ThinPrep® Pap Test

1st

FDA-approved collection media for use with all FDA-approved HPV tests.*

A Wealth of Knowledge in a Single Vial.

More Effective. More Trusted. ThinPrep®.1-4
For over 25 years, Hologic has been at the forefront of cervical cancer screening. Over one billion ThinPrep® Pap tests have been performed worldwide, making it the most widely used liquid-based cytology test.5

Confidence in Every Step of the Process

Barcode

Chain-of-Custody Verification

Closed-system lab processing limits opportunities for chain-of-custody errors.

Smile

Patient Comfort

Out-of-the-vial testing minimizes the number of samples required for multiple test results.

Hand and tube

Clinician Versatility

Multiple FDA-approved ancillary testing options available from a single vial.3,7-9

Comprehensive Out-of-the Vial Testing

FDA Approved and Cleared Out-of-the Vial Testing

  • Aptima® HPV Assay
  • Aptima® HPV 16 18/45 Genotype Assay
  • Alinity HPV Test
  • Cobas® HPV Test
  • BD Onclarity HPV Test
  • Hybrid Capture® 2 HPV Test
  • CINtec PLUS Cytology
  • Aptima Combo 2® Assay
  • BD CT/NG Assay
  • Cobas® CT/NG Assay
  • Aptima® Trichomonas vaginalis Assay§
  • Roche TV/MG§

Comparing Sample Integrity and Preservation

ThinPrep vs Competitor
ThinPrep vs Competitor

Versatile Application, Increased Detection

  ThinPrep PapTest SurePath
Pap Test11
Detection Significantly more effective than conventional Pap smear for the detection of LSIL and more severe lesions Similar to conventional pap smear
FDA-approved labelling for improved ability to detect glandular disease
Preservative Solution PreservCyt® Solytion, Methanol based SurePath® Solution, Ethanol / Formaldehyde based
Pro-Cytology volume available for OTV 4 mL pre-cytology 0.5 mL pre-cytology
Formaldehyde Free Contains Formaldehyde DNA and RNA cross-linking2,12
Adjunctive Trichomonas vaginalis Clearance5
Cytology Stability 6 weeks for cytology 4 weeks for cytology13
Most adjunctive FDA approvals / clearances from a single vial

Compared Disease Detection between ThinPrep and SurePath Solutions: Real World US Data

Two U.S. academic studies published in 2019 and 2021 compared disease detection rates between TP and SP:

  • ThinPrep demonstrated a higher HSIL detection rate than SurePath14
  • ThinPrep detected considerably more AGCs than SurePath15
ThinPrep Disease Detection Comparison

A Thorough Approach to Cervical Cancer Detection16

While squamous cell carcinoma has steadily decreased since the introduction of the Pap smear, adenocarcinoma remains an area of great concern. The ability to detect adenocarcinoma is an essential part of comprehensive cervical cancer screening.

Historical Subtypes
Historical Subtypes

ThinPrep Improves Sensitivity by 56.76% vs. Conventional Pap Test17

ThinPrep vs Conventional Pap

Imaging Raises the Bar in Pap Testing Results

Studies have reported reductions in unsatisfactory results when the ThinPrep® imaging system was implemented.18,19

Thin Prep Imaged

A Step Ahead: Utilizing the ThinPrep Imaging System in Combination with the ThinPrep Pap Test

ThinPrep Imaging System
ThinPrep Imaging System

Imaging-Directed Cytology Improves Patient Results23

Increase

Increased sensitivity and specificity over manually reviewed ThinPrep Pap test slides.8

Check

Improved standardization at each stage of sample processing.

Arrow down

Reduce false-negative fraction

Target

Targeted areas: Imager
identifies largest and
darkest nuclei for review.

Let’s Connect

Have a question or need to talk to a Hologic team member? We’re here to help.

*Aptima® HPV assay, Aptima® HPV 16 18/45 Genotype assay, Cervista® HPV HR Test, Cervista® HPV 16/18 Test, Roche cobas HPV Test,  Roche Cobas HPV 16/18, Hybrid Capture 2 HPV DNA test, Abbot Alinity m HR HPV test, Alinity m STI assay, BD Onclarity HPV assay.

The ThinPrep 2000 System is significantly more effective than conventional Pap smear for detection of low-grade squamous intraepithelial (LSIL) and severe lesions in a variety of patient populations.

U.S. News & World Report data correlated with Hologic ordering data.

