Reid's Colposcopic Index (RCI) is a systematic, objective method of co
lposcopically grading the severity of premalignant cervical lesions. T
he index considers four colposcopic signs: lesion margin, color of ace
towhitening, blood vessels, and iodine staining. The RCI can accuratel
y predict the histologic grade of cervical disease, readily permitting
differentiation between low-grade cervical disease and high-grade dis
ease. Hence, use of the index helps direct the clinician to perform a
biopsy of the most significant abnormal cervical lesions and enhances
the formulation of the colposcopic impression.