_id

683a1658c782e11e38d1b377

id

10530

title

Reid's Colposcopic Index (RCI)

full_title

Reid's Colposcopic Index (RCI)

short_title

RCI

med_description

Colposcopically predicts histological grade of premalignant cervical lesions.

short_description

Premalignant cervical lesion grading.

slug

reids-colposcopic-index-rci

description

Reid's Colposcopic Index (RCI) colposcopically predicts the histological grade of premalignant cervical lesions.

keywords

Reid's Colposcopic Index (RCI), RCI, colposcopy, cervical lesion, premalignant, cervix, cervical dysplasia, cervical cancer, pap smear, cervical intraepithelial neoplasia, CIN, histopathology, colposcopy sign, iodine staining, acetowhitening, AWA, human papillomavirus, HPV

complaint

[ "Back Pain", "Bleeding", "Cancer", "Fatigue", "Fever", "Hematuria", "Loss of Appetite", "Pain", "Preventive Care/Screening", "Weakness", "Weight Loss/Gain", "Hematochezia" ]

formula

The RCI Score is calculated by the addition of the selected points:

evidence

measurements

[]

information

Interpretation:

refrences

{ "Clinical Practice Guidelines": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/28953109/", "text": "Wentzensen N, Massad LS, Mayeaux EJ Jr, et al. Evidence-Based Consensus Recommendations for Colposcopy Practice for Cervical Cancer Prevention in the United States. J Low Genit Tract Dis. 2017;21(4):216-222." } ], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/2998190/", "text": "Reid R, Scalzi P. Genital warts and cervical cancer. VII. An improved colposcopic index for differentiating benign papillomaviral infections from high-grade cervical intraepithelial neoplasia. Am J Obstet Gynecol. 1985;153(6):611-618." }, { "href": "https://pubmed.ncbi.nlm.nih.gov/7517993/", "text": "Ferris DG, Greenberg MD. Reid’s Colposcopic Index. J Fam Pract. 1994;39(1):65-70." } ], "Other References": [ { "href": "https://jcdr.net/article_abstract.asp?issn=0973-709x&year=2023&volume=17&issue=4&page=QC10&issn=0973-709x&id=17761", "text": "Pandey S, Saini V, Kalra K. Comparative analysis between Reid’s Colposcopic Index and Swede’s score for detection of premalignant lesions of cervix: A prospective study. J Clin Diagn Res. Published online 2023. doi:10.7860/jcdr/2023/62849.17761" } ], "Outcomes": [], "Validation": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/26376533/", "text": "Kaban I, Cengiz H, Kaban A, Yildiz S, Ekin M, Avci E. Agreement between colposcopy results using the Reid Colposcopic Index and histopathology. Ginekol Pol. 2015;86(7):537-540." } ], "Validations": [] }

pearls

• This provides a structured method of evaluation but does not fully account for clinician skill in colposcopy.
• Visual inspection can be useful, however clinical suspicion along with relevant patient history should be factored into the evaluation. 
• Does not account for other potentially high risk factors, such as HPV status.

usecase

• Should be used during colposcopy when assessing cervical lesions.
• Characteristics of the lesion can assist in prediction of abnormal histology. 
• These characteristics include color of the lesion, vessel pattern, margins, and appearance on iodine staining.

reasons

Provides a standardized method of assessment and can help differentiate between low- and high-grade lesions.

next_advice

next_actions

next_management

• Cervical lesions found to have an intermediate or high Reid’s Index should be biopsied for additional histopathology evaluation.
• Lesions that have a low Reid's Index may not require further evaluation. However, the patient’s history and personal risk factors, along with your clinical judgment, should be used to determine if biopsy is necessary at the time of colposcopic examination.

