Evaluation of alternately combining HPV viral load and 16/18 genotyping in secondary screening algorithms

Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. To evaluate combinations of human papillomavirus (HPV) viral load and genot...

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Published inPloS one Vol. 14; no. 7; p. e0220200
Main Authors Luo, Hongxue, Du, Hui, Belinson, Jerome L., Wu, Ruifang
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 26.07.2019
Public Library of Science (PLoS)
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Online AccessGet full text
ISSN1932-6203
1932-6203
DOI10.1371/journal.pone.0220200

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Abstract Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. The Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
AbstractList Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping.BACKGROUNDCorrelation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping.To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies.OBJECTIVETo evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies.The Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling.METHODSThe Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling.Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology.RESULTSCompared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology.Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.CONCLUSIONSPrimary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Background Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. Objective To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. Methods The Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Results Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Conclusions Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. The Shenzhen Cervical Cancer Screening Trial II (SHENCCAST II) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load [greater than or equal to]10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive ([greater than or equal to]1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Background Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. Objective To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. Methods The Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Results Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Conclusions Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Background Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. Objective To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. Methods The Shenzhen Cervical Cancer Screening Trial II (SHENCCAST II) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Results Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load [greater than or equal to]10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive ([greater than or equal to]1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Conclusions Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping. To evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies. The Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling. Compared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology. Primary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
BackgroundCorrelation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been adequately explored, especially when combined with HPV-16/18 genotyping.ObjectiveTo evaluate combinations of human papillomavirus (HPV) viral load and genotyping for HPV-16/18 as secondary screening strategies.MethodsThe Shenzhen Cervical Cancer Screening Trial Ⅱ (SHENCCAST Ⅱ) database was re-analyzed to explore new screening algorithms using the results of Hybrid Capture 2 (HC2), Mass Array Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass spectrometry System (MALDI-TOF-MS) and the ThinPrep cytologic test (TCT) obtained by endocervical sampling.ResultsCompared with the recommended screening strategy of genotyping HPV-16/18 plus reflex to cytology, using viral load (10 RLU/CO as threshold) plus reflex to cytology resulted in less cytology but had a significantly higher sensitivity for cervical intraepithelial neoplasia 2+ (CIN2+)/CIN3+ without considerable changes in specificity and referral rates. Both of the strategy of using viral load ≥10 RLU/CO as cut-point for immediate colposcopy followed by triage genotyping HPV-16/18 for the other positive (≥1<10 RLU/CO) and the strategy of referring HPV-16/18 positives for immediate colposcopy followed by triage viral load (10 RLU/CO as threshold) for non-HPV-16/18 positives had comparable screening efficacy with algorithims that contain cytology.ConclusionsPrimary HPV screening with triage of HPV-positive women by a combination of viral load and genotyping for HPV-16/18 provides good balance between sensitivity and specificity, the number of tests required, and referral rates.
Audience Academic
Author Luo, Hongxue
Belinson, Jerome L.
Du, Hui
Wu, Ruifang
AuthorAffiliation 5 Preventive Oncology International, Cleveland Heights, OH, United States of America
2 Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, PR China
3 Shenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecological diseases, Shenzhen, PR China
1 Department of Obstetrics and Gynecology, Peking University People’ Hospital, Beijing, PR China
4 Gynecologic Oncology Division, Women’s Health Institute, Cleveland Clinic, Cleveland, OH, United States of America
Bharathidasan University, INDIA
AuthorAffiliation_xml – name: 4 Gynecologic Oncology Division, Women’s Health Institute, Cleveland Clinic, Cleveland, OH, United States of America
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– name: 1 Department of Obstetrics and Gynecology, Peking University People’ Hospital, Beijing, PR China
– name: 2 Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, PR China
– name: 5 Preventive Oncology International, Cleveland Heights, OH, United States of America
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31348794$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1093/annonc/mdt538
10.1097/LGT.0000000000000243
10.1016/j.vaccine.2012.06.095
10.1097/LGT.0000000000000277
10.1158/1055-9965.EPI-05-0240
10.1002/ijc.28723
10.1016/S1470-2045(12)70568-5
10.1002/ijc.26056
10.1097/LGT.0b013e31824f48c8
10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
10.1016/S1470-2045(11)70188-7
10.1016/S1473-3099(07)70158-5
10.1002/ijc.27650
10.1586/14737140.2014.856273
10.1371/journal.pone.0107573
10.1002/ijc.26202
10.1097/IGC.0b013e318286a95d
10.1016/j.ajog.2012.11.020
10.1093/jjco/hyu112
10.1016/S0140-6736(13)62218-7
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2019 Luo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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– notice: 2019 Luo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Competing Interests: The authors have declared that no competing interests exist.
