TY - JOUR
T1 - Digital camera assessment for detection of cervical intraepithelial neoplasia in rural El Salvador
AU - Cremer, M.
AU - Jamshidi, R. M.
AU - Muderspach, L.
AU - Tsao-Wei, D.
AU - Felix, J. C.
AU - Blumenthal, P. D.
PY - 2005/10
Y1 - 2005/10
N2 - 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.
AB - 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.
KW - Cervical intraepithelial neoplasia
KW - Digital imaging
KW - Screening
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U2 - 10.1016/j.ijgo.2005.05.015
DO - 10.1016/j.ijgo.2005.05.015
M3 - Article
C2 - 16043183
AN - SCOPUS:24644496092
SN - 0020-7292
VL - 91
SP - 42
EP - 46
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 1
ER -