All visible lesions should be biopsied to minimize the risk of missing a cin grade ii or iii lesion. We conducted a prospective cohort study carried out in prof. In present study we compared the reids colposcopic index with swede score. The performance of dynamic spectral imaging colposcopy depends on indication for referrals author links open overlay panel j. When multiple lesions were present, the highest score for each variable was recorded. Since abnormal vascular patterns inside acetowhite regions are one of the crucial features associated with cervical neoplasia, the. Certified by the candidate i hereby declare that this dissertationthesis entitled to study the role of colposcopy in cervical erosion is a bonafide and genuine research work carried out by me under the guidance of dr. Colposcopy and treatment of cervical intraepithelial neoplasia. Division of gynecologic oncology, department of obstetrics and gynecology, faculty of medicine vajira hospital, navamindradhiraj university, bangkok, thailand. Colposcopic assessment of the cervix using the simplified reids colposcopic index method article pdf available in current science 963 february. This study of diagnostic accuracy aimed to assess the performance of authors proposing colposcopic index for detecting histological diagnosis of cervical intraepithelial neoplasia grade 2 or worse cin2 or worse. A total of 290 women underwent primary conization for highgrade cervical dysplasia. Colposcopic technique, scoring and documentation request pdf. Agreement between colposcopy results using the reid colposcopic index and histopathology.
Colposcopy is a diagnostic procedure in which a colposcope a dissecting microscope with various magnification lenses is used to provide an illuminated, magnified view of the cervix, vagina, vulva, or anus. It also has very useful timer and green filter features. Technology for medical education, research, and disease. In another study, women with histologically proven cervical lesions were referred for appropriate management according to standard local protocol which was not specified. Recently, with the introduction of human papillomavirus hpv vaccine for cervical cancer prevention, precancerous diseases caused by virus types 16 and 18 have been reduced, which is expected to reduce the number of colposcopic examinations and make colposcopic diagnosis more difficult. If you continue browsing the site, you agree to the use of cookies on this website. The reid colposcopic index is commonly used, although other scoring systems are also available. Reids colposcopic index rci is a systematic, objective method of colposcopically grading the severity of premalignant cervical lesions. Colposcopy when why and how dr eric megevand md, rcogsa. Jul 15, 2015 normal colposcopic findings slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Normal colposcopic findings slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The rci can accurately predict the histologic grade of cervical disease, readily. Correlation of cytology and colposcopic findings using reids.
Detection of various hpv gene l1 isolates circulating in the region overall trial start date. To assess the validity of colposcopy using modified reids index as a screening tool in cervical. A unified set of analysis tools for uterine cervix image. Indu verma, pratibha pundhir, tejinder kaur, veena jain, dinesh. Comparing paired images using white light top and lugols iodine images bottom for di.
Reid s colposcopic index rci is a systematic, objective method of colposcopically grading the severity of premalignant cervical lesions. Can visual inspection with acetic acid and lugols iodine be. Pdf colposcopic assessment of the cervix using the. Only 5 % of women in developing countries have ever been screened for cervical abnormalities. The modified reid colposcopic index colposcopic sign zero point 1 point 2 points color low intensity, indistinct, intermediate shade dull,oyster white transparent acetowhitening graywhite color and gray acetowhitening beyond tz shiny surface. The modified reid colposcopic index rci download the pdf version. Role of colposcopy in cervical erosion is a bonafide and genuine research work carried out by me under the guidance of dr. This dissertation has been prepared in fulfilment to.
Colposcopic assessment of the cervix using the simplified reids colposcopic index method. World health organization international agency for. The aim of the study was to evaluate the diagnostic efficacy of colposcopy and to determine the strength of correlation between colposcopic impression using the reid colposcopic index rci and histopathology. Cervical cancer is the most common cancer among indian women. World health organization international agency for research. Reid scale, may classify the color of the lesion, and may record whether. For example, for acetowhite regions, a dropdown list of the reids colposcopic index appears when the user has finished drawing the boundary for classifying the regions margins and color characteristics. Doctoral thesis summary university of medicine and.
Summed scores were created from the colposcopic components. Colposcopic study revealed, reid score 34 probably cin1 or cin2 lesions in most cases. Open access original research performance of oncoe6. They reported 79% predictive accuracy for the international nomenclature for colposcopy and 86. D, consultant gynecologist, patki hospital and research foundation. The colposcopic index is a method to reduce this limitation of the subjective interpretation of the colposcopists especially the beginners.