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References HT Tsai (ref19) 2005; 14
JM Walboomers (ref2) 1999; 189
PK Chan (ref22) 2014; 9
KU Petry (ref25) 2011; 121
H Luo (ref15) 2017; 21
AT Hesselink (ref26) 2014; 135
G Ronco (ref3) 2014; 383
N. Wentzensen (ref9) 2013; 14
PE Castle (ref14) 2011; 12
JL Belinson (ref16) 2011; 135
M Arbyn (ref4) 2012; 30
MG Dijkstra (ref6) 2014; 25
RP Bosgraaf (ref7) 2014; 14
S de Sanjose (ref8) 2007; 7
M Arbyn (ref5) 2012; 131
HH Zur (ref1) 1977; 78
JL Belinson (ref17) 2012; 130
TC Wright Jr (ref10) 2017; 144
Y Wu (ref20) 2006; 35
R Wu (ref18) 2012; 16
JT Cox (ref13) 2013; 208
WK Huh (ref12) 2015; 125
SS Xiao (ref24) 2016; 20
DC Rijkaart (ref11) 2012; 130
SM Wang (ref21) 2013; 23
Y Azuma (ref23) 2014; 44
References_xml – volume: 25
  start-page: 927
  issue: 5
  year: 2014
  ident: ref6
  article-title: Cervical cancer screening: on the way to a shift from cytology to full molecular screening
  publication-title: Ann Oncol
  doi: 10.1093/annonc/mdt538
– volume: 20
  start-page: 327
  year: 2016
  ident: ref24
  article-title: Analysis of Human Papillomavirus Infection in 16,320 Patients From a Gynecology Clinic in Central South China
  publication-title: J Low Genit Tract Dis
  doi: 10.1097/LGT.0000000000000243
– volume: 30
  start-page: F88
  issue: Suppl 5
  year: 2012
  ident: ref4
  article-title: Evidence Regarding Human Papillomavirus Testing in Secondary Prevention of Cervical Cancer
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2012.06.095
– volume: 21
  start-page: 12
  year: 2017
  ident: ref15
  article-title: Evaluation of Viral Load as a Triage Strategy With Primary High-Risk Human Papillomavirus Cervical Cancer Screening
  publication-title: J Low Genit Tract Dis
  doi: 10.1097/LGT.0000000000000277
– volume: 125
  start-page: 330
  year: 2015
  ident: ref12
  article-title: Use of primary high-risk human papillomavirus testing for cervical cancer screening: Interim clinical guidance
  publication-title: ObstetGynecol
– volume: 144
  start-page: 51
  year: 2017
  ident: ref10
  article-title: Triaging HPV-positive women with p16/Ki-67 dual-stained cytology: Results from a sub-study nested into the ATHENA trial
  publication-title: GynecolOncol
– volume: 14
  start-page: 2544
  issue: 11
  year: 2005
  ident: ref19
  article-title: Association between quantitative high-risk human papillomavirus DNA load and cervical intraepithelial neoplasm risk
  publication-title: Cancer Epidemiol Biomarkers Prev
  doi: 10.1158/1055-9965.EPI-05-0240
– volume: 135
  start-page: 790
  year: 2011
  ident: ref16
  article-title: A Population-Based Clinical Trial Comparing Endocervical High-Risk HPV Testing Using Hybrid Capture 2 and CervistaFrom the SHENCCAST II Study
  publication-title: Am J ClinPathol
– volume: 135
  start-page: 880
  year: 2014
  ident: ref26
  article-title: Methylation marker analysis of self-sampled cervico-vaginal lavage specimens to triage high-risk HPV-positive women for colposcopy
  publication-title: Int J Cancer
  doi: 10.1002/ijc.28723
– volume: 14
  start-page: 107
  year: 2013
  ident: ref9
  article-title: Triage of HPV-positive women in cervical cancer screening
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(12)70568-5
– volume: 78
  start-page: 1
  year: 1977
  ident: ref1
  article-title: Human papillomaviruses and their possible role in squamous cell carcinomas
  publication-title: Curr Top MicrobiolImmunol
– volume: 130
  start-page: 602
  year: 2012
  ident: ref11
  article-title: Evaluation of 14 triage strategies for HPV DNA-positive women in population-based cervical screening
  publication-title: Int J Cancer
  doi: 10.1002/ijc.26056
– volume: 16
  start-page: 416
  year: 2012
  ident: ref18
  article-title: Secondary screening after primary self-sampling for human papillomavirus from SHENCCAST II
  publication-title: J Low Genit Tract Dis
  doi: 10.1097/LGT.0b013e31824f48c8
– volume: 35
  start-page: 264
  year: 2006
  ident: ref20
  article-title: Associations of high-risk HPV types and viral load with cervical cancer in China
  publication-title: J ClinVirol
– volume: 189
  start-page: 12
  year: 1999
  ident: ref2
  article-title: Human papillomavirus is a necessary cause of invasive cervical cancer worldwide
  publication-title: J Pathol
  doi: 10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
– volume: 12
  start-page: 880
  year: 2011
  ident: ref14
