Abstract
Objective: This study was designed to compare the sensitivity, specificity, efficiency, positive and negative predictive values, and ease of use for 2 commercially available hybridization kits for detecting human papillomavirus (HPV) DNA: Oncor Southern blot (SB) (Oncor, Inc., Gaithersburg, MD) and Digene ViraType dot blot (DB) (Digene Diagnostics, Inc., Silver Spring, MD).
Methods: A total of 179 specimens (172 cervical and 7 penile biopsies) were assessed for acceptability based on the presence of epithelial cells and tested for HPV by DB and SB. The results were evaluated based on Papanicolaou-stained cervical specimens and selected risk factors.
Results: One hundred six (97.2%) of 109 results were concordant, i.e., 93 negative (85.3%) and 13 positive (11.9%). Using SB as the gold standard, we found the sensitivity, specificity, efficiency, and positive and negative predictive values for the ViraType DB to be 100%, 96.9%, 97.3%, 81.3%, and 100%, respectively. Comparing the Papanicolaou smear to SB and DB, we found the sensitivity, specificity, efficiency, and positive and negative predictive values to be 33.3% (SB) vs. 44.4% (DB), 89.5% vs. 87.6%, 87.3% vs. 84.2%, 11.8% vs. 23.5%, and 97.0% vs. 94.9%, respectively. The only significant risk factor for predicting an HPV infection was the number of sexual partners.
Conclusions: Although SB has been considered the standard model, DB is an acceptable method for detecting and identifying HPV infections.
Full Text
The Full Text of this article is available as a PDF (704.3 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baggish M. S. A comparison between laser excisional conization and laser vaporization for the treatment of cervical intraepithelial neoplasia. Am J Obstet Gynecol. 1986 Jul;155(1):39–44. doi: 10.1016/0002-9378(86)90074-8. [DOI] [PubMed] [Google Scholar]
- Brown D. R., Bryan J. T., Cramer H., Fife K. H. Analysis of human papillomavirus types in exophytic condylomata acuminata by hybrid capture and Southern blot techniques. J Clin Microbiol. 1993 Oct;31(10):2667–2673. doi: 10.1128/jcm.31.10.2667-2673.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burmer G. C., Parker J. D., Bates J., East K., Kulander B. G. Comparative analysis of human papillomavirus detection by polymerase chain reaction and Virapap/Viratype kits. Am J Clin Pathol. 1990 Nov;94(5):554–560. doi: 10.1093/ajcp/94.5.554. [DOI] [PubMed] [Google Scholar]
- Choi Y. J. Detection of human papillomavirus DNA on routine Papanicolaou's smears by in situ hybridization with the use of biotinylated probes. Am J Clin Pathol. 1991 Apr;95(4):475–480. doi: 10.1093/ajcp/95.4.475. [DOI] [PubMed] [Google Scholar]
- Kiviat N. B., Koutsky L. A., Critchlow C. W., Galloway D. A., Vernon D. A., Peterson M. L., McElhose P. E., Pendras S. J., Stevens C. E., Holmes K. K. Comparison of Southern transfer hybridization and dot filter hybridization for detection of cervical human papillomavirus infection with types 6, 11, 16, 18, 31, 33, and 35. Am J Clin Pathol. 1990 Nov;94(5):561–565. doi: 10.1093/ajcp/94.5.561. [DOI] [PubMed] [Google Scholar]
- Lorincz A. T., Reid R., Jenson A. B., Greenberg M. D., Lancaster W., Kurman R. J. Human papillomavirus infection of the cervix: relative risk associations of 15 common anogenital types. Obstet Gynecol. 1992 Mar;79(3):328–337. doi: 10.1097/00006250-199203000-00002. [DOI] [PubMed] [Google Scholar]
- Lungu O., Sun X. W., Felix J., Richart R. M., Silverstein S., Wright T. C., Jr Relationship of human papillomavirus type to grade of cervical intraepithelial neoplasia. JAMA. 1992 May 13;267(18):2493–2496. [PubMed] [Google Scholar]
- Nasiell K., Roger V., Nasiell M. Behavior of mild cervical dysplasia during long-term follow-up. Obstet Gynecol. 1986 May;67(5):665–669. doi: 10.1097/00006250-198605000-00012. [DOI] [PubMed] [Google Scholar]
- Reid R., Lorincz A. T. Should family physicians test for human papillomavirus infection? An affirmative view. J Fam Pract. 1991 Feb;32(2):183–188. [PubMed] [Google Scholar]
- Richart R. M., Wright T. C., Jr Controversies in the management of low-grade cervical intraepithelial neoplasia. Cancer. 1993 Feb 15;71(4 Suppl):1413–1421. doi: 10.1002/cncr.2820710406. [DOI] [PubMed] [Google Scholar]
- The 1988 Bethesda System for reporting cervical/vaginal cytological diagnoses. National Cancer Institute Workshop. JAMA. 1989 Aug 18;262(7):931–934. [PubMed] [Google Scholar]
- Weintraub J., Redard M., Seydoux J. The comparative test performance of dot filter hybridization (Viratype) and conventional morphologic analysis to detect human papillomavirus. Am J Clin Pathol. 1992 Jan;97(1):46–57. doi: 10.1093/ajcp/97.1.46. [DOI] [PubMed] [Google Scholar]
- Whiteley P. F., Oláh K. S. Treatment of cervical intraepithelial neoplasia: experience with the low-voltage diathermy loop. Am J Obstet Gynecol. 1990 May;162(5):1272–1277. doi: 10.1016/0002-9378(90)90035-6. [DOI] [PubMed] [Google Scholar]
- Wright T. C., Jr, Richart R. M. Role of human papillomavirus in the pathogenesis of genital tract warts and cancer. Gynecol Oncol. 1990 May;37(2):151–164. doi: 10.1016/0090-8258(90)90327-h. [DOI] [PubMed] [Google Scholar]
- Yee C., Krishnan-Hewlett I., Baker C. C., Schlegel R., Howley P. M. Presence and expression of human papillomavirus sequences in human cervical carcinoma cell lines. Am J Pathol. 1985 Jun;119(3):361–366. [PMC free article] [PubMed] [Google Scholar]
- zur Hausen H. Papillomaviruses in human cancer. Cancer. 1987 May 15;59(10):1692–1696. doi: 10.1002/1097-0142(19870515)59:10<1692::aid-cncr2820591003>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
