Hologic thinprep 2000 Instructions For Use Manual Download Page 6

MAN-02060-001 Rev. 005    page 6 of 14 

 

CLINICAL STUDY RESULTS 

 

The diagnostic categories of The Bethesda System were used as the basis of the comparison between 
conventional and ThinPrep

®

 findings from the clinical study.  The diagnostic classification data and 

statistical analyses for all clinical sites are presented in Tables 2 through 11.  Cases with incorrect 
paperwork, patient’s age less than 18 years, cytologically unsatisfactory slides, or patients with a 
hysterectomy were excluded from this analysis.  Few cases of cervical cancer (0.02%

3

) were represented 

in the clinical study, as is typical in the United States patient population.

 

Table 2:  Diagnostic Classification Table, All Categories 

 

Conventional 

 

 

NEG ASCUS AGUS LSIL HSIL SQ 

CA GL 

CA  TOTAL 

ThinPrep NEG 

5224 295 

3  60  11  0 

5593 

 ASCUS 

318 

125 2 45 

7  0  0  497 

 AGUS 

13 2  3 0 1  0  1  20 

 LSIL 

114 

84 0 

227 44  0 

469 

 HSIL 

11 

15 0 

35 

104 2  0  167 

 SQ 

CA 

0  0  0 0 0 1 0  1 

 GL 

CA 

0  0  0 0 0 0  0 0 

 TOTAL 

5680 

521 8 

367 

167 3  1  6747 

Abbreviations for Diagnoses

NEG = Normal or negative, ASCUS = Atypical Squamous Cells of Undetermined 

Significance, AGUS = Atypical Glandular Cells of Undetermined Significance, LSIL = Low-grade Squamous 
Intraepithelial Lesion, HSIL = High-grade Squamous Intraepithelial Lesion, SQ CA = Squamous Cell 
Carcinoma, GL CA = Glandular Cell Adenocarcinoma
 

 

Table 3:  Three Category Diagnostic Classification Table 

 

Conventional 

   NEG 

ASCUS/AGUS+

LSIL+ 

TOTAL 

ThinPrep NEG 

 

5224 298  71  5593 

 ASCUS/ 

AGUS+ 

331 

132 54 1154 

 LSIL+ 

125 

99 

413 637 

 TOTAL 

 

5680 529  538 6747 

 

Table 4:  Two Category Diagnostic Classification Table, LSIL and More Severe Diagnoses 

 

Conventional 

  

NEG/ASCUS/ 

AGUS+ 

 

LSIL+ TOTAL 

ThinPrep NEG/ASCUS/ 

AGUS+ 

5985 125  6110 

 LSIL+ 

 

224 

413 637 

 TOTAL 

 

6209 538 6747 

 

 

Summary of Contents for thinprep 2000

Page 1: ...MAN 02060 001 Rev 005 page 1 of 14 Instructions For Use...

Page 2: ...ThinPrep Pap Test Filter during the collection process in order to prevent the cellular presentation from being too scant or too dense A thin layer of cells is then transferred to a glass slide in a...

Page 3: ...by cytotechnologists and pathologists who have been trained to evaluate ThinPrep prepared slides by Hologic or by organizations or individuals designated by Hologic Supplies used in the ThinPrep 2000...

Page 4: ...o C 59o F and 30o C 86o F and tested within 6 weeks of collection PreservCyt Solution with cytologic sample intended for CT NG testing using the Roche Diagnostics COBAS AMPLICOR CT NG test must be sto...

Page 5: ...ositive slides from all sites in a blinded fashion to provide a further objective review of the results LABORATORY AND PATIENT CHARACTERISTICS Cytology laboratories at three screening centers designat...

Page 6: ...Prep NEG 5224 295 3 60 11 0 0 5593 ASCUS 318 125 2 45 7 0 0 497 AGUS 13 2 3 0 1 0 1 20 LSIL 114 84 0 227 44 0 0 469 HSIL 11 15 0 35 104 2 0 167 SQ CA 0 0 0 0 0 1 0 1 GL CA 0 0 0 0 0 0 0 0 TOTAL 5680 5...

Page 7: ...and was statistically equivalent at two sites Table 7 Results by Site ASCUS AGUS and More Severe Lesions Site Cases ThinPrep ASCUS Convent ASCUS Increased Detection p Value Method Favored S1 1 336 117...

Page 8: ...ive by Independent Pathologist ThinPrep Positive Conventional Positive p Value Method Favored S1 50 33 25 0 170 Neither S2 65 48 33 0 042 ThinPrep S3 77 54 33 0 001 ThinPrep H1 116 102 81 0 001 ThinPr...

Page 9: ...c undetermined LSIL HSIL Carcinoma Glandular Cell Benign Endometrial cells in Postmenopausal Women Atypical Glandular Cells AGUS favor reactive favor neoplastic undetermined Endocervical Adenocarcinom...

Page 10: ...actory 5656 78 3 5101 70 6 Satisfactory for Evaluation but Limited by Air Drying Artifact Thick Smear Endocervical Component Absent Scant Squamous Epithelial Component Obscuring Blood Obscuring Inflam...

Page 11: ...ECC s Conventional SBLB no ECC s Conventional SBLB no ECC s S1 1 386 237 17 1 162 11 7 S2 1 668 104 6 2 73 4 4 S3 1 093 145 13 3 84 7 7 H1 1 046 229 21 9 115 11 0 H2 1 049 305 29 1 150 14 3 H3 981 12...

Page 12: ...her group made up of patients representative of a referral population enrolled at the time of colposcopic examination The ThinPrep specimens were collected prospectively and compared against a histori...

Page 13: ...ONCLUSIONS The ThinPrep 2000 System is as effective as the conventional Pap smear in a variety of patient populations and may be used as a replacement for the conventional Pap smear method for the det...

Page 14: ...otes detection of glandular lesions of the endocervix Diagn Cytopathol 2000 23 19 22 6 Carpenter AB Davey DD ThinPrep Pap Test Performance and biopsy follow up un a university hospital Cancer Cytopath...

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