Evidence map›Paper›PMID 32535593›Full record

ArticleActa cytologica2020

Comparison of ThinPrep Integrated Imager-Assisted Screening versus Manual Screening of ThinPrep Liquid-Based Cytology Specimens.

Kyoko Tanaka, Daisuke Aoki, Akiko Tozawa-Ono, Nao Suzuki, Kiyoshi Takamatsu, Masaru Nakamura, Hajime Tsunoda, Shigeo Seino, Noriko Kobayashi, Takefumi Shirayama and 1 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Acta cytologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Kyoko TanakaDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Daisuke AokiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan, aoki@z7.keio.jp.
Akiko Tozawa-OnoDepartment of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, Japan.
Nao SuzukiDepartment of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, Japan.
Kiyoshi TakamatsuDepartment of Obstetrics and Gynecology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.
Masaru NakamuraDepartment of Obstetrics and Gynecology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.
Hajime TsunodaDepartment of Obstetrics and Gynecology, NTT Medical Center Tokyo, Tokyo, Japan.
Shigeo SeinoClinical Laboratory Department, Setagaya Health Center, Tokyo, Japan.
Noriko KobayashiClinical Laboratory Department, Setagaya Health Center, Tokyo, Japan.
Takefumi ShirayamaClinical Laboratory Department, Setagaya Health Center, Tokyo, Japan.
Fumiaki TakahashiClinical Research, Innovation and Education Center, Tohoku University Hospital, Sendai, Japan.
Keio University · JPSt. Marianna University School of Medicine · JPTokyo Dental College Ichikawa General Hospital · JPNTT Medical Center · JPTohoku University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to find out whether ThinPrep Integrated Imager (Hologic Inc.) screening is non-inferior to manual screening in the detection of cervical lesion. STUDY

designFor a total of 4,011 ThinPrep Pap test specimens stained by ThinPrep staining, manual screening (Manual arm) and ThinPrep Integrated Imager screening (Imager arm) were performed so as not to be screened by the same cytotechnologist, and the sensitivity and specificity in the detection of cervical lesion were compared using McNemar's test.

resultsThe sensitivity to detect CIN1 or more squamous cell abnormalities or glandular abnormalities was 91.67% (= 374/408, 95% confidence interval [CI]: 88.44-94.08%) for the Manual arm and 92.40% (= 377/408, 95% CI: 89.28-94.70%) for the Imager arm, and the specificity was 88.87% (= 3,113/3,503, 95% CI: 87.77-89.88%) for the Manual arm and 89.55% (= 3,137/3,503, 95% CI: 88.48-90.54%) for the Imager arm. The differences in sensitivity and in specificity, respectively, were 0.74% (95% CI: -3.14-4.61%, McNemar's test, p = 0.8041) and 0.69% (95% CI: -0.13-1.50%, McNemar's test, p = 0.1125). About the equality of sensitivity and specificity between the 2 methods, 95% CIs of the difference between sensitivity and specificity are in the clinical equivalence range of ±5%, so the Imager arm is non-inferior to the Manual arm.

conclusionThe Imager arm was confirmed to have an equivalent and non-inferior capacity in the detection of cervical lesions compared with the Manual arm, suggesting that its practical application in cervical cytology tests is highly possible.

Indexed as

CytodiagnosisDiagnostic ImagingEarly Detection of CancerFemaleHumansImage Processing, Computer-AssistedUterine Cervical DysplasiaUterine Cervical NeoplasmsVaginal SmearsAutomated cytology screeningCervical screeningLiquid-based cytologyThinPrep Pap test

Identifiers

PMID32535593
PMCPMC7592945
OpenAlexW3034460442

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.