TestGoalsAdvantagesDisadvantages
Liquid-based/thin-layer preparations (e.g., ThinPrep, AutoCyte Prep)Improve the quality of the Pap smear
Decrease unsatisfactory Pap smears
Increase detection of cancer precursors
High-quality smear for review
Improved transfer of cells from collection device
Residual material may be used for HPV testing
Cost
Increased detection of low-grade lesions in initial studies*
Retraining of cytotechnologists
Computer-assisted screening (AutoCyte Screen)Improve Pap smear interpretation
Increase laboratory productivity
Increase detection of cancer precursors
Increase cytotechnologist productivity
May decrease false-negative reports
Cost
From studies on PAPNET, increased detection of low-grade lesion*
HPV testing (e.g., Hybrid Capture II)Potential use in triage of patients with ASCUS or noncorrelating colposcopyDetect presence of high-risk HPV typesCost
ASCUS/LSIL Triage Study Group indicated lack of utility for LSIL
Studies on ASCUS are ongoing