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Digital camera assessment for detection of cervical intraepithelial neoplasia in rural El Salvador INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS Cremer, M., Jamshidi, R. M., Muderspach, L., Tsao-Wei, D., Felix, J. C., Blumenthal, P. D. 2005; 91 (1): 42-46

Abstract

To explore the feasibility of digital photography for primary cervical cancer screening in a low-resource setting in El Salvador.Three independent examiners performed Pap test, visual inspection, digital camera assessment and colposcopy on each subject.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%).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.

View details for DOI 10.1016/j.ijgo.2005.05.015

View details for Web of Science ID 000232315400008

View details for PubMedID 16043183