The reid colposcopic index rci helps physicians for interpret the results of colposcopic examination. Thai patients who have abnormal cervical cytology andor positive human papilloma virus hpv tests from cervical cancer screening are usually referred for. Prediction of cervical histologic results using an abbreviated reid. Reids colposcopic index augusta university research profiles. All women underwent cervical examination, via and vili practices and colposcopy, respectively. Abstract aim cervical cancer, the fourth most common cancer in women, is preventable. Agreement between colposcopy results using the reid colposcopic. The reid technique is a method of questioning subjects to try to assess their credibility and to extract confessions of guilt from a suspect. Among a few colposcopic indices, sci developed by a swedish group was the latest one. Methods the reid index uses four colposcopic signs. Colposcopic article about colposcopic by the free dictionary. D, consultant gynecologist, patki hospital and research foundation, kolhapur, maharashtra.
Digital tools for collecting data from cervigrams for. The performance of dynamic spectral imaging colposcopy depends on indication for referrals. However, improvements in a number of areas are still necessary, such as the time it takes to process the full digital image of the cervix, the performance of the computing systems used to identify different kinds of. Evaluation of cervical screening in rural north india. Pdf agreement between colposcopy results using the reid. Reids colposcopic index rci is a systematic, objec tive method of colposcopically grading the severity of premalignant cervical lesions. However, improvements in a number of areas are still necessary, such as the time it takes to process the full digital image of the cervix, the performance of the computing systems used to identify different kinds of tissues, and. A gui to ease the process of producing a multipage pdf from a scan. Colposcopic assessment of the cervix using the simplified reids colposcopic index method article pdf available in current science 963 february 2009 with 2,354 reads how we measure reads. Reids colposcopic index augusta university research. Different colposcopic indices have been used with scales based on the margins, the outline, the vascularization and the appearance of the lesion after the application of acetic acid and lugols solution. Interobserver agreement in the assessment of components of. The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early.
Reid colposcopic index rci for diagnosing precancerouscancerous cervical lesions2 table 2. If youre looking for a simple way to use a multipage scanner and get your document into a pdf in linux without any. The efficacy of modified swede colposcopic index in prediction of highgrade lesion and cancer of cervix nopporn rodpenpear and kamol pataradool. Evaluation of reids combined colposcopic index as a predictor of cervical intraepithelial lesion. Colposcopic assessment of cervical intraepithelial neoplasia. Although the sci had good overall efficacy, the features of lesion size and iodine stain remained a problem in evaluation. Overall trend of cc morbidity in the region and in each age category 4. On debianbased systems, scanadf is in the sane package, not, like. Histological examination was performed on the biological material obtained through biopsy in all cases examined. Twohundred women aged 1972 who underwent colposcopy because of abnormal papsmear, were included in the study. This prospective crosssectional study on 200 symptomatic women compares the role of. Blind to the hiv status of the woman, colposcopy was done by the same investigator who graded the lesions using the reids colposcopic index. Efforts have been being made to improve the diagnostic performance of colposcopy, trying to help better diagnose cervical cancer, particularly in developing countries.
Optimization of classification strategies of acetowhite. The proposed modified reid index system specifically incorporates the. Highresolution microendoscopy for the detection of cervical. The colposcopic features of cervical intraepithelial neoplasia cin are described in this chapter to equip the student with the skills to distinguish the. The reid index uses four colposcopic signs margin, color, vessel, and iodine staining. The proposed modified reid index system specifically incorporates the location of the lesion within the. Colposcopy,modified reids index, screening of cervical cancer. Correlation of colposcopy using reid colposcopic index with.
Correlation of cytology and colposcopic findings using. Pdf available in current science 963 february 2009 with 2,082 reads. Following application of proflavine, the hrme was advanced through the speculum and. Observation also is an option but should be reserved for patients who are closely monitored with repeated colposcopic examinations, and probably should. Colposcopic assessment of cervical intraepithelial. It is however of note that measures of test performance such as positivity rate, predictive values, and to a lesser extent sensitivity. Retrospective analysis of data was carried out on medical records of women who underwent colposcopy in rajavithi hospital from january 2007 to. Correlation of two colposcopic indices for predicting premalignant. English francais espanol portugues colposcopic signs, zero point, one. However, cancer also can present as a condyloma, although this is a rare occurrence. World health organization international agency for research on cancer iarc world health organization regional office for africa afro program for appropriate technology in health path international union against cancer uicc iarc press isbn 92 832 0412 3 colposcopy and treatment of cervical intraepithelial neoplasia. A previous study has shown that dynamic spectral imaging dsi colposcopy increases the sensitivity of the colposcopic examination in women referred with abnormal cytology.
