Smith J, Nicholas D, Boyd K, Deacon-Smith R
Department of Cytology, Poole and Royal Bournemouth NHS Trusts, Dorset, UK.
Cytopathology. 2003 Oct;14(5):275-80. doi: 10.1046/j.1365-2303.2003.00062.x.
We present the results of 3 years' experience of rapid pre-screening in cervical cytology. In our laboratory we rapidly pre-screen all smears. The performance of each primary screener can be assessed. In addition, the relative sensitivity and specificity of each rapid pre-screener can itself be continuously monitored using the final report as a yardstick. In our laboratory individual sensitivity of rapid pre-screening for the detection of high-grade abnormalities was in the range of 44-90% with an overall laboratory sensitivity of 69%. Specificity was in the range of 94-99% with an overall laboratory specificity of 98%. Rapid pre-screening allows checking of the checkers and pathologists and tends to promote uniformity in the assessment of smear adequacy. This form of continuous quality assurance is practical, convenient and acceptable to staff.
我们展示了3年宫颈细胞学快速预筛查的经验结果。在我们实验室，我们对所有涂片进行快速预筛查。每个初级筛查人员的表现都可以得到评估。此外，每个快速预筛查人员的相对敏感性和特异性本身可以以最终报告为标准进行持续监测。在我们实验室，快速预筛查对高级别异常检测的个体敏感性在44%-90%之间，实验室总体敏感性为69%。特异性在94%-99%之间，实验室总体特异性为98%。快速预筛查有助于对检查人员和病理学家进行核查，并倾向于促进涂片充分性评估的一致性。这种持续质量保证形式对工作人员来说切实可行、方便且可接受。
