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Acta Cytologica Editorial Automated Screening for Cervical Cancer: Diagnostic Decision Procedures The primary screening of cytologic smears for cer- pling simply did not provide diagnostic cells to con- vical cancer leads to a diagnostic decision: either the firm this. Thus, before the slide is dismissed as nor- slide is declared normal, or it is decided that it mal, the search for diagnostic clues may be extend- should be further evaluated. It is a seemingly sim- ed to rule out conditions that might have prevented ple decision. However, when the underlying the detection of conclusive diagnostic evidence of process is examined, one finds it to be anything but abnormality. There are situations where some evi- simple. To begin with, the process involves a well- dence is found that abnormal cytology might exist known imbalance in decision making. It is easy to but subsequent evaluation shows that this was not establish that a given condition exists when the ev- the case, and the tentative alert is dismissed. There idence is found, but it can be very difficult to prove may be situations where no sign of abnormality is that the condition does not exist when the evidence seen at all and
Acta Cytologica – Karger
Published: Jan 1, 2011
Keywords: cervix neoplasms; mass screening; automation; computer-assisted decision making; decision theory
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