Analysis of interobserver reproducibility and its improvement in endometrial cytology.
スポンサーリンク
概要
- 論文の詳細を見る
A series of 70 clusters of benign and malignant endometrial cells were examined by 19 observers (11 cytotechnologists and 8 cytopathologists) to determine the interobserver reproducibility in grading the cellular atypicality. Analysis by kappa (κ) statistics showed poor overall agreement (κ=0.36). Although there was good agreement in grading "negative" and "positive" for malignancy (κ=0.46 and 0.47, respectively), poor agreement was obtained in the diagnosis of "suspicious" of malignancy (κ=0.15). After an intensive educational program for the observers, a second trial of grading was performed. Agreements in "negative" and "positive" were markedly improved (κ=0.55 and 0.61, respectively), showing the need of an educational system to improve the observers' ability to grade the cellular atypicality more accurately. However, the reproducibility in grading "suspicious". remained poor. This seems to be due partly to the current situation in endometrial cytology in which no distinct definition of "suspicious cells" has been established.
- 特定非営利活動法人 日本臨床細胞学会の論文
特定非営利活動法人 日本臨床細胞学会 | 論文
- Cytology of Carcinoid of Digestive Organs
- T-cell rich B-cell large cell lymphoma.
- Symposium on borderline lesions. 1. Aspiration cytology of lymph nodes with special reference to malignant lymphoma.
- A case of endometrioid adenocarcinoma, so-called secretory variant.
- Significant factors influencing the accuracy of PTCD bile cytology for bile duct lesions.