Digital camera assessment for detection of cervical intraepithelial neoplasia in rural El Salvador | Zendy

Cremer M. | Zendy; Jamshidi R.M. | Zendy; Muderspach L. | Zendy; TsaoWei D. | Zendy; Felix J.C. | Zendy; Blumenthal P.D. | Zendy

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Digital camera assessment for detection of cervical intraepithelial neoplasia in rural El Salvador

Author(s) -

Cremer M.,

Jamshidi R.M.,

Muderspach L.,

TsaoWei D.,

Felix J.C.,

Blumenthal P.D.

Publication year - 2005

Publication title -

international journal of gynecology and obstetrics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.895

H-Index - 97

eISSN - 1879-3479

pISSN - 0020-7292

DOI - 10.1016/j.ijgo.2005.05.015

Subject(s) - colposcopy , medicine , cervical intraepithelial neoplasia , visual inspection , cervical cancer , gynecology , cancer , artificial intelligence , computer science

Objective: To explore the feasibility of digital photography for primary cervical cancer screening in a low‐resource setting in El Salvador. Methods: Three independent examiners performed Pap test, visual inspection, digital camera assessment and colposcopy on each subject. Results: Lesions were detected in 99 of 504 patients (20%) by visual inspection, 72/504 (14%) by DART and 90/504 (18%) by colposcopic impression. Seven of 504 patients (1.3%) had CIN on histology. Pap detected 2 of 7 subjects (29% sensitivity) (C.I. 4%, 56%), visual inspection detected 5 of 7 (71% sensitivity, C.I. 34%, 95%), digital assessment detected 6 of 7 (86% sensitivity C. I. 45%, 99%), and colposcopic impression detected 5 of 7 (71% sensitivity, C.I. 34%, 95%). Conclusion: This small pilot trial demonstrates the potential value and feasibility of performing digital camera assessment of the reproductive tract on women in a developing country setting.

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