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Cervical cancer screening aided by artificial intelligence, China.

Xingce Zhu1, Qiang Yao2, Wei Dai1

  • 1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.

Bulletin of the World Health Organization
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A large-scale cervical cancer screening program in Hubei Province, China, utilized artificial intelligence and trained health workers. This AI-powered approach provided effective, low-cost screening, improving accessibility for widespread coverage.

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Area of Science:

  • Public Health
  • Medical Technology
  • Oncology

Background:

  • Cervical cancer remains a significant global health concern, particularly in regions with limited screening access.
  • Effective screening programs are crucial for early detection and prevention of cervical cancer.
  • Integrating advanced technologies like artificial intelligence (AI) offers potential to enhance screening efficiency and reach.

Purpose of the Study:

  • To implement and evaluate a large-scale online cervical cancer screening program in Hubei Province, China.
  • To assess the feasibility, performance, and cost-effectiveness of an AI-supported screening model.
  • To determine the program's contribution to achieving universal cervical cancer screening coverage.

Main Methods:

  • The program involved trained health workers for sample collection and slide preparation.
  • Diagnostic health workers utilized online AI for initial cytological assessment based on the Bethesda System.
  • Cytopathologists reviewed positive cases and finalized reports online, supported by automated scanners and a management platform.

Main Results:

  • Over 1.5 million women were screened between 2017 and 2021, with a 97.09% valid sample rate.
  • The program identified precancerous lesions in 2785 women and invasive cancers in 191.
  • The cost of screening was low at US$6.31 per woman for the public payer, including administrative and online screening costs.

Conclusions:

  • AI-supported cervical cancer screening in Hubei Province proved to be a low-cost, accessible, and effective service.
  • The program demonstrates a viable model for expanding cervical cancer screening coverage in China.
  • This initiative has the potential to significantly impact public health by reducing the burden of cervical cancer.