Carcinogenesis, Teratogenesis & Mutagenesis ›› 2021, Vol. 33 ›› Issue (6): 451-454.doi: 10.3969/j.issn.1004-616x.2021.06.009

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Values of automatic DNA image analyses in diagnosis of pancreatic malignant tumors

WANG Rui, WANG Heng, WU Juan, JI Xiaokun, GUO Xiao, MA Yang, DU Yun   

  1. The Cancer Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei, China
  • Received:2021-02-13 Revised:2021-09-14 Online:2021-11-30 Published:2021-12-04

Abstract: OBJECTIVE: To evaluate values of automatic DNA image analyses (DNA-ICM) in diagnosis of pancreatic malignant tumors. METHODS: Patients with suspected pancreatic malignant tumor who underwent endoscopic ultrasonics guided fine needle puncture were recruited for our study. Collected samples were tested by conventional cytology and DNA-ICM. Diagnostic values of cytology,DNA-ICM and their combination were analyzed using histopathological diagnosis as the standard reference to clinical follow-up data. RESULTS: Among the 108 patients,sensitivity,specificity,positive predictive value,negative predictive value and accuracy of conventional cytological diagnosis were higher than those of DNA-ICM (93.1% vs 90.8%,95.2% vs 90.5%,98.8% vs 97.5%,76.9% vs 70.4%,93.5% vs 90.7%). However,there was no statistical significance between them (P>0.05). The combined diagnosis indexes for the two methods were 95.4%,90.5%,97.6%,82.6%,94.4%,respectively. Sensitivity,negative predictive value and accuracy of the combined diagnosis were higher than those of single diagnosis,but the differences were not statistically significant (P>0.05). CONCLUSION: DNA-ICM combined cytological diagnosis has great application value,and DNA-ICM showed good auxiliary diagnostic values for pancreatic cytology diagnosis.

Key words: DNA-ICM, EUS-FNA, pancreatic, malignancy

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