{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T12:27:07Z","timestamp":1715516827604},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the <jats:styled-content style=\"fixed-case\">AV<\/jats:styled-content> Magnivisualizer with colposcopy to detect cervical intraepithelial neoplasia (<jats:styled-content style=\"fixed-case\">CIN<\/jats:styled-content>) using the Swede scoring system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional study conducted in a tertiary care hospital from May 2017 to March 2018. One hundred women with positive results at visual inspection with acetic acid underwent cervical inspection using the Magnivisualizer followed by a colposcope. Biopsies were taken if the Swede score was greater than 4. Pregnant women, women with an obvious cervical growth, acute cervicitis, or prior cervical surgery were excluded. Diagnostic accuracy of the Magnivisualizer and colposcope was calculated for high\u2010grade lesions (<jats:styled-content style=\"fixed-case\">CIN<\/jats:styled-content>\u00a02\/<jats:styled-content style=\"fixed-case\">CIN<\/jats:styled-content>\u00a02+) and agreement was compared between the two modalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sensitivity, specificity, and positive and negative predictive values of the Magnivisualizer were 88.2%, 70.0%, 50.0%, and 94.6%, respectively, to detect high\u2010grade lesions at a Swede score cutoff of 5 or more. The area under the curve for the Magnivisualizer was 0.80 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.67\u20130.92), which was comparable with colposcopy (<jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content> 0.86; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.76\u20130.96). There was very good agreement between the Magnivisualizer and colposcopy (\u03ba=0.865, <jats:italic>P<\/jats:italic>&lt;0.001) for high\u2010grade lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Magnivisualizer had high diagnostic accuracy to detect high\u2010grade <jats:styled-content style=\"fixed-case\">CIN<\/jats:styled-content> in screen\u2010positive women, which was comparable with colposcopy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12931","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T02:58:45Z","timestamp":1564369125000},"page":"219-224","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of the <scp>AV<\/scp> Magnivisualizer device with colposcopy to detect cervical intraepithelial neoplasia using the Swede scoring system"],"prefix":"10.1002","volume":"147","author":[{"given":"Utkarsh","family":"Dayal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bindiya","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roopa","family":"Hariprasad","sequence":"additional","affiliation":[{"name":"National Institute of Cancer Prevention and Research  Noida India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi","family":"Shriya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalini","family":"Rajaram","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavya","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"National Institute of Cancer Prevention and Research  Noida India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.Cervical Cancer Estimate Incidence Mortality and Prevalence Worldwide in 2018. 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