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Reliability of reporting the presence of transformation zone material in Papanicolaou smears using an automated screening system

Objective This study was conducted to evaluate the reliability of using an interactive automated screening system (IAS) to determine the presence of endocervical and/or metaplastic cells (transformation zone material; TZM) in liquid‐based cytology (LBC) Papanicolaou (Pap) smear slides. Materials and...

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Bibliographic Details
Published in:Cytopathology (Oxford) 2017-08, Vol.28 (4), p.280-283
Main Authors: Erbarut Seven, I., Mollamemisoglu, H., Eren, F.
Format: Article
Language:English
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Summary:Objective This study was conducted to evaluate the reliability of using an interactive automated screening system (IAS) to determine the presence of endocervical and/or metaplastic cells (transformation zone material; TZM) in liquid‐based cytology (LBC) Papanicolaou (Pap) smear slides. Materials and methods A series of LBC Pap smears was manually screened to determine the presence or absence of TZM. The results were compared to those obtained through IAS. Results ThinPrep® Imaging System (Imager)‐assisted screening indicated that 22.4% of the slides did not contain TZM in cases in which previous manual screening revealed that 100% of the slides did contain TZM. Conclusion The reliability of determining TZM through IAS is limited. Manual screening of the slides appears to be necessary to report the presence of TZM accurately. Automated screening systems are now widely used to facilitate assessment of liquid based cytology smears. In this study, the efficacy of detection of transformation zone material using an interactive system was assessed.
ISSN:0956-5507
1365-2303
DOI:10.1111/cyt.12411