The aim of the study was to evaluate the diagnostic efficacy of colposcopy and to determine the strength of correlation between colposcopic impression using the reid colposcopic index rci and histopathology material and methods. The sensitivity, specificity, and positive and negative predictive values of the different tests were calculated with reference to colposcopichistological diagnoses, and areas under the receiver operating curves of oncoe6 and cytology tests were compared. Fax 3125830701 the reid technique of interviewing and interrogation. To compare the accuracy of rci in colposcopic evaluation between general and oncologic gynecologists, thisprospective trial was conducted by invited women over 20 years of age who were scheduled for a colposcopyat chiang mai university hospital between august. Use of a scoring or grading system may guide colposcopic interpretation and diagnosis in a less subjective manner and helps developing a systematic approach to colposcopy. Reids colposcopic index ebsco information services. To correspond with conventional scoring for modified reid index, 3 the scores for color and margin were added to the highest score for either vascular component mosaic or punctation. Open access original research performance of oncoe6 cervical. Simplified reids colposcopic index scoring method ex. Reid colposcopic score, but further management of histologically confirmed lesions was not specified. In this study we have reanalyzed the performance of dsi and conventional colposcopy for new referral conditions and for lowgrade cytology referrals versus highgrade cytology referrals. Highresolution microendoscopy for the detection of. To study the correlation of cytology and colposcopy in viapositive women attending the gynaecology clinic.
Interobserver agreement in the assessment of components of c. Also, it is argued that the use of techniques such as the alternative question and the direct positive. One of the indexes mostly used, to unify the diagnostic criteria in the studies, has been the reid index. This prospective crosssectional study on 200 symptomatic women compares the role of cytology and colposcopy in the assessment. Colposcopy when why and how dr eric megevand md, rcogsa geneva university hospital. In this study we have reanalyzed the performance of dsi and conventional colposcopy for new referral conditions and for lowgrade cytology referrals versus highgrade cytology. Colposcopy findings and reid colposcopic index scores were recorded, and the tischlermorgan punch biopsy forceps was used to perform punch biopsies in any abnormal areas observed in the cervix. There have been little investigations about the quality comparison between film and digital cervicography, although a few studies have reported the usefulness of digital cervicography. Colposcopic grading performed with 5% aqueous acetic acid and lugols iodine solution. The purpose of this study was to determine the accuracy of an abbreviated reid colposcopic index rci to detect cervical intraepithelial neoplasia cin 2 and. Pdf colposcopic assessment of the cervix using the simplified. Evaluation of reids combined colposcopic index as a predictor of. Complexities involved with the traditional reid index in prediction of.
Colposcopic data correlation between hpv viral load and points of the rci reid colposcopic index 3. This was a prospective crosssectional study carried out at the colposcopy clinic of bakirkoy dr sadi. The performance of dynamic spectral imaging colposcopy. In the remaining ten studies, the management of screened women. May 10, 2010 colposcopic evaluation and treatment of lesions. Pathology breakdown for 73 interpretable images collected from 100 patients enrolled in study figure 4. Full hd medical imaging software ambalsoft solutions for a. Scanadf pdf utility to use sanescanadf to scan to pdf. More than 100 custom report templates are available for use. Colposcopy using modified reid s index with high sensitivity and specificity is a good screening tool for cervical cancer.
Agreement between colposcopy results using the reid. Recently, with the introduction of human papillomavirus hpv vaccine for cervical cancer prevention, precancerous diseases caused by virus types 16 and 18 have been reduced, which is expected to reduce the number of colposcopic examinations. Colposcopy has a reported sensitivity ranging from 87% to 99% to diagnose cervical neoplasia, but its specificity is lower, between 23% and 87% mitchell et al. The role of the fragility index january 2020 the impact of menstrual hygiene management on adolescent health. Observation also is an option but should be reserved for patients who are closely monitored with repeated colposcopic examinations, and probably should best be reserved for patients with vain i or ii lesions. Fax 3125830701 the reid technique of interviewing and interrogation in this position paper we will address the following issues. Predictors of postoperative overall and severe complications after surgical treatment for endometrial cancer. The biopsy specimens were fixed in 10% formalin and sent to the aiims histopathology laboratory.
A comparison of the associations of reid colposcopic index and. A comparison of the strength of association of reid colposcopic. Can visual inspection with acetic acid and lugols iodine. World health organization international agency for research on cancer iarc world health organization regional office for africa afro program for appropriate technology in health path international union against cancer uicc. The cin terminology was used to report the results. See appendix 3 for recipes for 5% acetic acid and for lugols iodine solution. Apr 12, 2014 cervical cancer is the most common cancer among indian women.
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