AI-Assisted Cervical Cancer Screening

Fuente: arXiv
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Main Authors: Poudel, Kanchan, Poudel, Lisasha, Shakya, Prabin Raj, Poudel, Atit, Shrestha, Archana, Khanal, Bishesh
Format: Preprint
Published: 2024
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author Poudel, Kanchan
Poudel, Lisasha
Shakya, Prabin Raj
Poudel, Atit
Shrestha, Archana
Khanal, Bishesh
author_facet Poudel, Kanchan
Poudel, Lisasha
Shakya, Prabin Raj
Poudel, Atit
Shrestha, Archana
Khanal, Bishesh
contents Visual Inspection with Acetic Acid (VIA) remains the most feasible cervical cancer screening test in resource-constrained settings of low- and middle-income countries (LMICs), which are often performed screening camps or primary/community health centers by nurses instead of the preferred but unavailable expert Gynecologist. To address the highly subjective nature of the test, various handheld devices integrating cameras or smartphones have been recently explored to capture cervical images during VIA and aid decision-making via telemedicine or AI models. Most studies proposing AI models retrospectively use a relatively small number of already collected images from specific devices, digital cameras, or smartphones; the challenges and protocol for quality image acquisition during VIA in resource-constrained camp settings, challenges in getting gold standard, data imbalance, etc. are often overlooked. We present a novel approach and describe the end-to-end design process to build a robust smartphone-based AI-assisted system that does not require buying a separate integrated device: the proposed protocol for quality image acquisition in resource-constrained settings, dataset collected from 1,430 women during VIA performed by nurses in screening camps, preprocessing pipeline, and training and evaluation of a deep-learning-based classification model aimed to identify (pre)cancerous lesions. Our work shows that the readily available smartphones and a suitable protocol can capture the cervix images with the required details for the VIA test well; the deep-learning-based classification model provides promising results to assist nurses in VIA screening; and provides a direction for large-scale data collection and validation in resource-constrained settings.
format Preprint
id arxiv_https___arxiv_org_abs_2403_11936
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle AI-Assisted Cervical Cancer Screening
Poudel, Kanchan
Poudel, Lisasha
Shakya, Prabin Raj
Poudel, Atit
Shrestha, Archana
Khanal, Bishesh
Image and Video Processing
Computer Vision and Pattern Recognition
Visual Inspection with Acetic Acid (VIA) remains the most feasible cervical cancer screening test in resource-constrained settings of low- and middle-income countries (LMICs), which are often performed screening camps or primary/community health centers by nurses instead of the preferred but unavailable expert Gynecologist. To address the highly subjective nature of the test, various handheld devices integrating cameras or smartphones have been recently explored to capture cervical images during VIA and aid decision-making via telemedicine or AI models. Most studies proposing AI models retrospectively use a relatively small number of already collected images from specific devices, digital cameras, or smartphones; the challenges and protocol for quality image acquisition during VIA in resource-constrained camp settings, challenges in getting gold standard, data imbalance, etc. are often overlooked. We present a novel approach and describe the end-to-end design process to build a robust smartphone-based AI-assisted system that does not require buying a separate integrated device: the proposed protocol for quality image acquisition in resource-constrained settings, dataset collected from 1,430 women during VIA performed by nurses in screening camps, preprocessing pipeline, and training and evaluation of a deep-learning-based classification model aimed to identify (pre)cancerous lesions. Our work shows that the readily available smartphones and a suitable protocol can capture the cervix images with the required details for the VIA test well; the deep-learning-based classification model provides promising results to assist nurses in VIA screening; and provides a direction for large-scale data collection and validation in resource-constrained settings.
title AI-Assisted Cervical Cancer Screening
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2403.11936