Modified swede colposcopic index versus modified reid index in colposcopic screening for premalignant & malignant lesions of the cervix: a cross-sectional analysis

Bibliographic Details
Title: Modified swede colposcopic index versus modified reid index in colposcopic screening for premalignant & malignant lesions of the cervix: a cross-sectional analysis
Authors: Dr. Swati Priya, Dr. Amiy Arnav, Dr. Swati Mittal, Dr. Pammy Pravina, Dr Suhagini Murmu, Dr. Gauri Gandhi
Source: Cancer Treatment and Research Communications, Vol 40, Iss , Pp 100828- (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Cervical cancer, Colposcopic screening, Cervical intraepithelial neoplasia, Scoring methods, Premalignant, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Background: Cervical cancer cases in India account for one-fourth of the worldwide burden. Colposcopy is used to evaluate the cervix of women with abnormal screening test results. For standardized reporting, various scores were introduced of those, Reid Colposcopic Index (RCI) and Swede score are the most commonly used. Aims and Objectives: This study is undertaken to determine the diagnostic efficacy and clinical relevance of the newly introduced MSCI and compare MSCI and Modified Reid Index. Results: 225 women out of 237 were analyzed. MSCI score 9 perform best for colposcopic diagnosis of CIN 2 or higher lesions. The sensitivity, specificity, PPV, and NPV for threshold score 9 for CIN 2 or higher lesions were 94.92 %, 67.88 %, 51.38 %, and 97.39 % respectively. Modified Reid Index threshold 3 performed best for the detection of CIN 2 or higher lesions with a sensitivity, specificity, PPV, and NPV of 84.75 %, 44.85 %, 35.46 %, and 89.16 % respectively. On comparing the area under the curve (AUC) for MSCI and MRI, we found that the difference between the AUC of MSCI (0.854) and Modified Reid Index (0.657) was significant (P < 0.05). Conclusion: MSCI performs better than the modified reid index for the diagnosis of both HGL and LGL or higher. Also, the omission of impractical measurements and inclusion of easier and more practical parameters than the Swede score or Modified Reid Index makes MSCI a simple and effective screening tool
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2468-2942
Relation: http://www.sciencedirect.com/science/article/pii/S2468294224000406; https://doaj.org/toc/2468-2942
DOI: 10.1016/j.ctarc.2024.100828
Access URL: https://doaj.org/article/992e43cebcad40c88988fea1dc82f712
Accession Number: edsdoj.992e43cebcad40c88988fea1dc82f712
Database: Directory of Open Access Journals
More Details
ISSN:24682942
DOI:10.1016/j.ctarc.2024.100828
Published in:Cancer Treatment and Research Communications
Language:English