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Jack Cuzick Rachael Adcock Francesca Carozzi Anna Gillio-Tos Laura De Marco Annarosa Del Mistro Helena Frayle Salvatore Girlando Cristina Sani Massimo Confortini Manuel Zorzi Paolo Giorgi-Rossi Raffaella Rizzolo Guglielmo Ronco the New Technologies for Cervical Cancer Screening Working Group 《International journal of cancer. Journal international du cancer》2020,147(7):1864-1873
Human papillomavirus (HPV) testing is very sensitive for primary cervical screening but has low specificity. Triage tests that improve specificity but maintain high sensitivity are needed. Women enrolled in the experimental arm of Phase 2 of the New Technologies for Cervical Cancer randomized controlled cervical screening trial were tested for high-risk HPV (hrHPV) and referred to colposcopy if positive. hrHPV-positive women also had HPV genotyping (by polymerase chain reaction with GP5+/GP6+ primers and reverse line blotting), immunostaining for p16 overexpression and cytology. We computed sensitivity, specificity and positive predictive value (PPV) for different combinations of tests and determined potential hierarchical ordering of triage tests. A number of 1,091 HPV-positive women had valid tests for cytology, p16 and genotyping. Ninety-two of them had cervical intraepithelial neoplasia grade 2+ (CIN2+) histology and 40 of them had CIN grade 3+ (CIN3+) histology. The PPV for CIN2+ was >10% in hrHPV-positive women with positive high-grade squamous intraepithelial lesion (61.3%), positive low-grade squamous intraepithelial lesion (LSIL+) (18.3%) and positive atypical squamous cells of undetermined significance (14.8%) cytology, p16 positive (16.7%) and, hierarchically, for infections by HPV33, 16, 35, 59, 31 and 52 (in decreasing order). Referral of women positive for either p16 or LSIL+ cytology had 97.8% sensitivity for CIN2+ and women negative for both of these had a 3-year CIN3+ risk of 0.2%. Similar results were seen for women being either p16 or HPV16/33 positive. hrHPV-positive women who were negative for p16 and cytology (LSIL threshold) had a very low CIN3+ rate in the following 3 years. Recalling them after that interval and referring those positive for either test to immediate colposcopy seem to be an efficient triage strategy. The same applies to p16 and HPV16. 相似文献
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Simona Petrucci MD PhD Monia Ginevrino PhD Ilaria Trezzi MD Edoardo Monfrini MD Lucia Ricciardi MD PhD Alberto Albanese MD Micol Avenali MD Paolo Barone MD Anna Rita Bentivoglio MD PhD Vincenzo Bonifati MD PhD Francesco Bove MD Laura Bonanni MD PhD Livia Brusa MD Cristina Cereda PhD Giovanni Cossu MD Chiara Criscuolo MD Giovanna Dati BSc Anna De Rosa MD PhD Roberto Eleopra MD Giovanni Fabbrini MD Laura Fadda MD PhD Manuela Garbellini BSc Brigida Minafra MD Marco Onofrj MD Claudio Pacchetti MD Ilaria Palmieri BSc Maria Teresa Pellecchia MD PhD Martina Petracca MD Marina Picillo MD PhD Antonio Pisani MD PhD Annamaria Vallelunga PhD Roberta Zangaglia MD Alessio Di Fonzo MD PhD Francesca Morgante MD PhD Enza Maria Valente MD PhD ITA-GENE-PD Study Group 《Movement disorders》2020,35(11):2106-2111
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Luigi Vetrugno MD Tiziana Bove MD Daniele Orso MD Federico Barbariol MD Flavio Bassi MD Enrico Boero MD Giovanni Ferrari MD Robert Kong MD FRCA EDIC 《Echocardiography (Mount Kisco, N.Y.)》2020,37(4):625-627
Lung ultrasound (LU) has rapidly become a tool for assessment of patients stricken by the novel coronavirus 2019 (COVID-19). Over the past two and a half months (January, February, and first half of March 2020) we have used this modality for identification of lung involvement along with pulmonary severity in patients with suspected or documented COVID-19 infection. Use of LU has helped us in clinical decision making and reduced the use of both chest x-rays and computed tomography (CT). 相似文献
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Andrea Garatti Andrea Daprati Marzia Cottini Claudio F. Russo Margherita Dalla Tomba Giovanni Troise Antonio Salsano Francesco Santini Roberto Scrofani Francesca Nicolò Elisa Mikus Alberto Albertini Luca Di Marco Davide Pacini Marco Picichè Loris Salvador Guglielmo M. Actis Dato Paolo Centofanti Lorenzo Menicanti 《The Annals of thoracic surgery》2021,111(4):1242-1251
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