Chen Q, Du H, Wang C, Hu Q C, Wu R F
Department of Obstetrics and Gynecology, Shenzhen Key Laboratory of Gynecological Diagnostic Technology Research, Peking University Shenzhen Hospital, Shenzhen 518036, China.
Zhonghua Fu Chan Ke Za Zhi. 2019 May 25;54(5):307-311. doi: 10.3760/cma.j.issn.0529-567x.2019.05.004.
To evaluate the feasibility of the BioPerfectus multiplex real time (BMRT) HPV assay for self-sample cervical cancer screening. Eight hundreds and thirty-nine self-collected and physician-obtained DNA samples from the Shenzhen cervical cancer screening trial Ⅳ(SHENCCAST-Ⅳ) study collected samples for cervical cancer screening during June 2013 to September 2014 were detected by BMRT HPV assay to evaluate the screening efficacy. A total of the 839 women who were screened, 804 with complete BMRT HPV data was included in the study, and average age was (46±7) years. Of the 804 women, the positive rates of 14 high-risk HPV genotypes (including HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66 subtype) of self-sample and physician-obtained samples were 12.2% (98/804) and 12.8% (103/804), respectively (χ(2)=0.14, =0.71). Self-collected samples with HPV-positive had significantly more cells (median 19 901.0) than physician-obtained samples (median 1 778.4), and there was statistically significant difference (=-7.61, <0.01). The degree of agreement between self-sample and physician-obtained samples of HPV 16, HPV 18 and other 12 high risk HPV genotype was 99.8%, 100.0% and 96.1%, respectively. And the consistent Kappa value was 0.95, 1.00 and 0.81, respectively. Of 804 samples, there were 6 cervical intraepithelial neoplasia (CIN)Ⅱ(+) cases. There were no missed CINⅡ(+) cases by BMRT HPV assay. BMRT HPV assay is feasible for self-sample cervical cancer screening.
评估博晖创新多重实时(BMRT)HPV检测用于自我采样宫颈癌筛查的可行性。对2013年6月至2014年9月期间在深圳宫颈癌筛查试验Ⅳ(SHENCCAST-Ⅳ)研究中收集的839份自我采集和医生采集的用于宫颈癌筛查的DNA样本,采用BMRT HPV检测进行检测,以评估筛查效果。在总共839名接受筛查的女性中,804名有完整的BMRT HPV数据被纳入研究,平均年龄为(46±7)岁。在这804名女性中,自我采样和医生采集样本中14种高危HPV基因型(包括HPV 16、18、31、33、35、39、45、51、52、53、56、58、59、66亚型)的阳性率分别为12.2%(98/804)和12.8%(103/804)(χ(2)=0.14,P=0.71)。HPV阳性的自我采集样本中的细胞数量(中位数19 901.0)显著多于医生采集的样本(中位数1 778.4),差异有统计学意义(Z=-7.61,P<0.01)。HPV 16、HPV 18和其他12种高危HPV基因型的自我采样和医生采集样本之间的一致性程度分别为99.8%、100.0%和96.1%。一致性Kappa值分别为0.95、1.00和0.81。在804份样本中,有6例宫颈上皮内瘤变(CIN)Ⅱ(+)病例。BMRT HPV检测未漏诊CINⅡ(+)病例。BMRT HPV检测用于自我采样宫颈癌筛查是可行的。