  article-title: Performance of carcinogenic human papillomavirus (HPV) testing and HPV16 or HPV18 genotyping for cervical cancer screening of women aged 25 years and older: a subanalysis of the ATHENA study
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(11)70188-7
– volume: 7
  start-page: 453
  year: 2007
  ident: ref8
  article-title: Worldwide prevalence and genotype distribution of cervical human papillomavirus DNA in women with normal cytology: a meta-analysis
  publication-title: Lancet Infect Dis
  doi: 10.1016/S1473-3099(07)70158-5
– volume: 131
  start-page: 1969
  issue: 9
  year: 2012
  ident: ref5
  article-title: EUROGIN 2011 roadmap on prevention and treatment of HPV-related disease
  publication-title: Int J Cancer
  doi: 10.1002/ijc.27650
– volume: 14
  start-page: 75
  year: 2014
  ident: ref7
  article-title: The current position and the future perspectives of cervical cancer screening
  publication-title: Expert Rev Anticancer Ther
  doi: 10.1586/14737140.2014.856273
– volume: 9
  start-page: e107573
  year: 2014
  ident: ref22
  article-title: Meta-Analysis on Prevalence and Attribution of Human Papillomavirus Types 52 and 58 in Cervical Neoplasia Worldwide
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0107573
– volume: 130
  start-page: 1855
  year: 2012
  ident: ref17
  article-title: Improved sensitivity of vaginal self-collection and high-risk human papillomavirus testing
  publication-title: Int J Cancer
  doi: 10.1002/ijc.26202
– volume: 23
  start-page: 716
  year: 2013
  ident: ref21
  article-title: Six-year regression and progression of cervical lesions of different human papillomavirus viral loads in varied histological diagnoses
  publication-title: Int J Gynecol Cancer
  doi: 10.1097/IGC.0b013e318286a95d
– volume: 121
  start-page: 505
  issue: 3
  year: 2011
  ident: ref25
  article-title: Triaging Pap cytology negative, HPV positive cervical cancer screening results with p16/Ki-67 Dual-stained cytology
  publication-title: GynecolOncol
– volume: 208
  start-page: 184.e1
  year: 2013
  ident: ref13
  article-title: Comparison of cervical cancer screening strategies incorporating different combinations of cytology, HPV testing, and genotyping for HPV 16/18: Results from the ATHENA HPV study
  publication-title: Am J ObstetGynecol
  doi: 10.1016/j.ajog.2012.11.020
– volume: 44
  start-page: 910
  year: 2014
  ident: ref23
  article-title: Human papillomavirus genotype distribution in cervical intraepithelial neoplasia grade 2/3 and invasive cervical cancer in Japanese women
  publication-title: Jpn J ClinOncol
  doi: 10.1093/jjco/hyu112
– volume: 383
  start-page: 524
  issue: 9916
  year: 2014
  ident: ref3
  article-title: Efficacy of HPV-based screening for prevention of invasive cervical cancer: follow-up of four European randomised controlled trials
  publication-title: Lancet
  doi: 10.1016/S0140-6736(13)62218-7
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Snippet Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not been...
Background Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not...
BackgroundCorrelation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not...
Background Correlation with HPV viral load and worsening cervical lesions had been reported, but its potential for triage after primary HPV screening has not...
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SubjectTerms Adult
Algorithms
Antiretroviral drugs
Biology and Life Sciences
Biomarkers
Cancer
Cancer screening
Cellular biology
Cervical cancer
Cervical Intraepithelial Neoplasia - virology
Cervix dysplasia
Colposcopy
Cytology
Diagnosis
DNA, Viral - analysis
Feasibility Studies
Female
Genetic aspects
Genotyping
Genotyping Techniques
Gynecology
Health screening
Human papillomavirus
Human papillomavirus 16 - genetics
Human papillomavirus 16 - physiology
Human papillomavirus 18 - genetics
Human papillomavirus 18 - physiology
Humans
Ionization
Ions
Laboratories
Laser arrays
Lesions
Load distribution
Mass spectrometry
Mass spectroscopy
Medical screening
Medicine and Health Sciences
Middle Aged
Obstetrics
Oncology
Papillomavirus
Papillomavirus infections
Papillomavirus Infections - diagnosis
Physical Sciences
Research and Analysis Methods
Risk factors
Scientific imaging
Sensitivity
Sensitivity and Specificity
Spectroscopy
Strategy
Triage
Viral Load
Womens health
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Title Evaluation of alternately combining HPV viral load and 16/18 genotyping in secondary screening algorithms
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