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Whole, Turret and step methods of rapid rescreening: Is there any difference in performance?
Author(s) -
Montemor Eliana Borin Lopes,
RoteliMartins Cecilia M.,
Zeferino Luiz Carlos,
Amaral Rita Goreti,
FonsechiCarvasan Gislaine Aparecida,
Shirata Neuza Kasumi,
Utagawa Maria Lúcia,
LongattoFilho Adhemar,
Syrjanen Kari J.
Publication year - 2007
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.20405
Subject(s) - medicine , turret , significant difference , relative risk , surgery , confidence interval , mechanical engineering , engineering
We compared the performance of the Whole, Turret and Step techniques of 100% rapid rescreening (RR) in detection of false‐negatives in cervical cytology. We tested RR performance with cytologists trained and among those without training. We revised 1,000 consecutive slides from women participating in an ongoing international screening trial. Two teams of experienced cytologists performed the RR techniques: one trained in RR procedures and the other not trained. The sensitivities in the trained group were Whole 46.6%, Turret 47.4% and Step 50.9%; and in the non‐trained group were 38.6, 31.6 and 47.4%, respectively. The κ coefficient showed a weak agreement between the two groups of cytologists and between the three RR techniques. The RR techniques are more valuable if used by trained cytologists. In the trained group, we did not observe significant differences between the RR techniques used, whereas in the non‐trained group, the Step technique had the best sensitivity. Diagn. Cytopathol. 2007;35:57–60. © 2006 Wiley‐Liss, Inc.