Fluorescence colposcope with TMTP1-PEG4-ICG is comparable to the conventional colposcope in identifying cervical precancerous lesions : A randomized controlled trial

© 2023 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics..

OBJECTIVE: To compare the diagnostic efficiency of a fluorescence colposcope with TMTP1-PEG4-ICG dye versus a conventional colposcope with acetic acid and Lugol's iodine in identifying cervical precancerous lesions.

METHODS: In all, 218 women with abnormal cervical cancer screening results including cytology and/or human papillomavirus (HPV) test were involved in the randomized controlled trial. Patients in the fluorescence colposcope group had TMTP1-PEG4-ICG dye applied to the cervix uteri before colposcopy. Patients in the conventional colposcope group were routinely administered acetic acid and Lugol's iodine to stain the cervix uteri. Two to four cervical sites per patient were taken out for biopsy. The diagnostic efficiency of fluorescence colposcopy and conventional colposcopy was calculated on a per-patient and per-site basis. χ2 test or Fisher exact test was used.

RESULTS: A total of 194 patients and the corresponding 662 cervical sites were included in the final analysis. There was no statistically significant difference in the diagnostic efficiency between the two groups both on a per-patient and a per-site basis, including accuracy, sensitivity, specificity, positive predictive value, and negative predictive value.

CONCLUSIONS: The fluorescence colposcope with TMTP1-PEG4-ICG dye was comparable to the conventional colposcope in identifying cervical precancerous lesions.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:162

Enthalten in:

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics - 162(2023), 3 vom: 20. Sept., Seite 969-976

Sprache:

Englisch

Beteiligte Personen:

Zhou, Ying [VerfasserIn]
Wang, Chen [VerfasserIn]
Li, Wei [VerfasserIn]
Lu, Wanrong [VerfasserIn]
Liu, Xiaohu [VerfasserIn]
Xi, Ling [VerfasserIn]
Li, Pengcheng [VerfasserIn]
Lu, Jinling [VerfasserIn]
Wei, Juncheng [VerfasserIn]

Links:

Volltext

Themen:

Acetic Acid
Cervical cancer screening
Cervical intraepithelial neoplasia
Diagnostic imaging
Fluorescence colposcope
Journal Article
Lugol's solution
Q40Q9N063P
Randomized Controlled Trial
T66M6Y3KSA
TMTP1-PEG4-ICG

Anmerkungen:

Date Completed 15.08.2023

Date Revised 15.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ijgo.14752

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354449419