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Accuracy of Liferiver HarmoniaHPV and VenusHPV Assays on Urine and Vaginal Self‐Samples

Authors: Latsuzbaia, Ardashel; Van Keer, Severien; Vanden Broeck, Davy; Weyers, Steven; Donders, Gilbert; De Sutter, Philippe; Tjalma, Wiebren; +3 Authors

Accuracy of Liferiver HarmoniaHPV and VenusHPV Assays on Urine and Vaginal Self‐Samples

Abstract

ABSTRACTIn this report, the clinical performance of Liferiver HarmoniaHPV and Liferiver VenusHPV was evaluated under the VALHUDES framework. Five hundred and twenty‐three women collected first‐void urine (FVU) with Colli‐Pee and vaginal samples with Evalyn Brush or Qvintip. Cervical samples were taken with the Cervex Brush by a clinician. Both vaginal and cervical samples were resuspended in 20 mL ThinPrep. Triplet samples from 499 women were tested with HarmoniaHPV and VenusHPV tests. The clinical accuracy of HarmoniaHPV did not differ in FVU and vaginal self‐samples versus cervical samples. The relative sensitivity for CIN2+ on FVU and vaginal samples was 0.95 [95% CI 0.89–1.02] and 0.95 [95% CI 0.88–1.02], respectively. Relative specificity for < CIN2 was 0.95 [0.86–1.04] on FVU and 0.93 [0.86–1.01] on vaginal samples. VenusHPV demonstrated lower sensitivity on both self‐sample types, whereas the specificity was similar to cervical samples. Post‐hoc adjustment of the VenusHPV Ct‐values improved sensitivity (ratio FVU/cervical = 0.94 [95% CI 0.88–1.00]; ratio vaginal/cervical = 0.96 [95% CI 0.92–1.01]) without compromising specificity (ratio FVU/cervical = 1.00 [0.92–1.09]; ratio vaginal/cervical = 0.95 [95% CI 0.88–1.02]) on both self‐samples. In conclusion, HarmoniaHPV and VenusHPV tests demonstrated similar clinical accuracy on FVU and vaginal self‐ versus cervical samples, although VenusHPV test required cut‐off optimization.

Keywords

PROTOCOL, Uterine Cervical Dysplasia/diagnosis, Oncologie, cervical cancer screening, Uterine Cervical Neoplasms, Cervix Uteri, Uterine Cervical Dysplasia/virology, Urine, WORLDWIDE, 1108 Medical Microbiology, Uterine Cervical Neoplasms/virology, HUMAN-PAPILLOMAVIRUS ASSAYS, self‐sampling, Cervix Uteri/virology, Human health sciences, Papillomaviridae, HPV ASSAY, self-sampling, Middle Aged, 3207 Medical microbiology, Urine/virology, Infectious Diseases, Oncology, Molecular Diagnostic Techniques, Vagina, Female, Life Sciences & Biomedicine, 0605 Microbiology, Research Article, Adult, HPV, CERVICAL-CANCER, Specimen Handling/methods, Papillomavirus Infections/urine, Papillomavirus Infections/diagnosis, Sciences de la santé humaine, Sensitivity and Specificity, VALIDATION, Specimen Handling, Young Adult, Uterine Cervical Neoplasms/diagnosis, Virology, Humans, Vaginal Smears, Science & Technology, Molecular Diagnostic Techniques/methods, Papillomavirus Infections, 3202 Clinical sciences, Papillomaviridae/isolation & purification, Uterine Cervical Dysplasia, Papillomavirus Infections/virology, diagnostic test accuracy, 3107 Microbiology, VALHUDES, Vagina/virology, Human medicine

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
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