OBJECTIVE: To validate the efficacy of PAPNET for cervical cytology screeni
ng.
STUDY DESIGN: From a total of 50,000 gynecologic cases we selected 24 prima
rily negative smears from patients who, during follow-up, developed a preca
ncerous lesion or cancer in a short time, ranging from a fete months to two
years. These negative smears were rescreened by the PAPNET automated syste
m and reevaluated by two observers. A third observer blindly reevaluated th
e same cases manually.
RESULTS: Reevaluation after PAPNET screening showed one false negative smea
r,for a rate comparable to that of manual reevaluation, which also reclassi
fied the same case. The time required to interpret a smear using the PAPNET
system was approximately one minute, while the time required for conventio
nal manual screening was approximately five.
CONCLUSION: PAPNET is an efficient and fast screening for the detection of
precancerous cervical lesions and cancer.