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An evaluation of solid versus liquid transport media for high-risk HPV detection and cervical cancer screening on self-collected specimens

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机构: [1]Peking University Shenzhen Hospital, Shenzhen, PR China [2]Capital MedicalUniversity Beijing Tongren Hospital, Beijing, PR China [3]Fudan UniversityHuashan Hospital North, Shanghai, PR China [4]The second Hospital of HebeiMedical University, Shijiazhuang, PR China [5]Wuhan University ZhongnanHospital, Wuhan, PR China [6]Peking University People’s Hospital, Beijing, PRChina [7]Preventive Oncology International Inc, and the Cleveland Clinic,Cleveland, OH, USA
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关键词: Cervical Cancer screening High risk HPV testing Solid media transport Self-collection

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Background The solid transport media is a small size card that allows fast, easy DNA extraction from a variety of biological samples. In 2016 we developed a solid media transport card; for that pilot study to control the self-collection we used a pseudo-self-collection technique. The current study expands this prior work using true self-collections and only the POI card, and aims to evaluate the solid media transport card to detect HR-HPV in self-samples compared to liquid transport media. Methods Ten thousand eight hundred eighty-five women between the ages of 30-59 with no screening for 3 years were enrolled. The self-collected sample was first applied to a new solid media transport card (Labeled as SC) then the brush placed in 6 ml ThinPrep liquid (Labeled as SL). Then a physician collected a direct endocervical specimen into ThinPrep liquid (Labeled as DL). Samples were tested with Cobas 4800 and the SeqHPV NGS assay for HR-HPV. Patients positive on any test were recalled for colposcopy and biopsy. Results Ten thousand three hundred thirty-nine participants had complete data. The mean age was 43.9 years. CIN 2+ rates were 1.4% (142/10339). The agreement in HPV detection between the two different self-sample collection media was also good (Cobas HPV kappa = 0.86; SeqHPV kappa = 0.98). Tested with Cobas, the sensitivity of Cobas-SL and Cobas-SC for CIN 2+ was95.07 and 94.37%; and for CIN3+ was 96.30, 96.30% respectively. The specificity of Cobas-SC, and Cobas-SL for CIN2+ was 88.74 and 87.35%; for CIN3 was 88.04and 86.65% respectively. Tested with SeqHPV, the sensitivity for CIN2+ of Seq-SC and Seq-SL was 95.77 and 96.48%; for CIN3+, both the SC and SL specimens had a sensitivity of 100%. The specificity for CIN2+ of Seq-SC and Seq-SL was 89.54 and 89.53%; for CIN3+ was 88.84,88.82% respectively. For both HR-HPV assays, the sensitivities were similar for the two self-sample media (SC vs SL, p = 1.00). Conclusions The solid transport card for collecting vaginal self-samples as accurate as liquid transport media assayed by two different PCR based HR-HPV tests. The solid transport media is a suitable medium for collecting and storing vaginal self-samples.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 免疫学 4 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 免疫学 4 区 肿瘤学
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出版当年[2018]版:
Q3 ONCOLOGY Q3 IMMUNOLOGY
最新[2023]版:
Q2 ONCOLOGY Q3 IMMUNOLOGY

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第一作者机构: [1]Peking University Shenzhen Hospital, Shenzhen, PR China
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