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Oral Cancer Surveillance in Remote Areas Using a Smartphone Digital Platform
Mansuang Wongsapai1, Kornwipa Wudtijureepun1, Decha Tamdee2
1Intercountry Centre for Oral Health, Ministry of Public Health of Thailand, Chiang Mai, Thailand.
Studies in Health Technology and Informatics
|August 8, 2025
Summary
A smartphone platform, RISKOCA, aids oral cancer screening in rural Thailand. It helps detect pre-cancerous lesions and cancer early, especially in older adults, improving public health outcomes.
Area of Science:
- Public Health
- Digital Health
- Oncology
Background:
- Oral cancer poses a significant public health challenge in Thailand, particularly in remote regions with limited healthcare access.
- Early detection is crucial for improving patient prognosis and survival rates for oral cancer.
Purpose of the Study:
- To evaluate the effectiveness of a smartphone-based digital platform, RISKOCA, for oral cancer surveillance in rural Thai communities.
- To assess the prevalence of oral pre-cancerous lesions and cancer in an underserved population using digital health technology.
Main Methods:
- A smartphone-based digital platform (RISKOCA) was utilized for data collection from individuals aged 40 and above in rural areas.
- High-risk cases identified through the platform were subsequently reviewed by dental professionals for diagnosis.
Main Results:
- The study identified a prevalence of 1.29% for pre-cancerous lesions and oral cancer.
- The majority of detected cases were found in individuals over the age of 60.
Conclusions:
- Continuous screening via the RISKOCA platform can significantly enhance early detection of oral cancer in underserved populations.
- Implementing digital health solutions like RISKOCA is vital for improving oral cancer surveillance and patient outcomes in remote areas.

