus on specific areas of the slide which enhances identification and therefore improves diagnosis. We have carried out a comparative study of (53.311 samples taken from the same number of women resident in Barcelona. We compared the efficiency of conventional cytology, liquid cytology (ThinPrep Pap Test®, TPPT, Hologic, Malborough, Massachussets) with manual reading and liquid cytology (ThinPrep Pap Test) with automated reading (Imager®, Hologic, Malborough Massachussets). Two aspects were evaluated: comparative global performance and performance in relation to patient follow-up. We found that automated readings increased the diagnosis of ASCUS and LSIL whilst the frequency of HSIL diagnosis remained similar. However, in patient follow-ups, we observed that more cases of HSIL were detected in women with previous diagnoses of ASCUS and LSIL when automated reading was used and that there was a significantly greater correlation between the cytological diagnosis and the findings on biopsy. We concluded that there is greater sensitivity for the diagnosis of ASCUS and LSIL as well as an increased specificity for the diagnosis of HSIL when automated readings of gynaecological cytology are used. © 2009 SEAP y SEC.
Original languageEnglish
Pages (from-to)69-72
JournalRevista Espanola de Patologia
Volume43
Issue number2
DOIs
Publication statusPublished - 1 Apr 2010

Keywords

  • Automated screening
  • Gynaecological cytology
  • Quality control

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