Karen Villar Zarra

Dr. Karen Villar Zarra

orcid

Research Focus & Metrics

Academic Career Length

8Years (2019-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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7 July 2023 in Cancer Cytopathology
Verified
Journal Article
Open access
Alessandro CaputoAlessandro Caputo
Alessandro Caputo
FFFilippo Fraggetta
Filippo Fraggetta
PCPasquale Cretella
Pasquale Cretella
ICImmacolata Cozzolino
Immacolata Cozzolino
Albino EccherAlbino Eccher
Albino Eccher
PZPio Zeppa
Pio Zeppa
Background: After a series of standardized reporting systems in cytopathology, the Sydney system was recently introduced to address the need for reproducibility and standardization in lymph node cytopathology. Since then, the risk of malignancy for the categories of the Sydney system has been explored by several studies, but no studies have yet examined the interobserver reproducibility of the Sydney system.Methods: The authors assessed interobserver reproducibility of the Sydney system on 85 lymph node fine‐needle aspiration cytology cases reviewed by 15 cytopathologists from 12 institutions in eight different countries, resulting in 1275 diagnoses. In total, 186 slides stained with Diff‐Quik, Papanicolaou, and immunocytochemistry were scanned. A subset of the cases included clinical data and results from ultrasound examinations, flow cytometry immunophenotyping, and fluorescence in situ hybridization analysis. The study participants assessed the cases digitally using whole‐slide images.Results: Overall, the authors observed an almost perfect agreement of cytopathologists with the ground truth (median weighted Cohen κ = 0.887; interquartile range, κ = 0.210) and moderate overall interobserver concordance (Fleiss κ = 0.476). There was substantial agreement for the inadequate and malignant categories (κ = 0.794 and κ = 0.729, respectively), moderate agreement for the benign category (κ = 0.490), and very slight agreement for the suspicious (κ = 0.104) and atypical (κ = 0.075) categories.Conclusions: The Sydney system for reporting lymph node cytopathology shows adequate interobserver concordance. Digital microscopy is an adequate means to assess lymph node cytopathology specimens.

24 September 2020 in Diagnostic Cytopathology
Verified
Journal Article
Closed access
PDF file
JPJuan Carlos Celis Pinto
Juan Carlos Celis Pinto
HRHéctor Enrique Torres Rivas
Héctor Enrique Torres Rivas
LFLuis Manuel Fernández Fernández
Luis Manuel Fernández Fernández
KZKaren Villar Zarra
Karen Villar Zarra
MGMaría de la Paz González Gutiérrez
María de la Paz González Gutiérrez

1 July 2019 in Revista Española de Patología
Verified
Journal Article
Closed access
KZKaren Villar Zarra
Karen Villar Zarra
HRHéctor Enrique Torres Rivas
Héctor Enrique Torres Rivas
SRSusan D. Rollins
Susan D. Rollins
LFLuis Manuel Fernández Fernández
Luis Manuel Fernández Fernández
SLSantiago Nieto Llanos
Santiago Nieto Llanos


25 March 2024 in Cytopathology
Verified
Journal Article
Closed access
PDF file
KZKaren Villar Zarra
Karen Villar Zarra
JNJesús Nieves‐Alonso
Jesús Nieves‐Alonso
HRHéctor Enrique Torres Rivas
Héctor Enrique Torres Rivas

9 July 2024 in Cytopathology
Verified
Journal Article
Closed access
KZKaren Villar Zarra
Karen Villar Zarra
RBRonald Balassanian
Ronald Balassanian
PVPhilippe Vielh
Philippe Vielh