§TV is approved out of the vial.


1. ThinPrep 2000 Processor Instructions for Use. US package insert MAN-02624-001, Hologic, Inc.; 2021.

2. ThinPrep 2000 System Operator’s Manual. MAN-02585-001, Rev. 008. Marlborough, MA: Hologic, Inc. 2021.

3. ThinPrep Imaging System.  Instructions for Use MAN-08722-001. Hologic, Inc.; 2021.

4. Rebolj et al., Cervical histology after routine ThinPrep or SurePath liquid-based cytology and computer-assisted reading in Denmark. B J Cancer. 2015;113(9):1259-1274. 3. FDA, Summary of Safety and Effectiveness Data: The AutoCyte PREP System.  Approved June 17, 1999.

5. Hologic, Inc. Data on File.

6. US News & World Report. Best Hospitals for Adult Gynecology. http://health.usnews.com/best-hospitals/rankings/gynecology. Published 2016. Accessed October 7, 2025.

7. ThinPrep 5000 Processor. US package insert MAN-06024-001. Hologic, Inc.; 2021.

8. ThinPrep Genesis Processor.  Operator’s Manual MAN-05394-001.  Hologic, Inc.; 2023.

9. Genius Digital Diagnostics System. US Instructions for Use AW-23890-001. Hologic, Inc.; 2024.

10. FDA. Summary of Safety and Effectiveness Data: ThinPrep Imaging System. http://www.accessdata.fda.gov/cdrh_docs/pdf2/P020002b.pdf. Approved June 6, 2003. Accessed November 7, 2025.

11. FDA. Summary of Safety and Effectiveness Data: The AutoCyte PREP System. http://www.accessdata.fda.gov/cdrh_docs/pdf/P970018b.pdf. Approved June 17, 1999. Accessed November 7, 2025.

12. Naryshkin S, et al. Limitations of widely used high-risk human papillomavirus laboratory-developed testing in cervical cancer screening. Drug Healthc Patient Saf. 2012;4:167-172. doi:10.2147/DHPS.S37273.

13. PrepStain System [product insert]. 779-07085-00. Rev F. Burlington, NC: TriPath Imaging.

14. Sinclair WD, Gibbons-Fideler IS, Shen R, Li Z. The reporting rates of high-grade squamous intraepithelial lesions and their human papillomavirus testing and histologic follow-up results: A comparison between ThinPrep and SurePath preparations. Diagn Cytopathol. 2021 Aug;49(8):959-963. doi: 10.1002/dc.24774. Epub 2021 May 14. PMID: 33991062.

15. Liu S, Gibbons-Fideler IS, Tonkovich D, Shen R, Li Z. The reporting rates of atypical glandular cells and their HPV testing and histologic follow-up results: a comparison between ThinPrep and SurePath preparations from a single academic institution. J Am Soc Cytopathol. 2019 May-Jun;8(3):128-132. doi: 10.1016/j.jasc.2018.11.003. Epub 2018 Nov 29. PMID: 31097288.

16. Adegoke O, et al. Cervical Cancer Trends in the United States: A 35-Year Population-Based Analysis. J Women Health. 2012;21(10):1031- 1037.

17. Islami et al. Trends in cervical cancer incidence rates by age, race/ethnicity, histological subtype, and stage at diagnosis in the United States. Prev Med, 2019; 123: 316-323.

18. Miller, F., et al. Implementation of the ThinPrep Imaging System in a high-volume laboratory, Diagn Cytopathol. 2007;35(4):213-7.

19.  Chivukula, M., et al. Introduction of the ThinPrep Imaging System (TIS): experience in a high volume academic practice. CytoJournal. 2007;4:6. doi:10.1186/1742-6413-4-6.

20. Dziura B, et al. Performance of an imaging system vs. manual screening in the detection of squamous intra epithelial lesions of the uterine cervix. Acta Cytol. 2006;50(3):309-11.

21. Lozano R. Comparison of computer-assisted and manual screening of cervical cytology. Gynecol Oncol. 2007;104(1):134-8.

22. Klug SJ, et al. A randomized trial comparing conventional cytology to liquid-based cytology and computer assistance. Int J Cancer. 2012;132(12):2849-57. doi:10.1002/ijc.27955.

23. Carpenter AB, et al. ThinPrep Pap Test: Performance biopsy follow-up in a university hospital. Cancer. 1999;87:105-112.