Verification of cytological diagnosis of cervical intraepithelial neoplasia using image analysis

We performed retrospective analysis of cytological and histological smears from 52 women examined and treated in N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia. We have developed a simplified method of densitomorphometry using cytological smears stained with h...

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Bibliographic Details
Main Author: V. I. Novik
Format: Article
Language:Russian
Published: ABV-press 2019-11-01
Series:Опухоли женской репродуктивной системы
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Online Access:https://ojrs.abvpress.ru/ojrs/article/view/659
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Summary:We performed retrospective analysis of cytological and histological smears from 52 women examined and treated in N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia. We have developed a simplified method of densitomorphometry using cytological smears stained with hematoxylin and eosin to verify the diagnosis of cervical intraepithelial neoplasia (CIN). We have identified threshold values for the differentiation between CIN-1/2 and CIN-3: integrated optical density of 4.5 C and percentage of atypical nuclei with a ploidy level ≥5 C of 40 %. The new method verified the morphological diagnosis of CIN in 18 out of 52 patients (34.6 %), including those with discrepant results of cytology and histology. The method can be also used to verify the cytological diagnosis of CIN-3 in patients with negative histology.
ISSN:1994-4098
1999-8627