Evidence map›Paper›PMID 40092440›Full record

ArticleResearch square2025

Closing the Automation Gap: Robust AI for Dual-Stain Cervical Cancer Screening Triage.

Bernd Lahrmann, Andreas Keil, Felipe Miranda Ruiz, Megan A Clarke, Didem Egemen, Kiranjit K Grewal, Finley P Grabe, Liam Bartels, Alexandra Krauthoff, Philipp Ströbel and 10 more

Abstract readPreprint
In one paragraph

Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

20 authors.

Bernd LahrmannSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Andreas KeilSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Felipe Miranda RuizSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Megan A ClarkeNational Cancer Institute, Bethesda, MD, USA.
Didem EgemenNational Cancer Institute, Bethesda, MD, USA.
Kiranjit K GrewalKaiser Permanente Northern California, CA USA.
Finley P GrabeSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Liam BartelsSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Alexandra KrauthoffSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.
Philipp StröbelInstitute of Pathology, University Medicine Goettingen, Goettingen, Germany.
Carolann RisleyUniversity of Mississippi Medical Center, Jackson, MS, USA.
Sydney ReavesUniversity of Mississippi Medical Center, Jackson, MS, USA.
Laurie A FullerKaiser Permanente Northern California, CA USA.
Walter KinneyKaiser Permanente Northern California, CA USA.
Nancy PoitrasKaiser Permanente Northern California, CA USA.
Patricia E GoldhoffKaiser Permanente Northern California, CA USA.
Betty Suh-BurgmannKaiser Permanente Northern California, CA USA.
Thomas S LoreyKaiser Permanente Northern California, CA USA.
Nicolas WentzensenNational Cancer Institute, Bethesda, MD, USA.ORCID 0000-0003-1251-0836
Niels GrabeSteinbeis Center for Medical Systems Biology, Heidelberg, Germany.

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI COMPRETTA, CAROLINE E. · 2016 to 2025
$38.2M
NIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

Dual-stain cytology, using p16 and Ki67, is superior to conventional PAP cytology for triage of HPV-positive test results in cervical cancer screening. Its AI-based evaluation can remove subjectivity, improve performance and facilitate implementation. Using 5,722 dual-stain slides from population-based screening cohorts, we developed and validated Cytoreader-V2. In the SurePath Kaiser Implementation Study, Cytoreader-V2 achieved 87.2%/57.8% (sensitivity/specificity) compared to 89.9/52.6 (manual DS) and 85.8/41.9 (Pap cytology). In the Thin-Prep Biopsy Study, it reached 95.7/44.4 versus 89.4/35.0 (manual DS), and in anal DS cytology slides, 87.0/41.3 compared to 87.0/27.7 (manual). Robustness testing demonstrated significant stability across image transformations. Cytoreader-V2 improves specificity and reproducibility compared to manual dual-stain reading while maintaining high sensitivity. Its adaptability across populations with consistent performance makes it scalable for diverse clinical settings. Cytoreader-V2 can be a transformative tool in global cervical cancer screening as a critical AI applications in digital pathology.

Identifiers

PMID40092440
PMCPMC11908351

What OpenQuestion holds

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LicenceCC BY
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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.