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ance was validated on 949 pathology reports (anal cytology = 105, anal histology = 95, cervical cytology = 449, and cervical histology = 404). The NLP algorithm demonstrated accurate identification of abnormal cytology, histology, and positive HPV tests with accuracies greater than 0.91 in all specimens. Precision (also known as positive predictive value) was lowest for anal histology reports (0.87; 95%CI = 0.59-0.98) and highest for cervical cytology (0.98; 95%CI= 0.95-0.99). The NLP algorithm missed two out of the 15 abnormal anal hist

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