AI Article Synopsis
Article Abstract
Background: Gynecologic screening cytology is a complex task that includes microscopic activities and nonmicroscopic activities. The authors sought to determine the amount and percentage of time that cytotechnologists spend on those activities using the ThinPrep imaging system.
Methods: In arm 1, a total of 550 consecutive unselected slides were reviewed by 11 cytotechnologists, and the time used for individual subtasks of the screening process was recorded. In arm 2, a total of 20 unselected slides were each screened by 10 different cytotechnologists (200 slides in total) and total screening times and full manual review (FMR) times were recorded.
Results: In arm 1, cases with and without FMR required an average of 5.6 minutes and 3.0 minutes, respectively, to screen. Overall, review of fields of view (FOVs) took 95 seconds. FMR took an average of 2.6 minutes. The average screening times for FOV-only cases was significantly longer than the US Food and Drug Administration/Centers for Medicare and Medicaid Services (FDA/CMS) workload limit of 2.4 minutes (P = .005). However, in arm 2, the time needed to screen a case increased by an average of 1 minute compared with arm 1, including 1.1 minute for FOV-only cases and >2 minutes for FMR plus FOV cases. Approximately 100% of cases screened as FOV only exceeded the FDA/CMS workload limit of 2.4 minutes.
Conclusions: The FDA/CMS workload limits for FOV-only cases appears to significantly underestimate the time needed to screen those cases, but seems to be appropriate for the majority of FMR plus FOV cases. Approximately 60% and 30% of the time designated to screening slides was spent on nonmicroscopic activities for FOV-only cases and FMR cases, respectively. Cancer Cytopathol 2016;124:501-7. © 2016 American Cancer Society.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/cncy.21711 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Temporal and Spatial Focusing in SPAD-Based Solid-State Pulsed Time-of-Flight Laser Range Imaging.
Sensors (Basel)
October 2020
Circuits and Systems Research Group, ITEE Faculty, University of Oulu, 90570 Oulu, Finland.
The relation between signal and background noise strengths in single-photon avalanche diode (SPAD)-based pulsed time-of-flight 3-D range imaging is analyzed on the assumption that the SPAD detector is operating in the single photon detection mode. Several practical measurement cases using a 256-pixel solid-state pulsed time-of-flight (TOF) line profiler are presented and analyzed in the light of the resulting analysis. It is shown that in this case it is advantageous to concentrate the available optical average power in short, intensive pulses and to focus the optical energy in spatial terms.
View Article and Find Full Text PDFTime consumed by microscopic and nonmicroscopic tasks in image-assisted gynecologic screening: Implications for workload assessment.
Cancer Cytopathol
July 2016
Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio.
Background: Gynecologic screening cytology is a complex task that includes microscopic activities and nonmicroscopic activities. The authors sought to determine the amount and percentage of time that cytotechnologists spend on those activities using the ThinPrep imaging system.
Methods: In arm 1, a total of 550 consecutive unselected slides were reviewed by 11 cytotechnologists, and the time used for individual subtasks of the screening process was recorded.
Negative computer-imaged ThinPrep Pap test and positive hybrid capture2 HPV co-testing results: A quality assurance review.
Diagn Cytopathol
September 2015
Department of Pathology & Laboratory Medicine, New York Presbyterian Hospital, Weill Cornell Medical College, New York.
Women ≥30 years of age with negative (-) Pap tests and positive (+) HPV co-test results have a higher prevalence and cumulative risk of developing high-grade cervical intraepithelial neoplasia (CIN 2+). Thus, the current management in these women is to repeat co-test in 12 months or immediate reflex genotyping for HPV16 or HPV 16/18. If genotyping is not an option, timely quality assurance (QA) rescreen of such Pap tests may be a valuable alternative.
View Article and Find Full Text PDFImplementation and evaluation of a new automated interactive image analysis system.
Acta Cytol
October 2006
Department of Cytopathology, Coombe Women's Hospital, Dublin, Ireland.
Objective: To compare automated interactive screening using the ThinPrep Imaging System with independent manual primary screening of 12,000 routine ThinPrep slides.
Study Design: With the first 6,000 cases, the Review Scopes (RS) screening results from the 22 fields of view (FOV) only were compared to independent manual primary screening. In the next 6,000 cases, any abnormality detected in the 22 FOV resulted in full manual screening on the cytotechnologist's own microscope.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!