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Smartphone-Based Visual Inspection with Acetic Acid: An Innovative Tool to Improve Cervical Cancer Screening in

Jana Sami¹, Sophie Lemoupa Makajio^1,2, Emilien Jeannot^3,4

¹Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals, 1205 Geneva, Switzerland.

Healthcare (Basel, Switzerland)

|February 25, 2022

Summary

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This summary is machine-generated.

Digital-VIA (D-VIA) using smartphones offers a promising, quality-controlled method for cervical cancer screening in low-resource settings. This technology aids in diagnosing pre-cancerous lesions and enhances monitoring and training for healthcare providers.

Area of Science:

Gynecology
Public Health
Medical Imaging

Background:

Visual inspection with acetic acid (VIA) is a WHO-recommended cervical cancer screening method for low-resource settings.
Traditional VIA suffers from significant variability and lacks quality control, impacting diagnostic accuracy.
Digital-VIA (D-VIA) utilizes high-definition cameras for magnified, real-time image comparison, improving visualization of cervical changes.

Purpose of the Study:

To evaluate the available data on smartphone-based D-VIA for cervical cancer screening in low-resource environments.
To assess the feasibility and effectiveness of using smartphones for D-VIA in resource-limited settings.
To review the diagnostic capabilities and potential applications of D-VIA technology.

Main Methods:

Keywords:

VIA/VILI artificial intelligence cervical cancer screening digital colposcopy low and middle-income countries smartphone-based training

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A systematic literature search was conducted in MEDLINE and LILACS databases.

Studies published between January 2015 and November 2021 were included.

The review focused on research utilizing smartphone devices for D-VIA in low-resource settings.

Main Results:

D-VIA image quality is satisfactory for diagnosing CIN1/CIN2+ (cervical intraepithelial neoplasia grades 1 and 2+).
Smartphones are effective tools for monitoring cervical cancer screening programs.
The technology supports on-site and off-site supervision and training initiatives.

Conclusions:

Smartphone-based D-VIA is a viable and effective tool for cervical cancer screening in low-resource settings.
The technology enhances diagnostic accuracy and quality control compared to traditional VIA.
Future integration with AI algorithms may enable automated and precise cervical lesion detection.