Cornall A M, Poljak M, Garland S M, Phillips S, Machalek D A, Tan J H, Quinn M A, Tabrizi S N
Regional HPV Lab Net Reference Laboratory, Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, 3052, Victoria, Australia.
Murdoch Childrens Research Institute, Parkville, 3052, Victoria, Australia.
Eur J Clin Microbiol Infect Dis. 2016 Jun;35(6):1033-6. doi: 10.1007/s10096-016-2634-8. Epub 2016 Apr 5.
The purpose of this study was to evaluate the performance of the EUROIMMUN EUROArray HPV genotyping assay against the Roche Cobas 4800, Roche HPV Amplicor, Roche Linear Array and Qiagen Hybrid Capture 2 assays in the detection of high-risk HPV (HR-HPV) from liquid based cervical cytology samples collected from women undergoing follow-up for abnormal cervical cytology results. Cervical specimens from 404 women undergoing management of high-grade cytological abnormality were evaluated by EUROarray HPV for detection of HR-HPV genotypes and prediction of histologically-confirmed cervical intraepithelial neoplasia grade 2 or higher (≥CIN2). The results were compared to Hybrid Capture 2, Cobas 4800 HPV, Amplicor and Linear Array HPV. Positivity for 14 HR-HPV types was 80.0 % for EUROarray (95 % CI; 75.7-83.8 %). Agreement (κ, 95 % CI) between the EUROarray and other HPV tests for detection of HR-HPV was good to very good [Hybrid Capture κ = 0.62 (0.54-0.71); Cobas κ = 0.81 (0.74-0.88); Amplicor κ = 0.68 (0.60-0.77); Linear Array κ = 0.77 (0.70-0.85)]. For detection of HR-HPV, agreement with EUROarray was 87.90 % (Hybrid Capture), 93.58 % (Cobas), 92.84 % (Amplicor) and 92.59 % (Linear Array). Detection of HR-HPV was not significantly different between EUROarray and any other test (p < 0.001). EUROarray was concordant with other assays evaluated for detection of high-risk HPV and showed sensitivity and specificity for detection of ≥ CIN2 of 86 % and 71 %, respectively.
本研究的目的是评估EUROIMMUN EUROArray人乳头瘤病毒(HPV)基因分型检测法相对于罗氏Cobas 4800、罗氏HPV Amplicor、罗氏线性阵列检测法和凯杰杂交捕获2代检测法,在检测接受宫颈细胞学异常结果随访的女性所采集的液基宫颈细胞学样本中的高危HPV(HR-HPV)方面的性能。对404例接受高级别细胞学异常处理的女性的宫颈标本进行EUROarray HPV检测,以检测HR-HPV基因型并预测组织学确诊的2级或更高等级(≥CIN2)的宫颈上皮内瘤变。将结果与杂交捕获2代、Cobas 4800 HPV、Amplicor和线性阵列HPV检测结果进行比较。EUROarray检测14种HR-HPV型别的阳性率为80.0%(95%可信区间;75.7 - 83.8%)。EUROarray与其他HPV检测法在检测HR-HPV方面的一致性(κ,95%可信区间)良好至极优[杂交捕获κ = 0.62(0.54 - 0.71);Cobas κ = 0.81(0.74 - 0.88);Amplicor κ = 0.68(0.60 - 0.77);线性阵列κ = 0.77(0.70 - 0.85)]。在检测HR-HPV方面,与EUROarray的一致性分别为87.90%(杂交捕获)、93.58%(Cobas)、92.84%(Amplicor)和92.59%(线性阵列)。EUROarray与其他检测法在检测HR-HPV方面无显著差异(p < 0.001)。EUROarray与评估的其他检测高危HPV的方法结果一致,检测≥CIN2的敏感性和特异性分别为86%和71%。