diseases

[ "Breast Cancer", "Cervical Cancer", "HPV Infection" ]

input_schema

[ { "conditionality": null, "default": 0, "label_en": "<p>Margin</p>", "mdcalc_info_concept": null, "name": "q1", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<ul><li>Condylomatous or micropapillary contour.</li><li>Indistinct borders.</li><li>Flocculated or feathered margins.</li><li>Jagged, angular lesions.</li><li>Satellite lesions, acetowhitening that extends beyond the transformation zone.</li></ul>", "value": 0 }, { "label": "<ul><li>Regular lesions with smooth, straight outlines.</li><li>Sharp peripheral margins.</li></ul>", "value": 1 }, { "label": "<ul><li>Rolled, peeling edges.</li><li>Internal borders between areas of differing appearance.</li></ul>", "value": 2 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Color</p>", "mdcalc_info_concept": null, "name": "q2", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<ul><li>Shiny, snow white color.</li><li>Indistinct acetowhitening, semi transparent rather than completely opaque.</li></ul>", "value": 0 }, { "label": "<ul><li>Shiny, off white.</li><li>Intermediate white.</li></ul>", "value": 1 }, { "label": "<ul><li>Dull, oyster gray.</li></ul>", "value": 2 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Vessels</p>", "mdcalc_info_concept": null, "name": "q3", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<ul><li>Uniform, fine caliber.</li><li>Randomly arranged with poorly formed patterns.</li><li>Nondilated capillary loops.</li><li>Ill-defined areas of fine punctation or mosaic.</li></ul>", "value": 0 }, { "label": "<ul><li>Absence of surface vessels, following acetic acid soaking.</li></ul>", "value": 1 }, { "label": "<ul><li>Definite punctuation or mosaicism.</li><li>Individual vessels dilated, arranged in sharply demarcated, well-defined patterns.</li></ul>", "value": 2 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Iodine staining</p>", "mdcalc_info_concept": null, "name": "q4", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<ul><li>Positive iodine uptake, producing a mahogany-brown color.</li><li>Negative iodine uptake by an area that is recognizable as a low-grade lesion by above criteria (≤2/6).</li></ul>", "value": 0 }, { "label": "<ul><li>Partial iodine uptake.</li><li>Variegated, tortoise shell appearance.</li></ul>", "value": 1 }, { "label": "<ul><li>Negative staining of a lesion, which is a high-grade lesion by the above criteria (≥3/6).</li><li>Mustard-yellow appearance.</li></ul>", "value": 2 } ], "show_points": true, "tips_en": "", "type": "radio" } ]

instructions

published

2024-05-31T20:03:20.744Z

purpose

[ "Prognosis" ]

search_terms

[ "Reid's Colposcopic Index (RCI)", "RCI", "colposcopy", "cervical lesion", "premalignant", "cervix", "cervical dysplasia", "cervical cancer", "pap smear", "cervical intraepithelial neoplasia", "CIN", "histopathology", "colposcopy sign", "iodine staining", "acetowhitening", "AWA", "human papillomavirus", "HPV", "reids colposcopic index" ]

seo

{ "keywords_en": "Reid's Colposcopic Index (RCI), RCI, colposcopy, cervical lesion, premalignant, cervix, cervical dysplasia, cervical cancer, pap smear, cervical intraepithelial neoplasia, CIN, histopathology, colposcopy sign, iodine staining, acetowhitening, AWA, human papillomavirus, HPV", "meta_description_en": "Reid's Colposcopic Index (RCI) colposcopically predicts the histological grade of premalignant cervical lesions." }

specialty

[ "Clinical Nutrition", "Family Practice", "Hospitalist Medicine", "Infectious Disease", "Internal Medicine", "OB-Gyn", "Pathology", "Primary Care" ]

departments

[ "Genitourinary", "Oncologic", "Reproductive" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10531, "short_title_en": "Swede Score", "slug": "swede-score" }, { "calcId": 10488, "short_title_en": "CNS-IPI", "slug": "central-nervous-system-international-prognostic-index-cns-ipi" }, { "calcId": 10490, "short_title_en": "NCCN-IPI", "slug": "national-comprehensive-cancer-network-international-prognostic-index-nccn-ipi" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "urology", "oncology", "gynecology" ]

cleaned_use

[ "Should be used during colposcopy when assessing cervical lesions.", "Characteristics of the lesion can assist in prediction of abnormal histology.", "These characteristics include color of the lesion, vessel pattern, margins, and appearance on iodine staining." ]

pub

false