The sensitivity and specificity of the OralCDx technique
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The sensitivity and specificity of the OralCDx technique : evaluation of 103 cases. / Scheifele, Christian; Schmidt-Westhausen, Andrea-Maria; Dietrich, Thomas; Reichart, Peter A.
In: ORAL ONCOL, Vol. 40, No. 8, 01.09.2004, p. 824-8.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The sensitivity and specificity of the OralCDx technique
T2 - evaluation of 103 cases
AU - Scheifele, Christian
AU - Schmidt-Westhausen, Andrea-Maria
AU - Dietrich, Thomas
AU - Reichart, Peter A
PY - 2004/9/1
Y1 - 2004/9/1
N2 - In this study, we compared 103 OralCDx results with the histological findings of 96 clinical sites in 80 patients (33 females; 64.3+/-13.7 years and 47 males; 53.2+/-11.5 years). The histological findings were classified as follows: compatible with oral leukoplakia (OL; n = 60) or oral lichen planus (OLP; n = 17), both without dysplasia; dysplasia in OL or OLP (n = 9); and oral squamous cell carcinoma (OSCC; n = 17). There were seven (6.8%) specimens with an inadequate cell count. Overall, the sensitivity of the OralCDx technique to detect dysplasia and OSCC was 92.3% (95% CI: 74.9-99.1%), and the specificity was 94.3% (95% CI: 86.0-98.4%). The positive likelihood ratio (LR+) was 16.2 (95% CI: 6.2-42.1) and the negative likelihood ratio (LR-) was 0.08 (95% CI: 0.02-0.31). In conclusion, these figures are in agreement with previously published data and support the use of OralCDx as a screening tool of oral lesions, but further trials are still necessary.
AB - In this study, we compared 103 OralCDx results with the histological findings of 96 clinical sites in 80 patients (33 females; 64.3+/-13.7 years and 47 males; 53.2+/-11.5 years). The histological findings were classified as follows: compatible with oral leukoplakia (OL; n = 60) or oral lichen planus (OLP; n = 17), both without dysplasia; dysplasia in OL or OLP (n = 9); and oral squamous cell carcinoma (OSCC; n = 17). There were seven (6.8%) specimens with an inadequate cell count. Overall, the sensitivity of the OralCDx technique to detect dysplasia and OSCC was 92.3% (95% CI: 74.9-99.1%), and the specificity was 94.3% (95% CI: 86.0-98.4%). The positive likelihood ratio (LR+) was 16.2 (95% CI: 6.2-42.1) and the negative likelihood ratio (LR-) was 0.08 (95% CI: 0.02-0.31). In conclusion, these figures are in agreement with previously published data and support the use of OralCDx as a screening tool of oral lesions, but further trials are still necessary.
KW - Biopsy/methods
KW - Diagnosis, Computer-Assisted/methods
KW - Female
KW - Humans
KW - Leukoplakia, Oral/diagnosis
KW - Lichen Planus, Oral/diagnosis
KW - Likelihood Functions
KW - Male
KW - Middle Aged
KW - Mouth Mucosa/pathology
KW - Mouth Neoplasms/diagnosis
KW - Sensitivity and Specificity
U2 - 10.1016/j.oraloncology.2004.02.004
DO - 10.1016/j.oraloncology.2004.02.004
M3 - SCORING: Journal article
C2 - 15288838
VL - 40
SP - 824
EP - 828
JO - ORAL ONCOL
JF - ORAL ONCOL
SN - 1368-8375
IS - 8
ER -