Volume 45 Issue 10
Oct.  2024
Turn off MathJax
Article Contents
Xiaoxiao ZHANG, Lulu LIU, Feng YAN, Jinlan YANG, Zhiqiang WANG, Meili HU. Analysis of Results from AI-Assisted Cervical Cancer Screening for Rural Women in Baoding City[J]. Journal of Kunming Medical University, 2024, 45(10): 135-139. doi: 10.12259/j.issn.2095-610X.S20241021
Citation: Xiaoxiao ZHANG, Lulu LIU, Feng YAN, Jinlan YANG, Zhiqiang WANG, Meili HU. Analysis of Results from AI-Assisted Cervical Cancer Screening for Rural Women in Baoding City[J]. Journal of Kunming Medical University, 2024, 45(10): 135-139. doi: 10.12259/j.issn.2095-610X.S20241021

Analysis of Results from AI-Assisted Cervical Cancer Screening for Rural Women in Baoding City

doi: 10.12259/j.issn.2095-610X.S20241021
  • Received Date: 2024-08-10
    Available Online: 2024-10-14
  • Publish Date: 2024-10-31
  •   Objective  To analyze the data of the artificial intelligence cervical cancer screening project in Baoding in 2021, understand the effect and existing problems of cervical cancer screening in Baoding, and provide a basis for improving the prevention and treatment of cervical cancer in the rural women population.  Methods  Screening data for married rural women aged 35-64 from three counties in Baoding City in 2021 were collected, and the data of precancerous lesions and cervical cancer screening was analyzed.  Results   The results show that artificial intelligence-assisted cervical cancer screening identified 863 cases of positive cytology, with a positivity rate of 7.94%. Additionally, 542 women with positive cytology underwent colposcopy, which revealed 18 cases of low-grade lesions, 20 cases of high-grade lesions, and 1 case of cervical cancer. There were statistically significant differences in the detection rates of AUSCS+, low-grade lesions, and high-grade lesions across three counties in Baoding from 2019 to 2021 (χ2 = 858.90, P < 0.001; χ2 = 14.28, P=0.003; χ2 = 10.75, P = 0.013).  Conclusion   The artificial intelligence cervical cancer screening project has shown some success, but there are still issues like a high rate of missed abnormal cases. The screening and prevention efforts for cervical cancer in Baoding City need further improvement.
  • loading
  • [1]
    Small W,J R,Bacon M A,Bajaj A,et al. Cervical cancer: A global health crisis[J]. Cancer,2017,123(13):2404-2412. doi: 10.1002/cncr.30667
    [2]
    SUNG H,FERLAY J,SIEGEL R L,et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J,2021,71:209-249. doi: 10.3322/caac.21660
    [3]
    任文辉,赵雪莲,赵方辉. 全球宫颈癌筛查指南制定现状的系统综述[J]. 中华医学杂志,2021,101(24):1882-1888.
    [4]
    魏丽惠. 子宫颈癌筛查——从细胞学检查到HPV检测[J]. 中华妇产科杂志,2019,54(5):289-292. doi: 10.3760/cma.j.issn.0529-567x.2019.05.001
    [5]
    李娜,钱立杰,代聪伟,等. 2015-2017年衡水地区农村妇女宫颈病变筛查情况分析[J]. 现代预防医学,2021,48(21):3861-3865.
    [6]
    Bao H,Bi H,Zhang X,et al. Artificial intelligence-assisted cytology for detection of cervical intraepithelial neoplasia or invasive cancer: A multicenter,clinical-based,observational study[J]. Gynecol Oncol,2020,159(1):171-178. doi: 10.1016/j.ygyno.2020.07.099
    [7]
    夏昌发,乔友林,张勇,等. WHO全球消除宫颈癌战略及我国面临的挑战和应对策略[J]. 中华医学杂志,2020,100(44):3484-3488. doi: 10.3760/cma.j.cn112137-20200909-02606
    [8]
    Luo X,Song L,Wu J,et al. Analysis of the reported data of national rural cervical cancer screening project from 2012 to 2013,China[J]. Chinese Journal of Preventive Medicine,2016,50:346-350.
    [9]
    Turkish Cervical Cancer and Cervical Cytology Research Group. Prevalence of cervical cytological abnormalities in Turkey[J]. Int J Gynaecol Obstet,2009,106(3):206-209. doi: 10.1016/j.ijgo.2009.04.003
    [10]
    Senkomago V,Royalty J,Miller J W,et al. Cervical cancer screening in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) in four US-Affiliated Pacific Islands between 2007 and 2015[J]. Cancer Epidemiol,2017,50:260-267. doi: 10.1016/j.canep.2017.04.011
    [11]
    罗庆,汪文慧,樊利春,等. 2014-2018年海南省基于细胞学初筛农村妇女宫颈癌结果分析[J]. 现代预防医学,2020,47(20):3720-3723.
    [12]
    商广洁,董燕,张玉萍,等. 2012-2017年山西省农村妇女宫颈癌筛查结果分析[J]. 中国肿瘤,2020,29(6):425-429. doi: 10.11735/j.issn.1004-0242.2020.06.A004
    [13]
    胡林凤,黄朝辉,张悦,等. 2015—2019 年安徽省农村妇女宫颈癌筛查结果分析[J]. 现代预防医学,2021,48(20):3729-3732.
    [14]
    Bao H,Sun X,Zhang Y,et al. The artificial intelligence-assisted cytology diagnostic system in large-scale cervical cancer screening: A population-based cohort study of 0.7million women[J]. Cancer Med,2020,9(18):6896-6906. doi: 10.1002/cam4.3296
    [15]
    武丽,李兵,吴云涛,等. 广东省农村妇女宫颈癌前病变及宫颈癌影响因素分析[J]. 现代预防医学,2019,46(19):3509-3513.
    [16]
    Castle P E,Sideri M,Jeronimo J,et al. Risk assessment to guide the prevention of cervical cancer [J]. American Journal of Obstetrics and Gynecology,2007,197(4): 356. e351-356. e356.
    [17]
    刘香,欧阳雪. 液基与传统巴氏细胞学在宫颈病变筛查中的对比分析[J]. 中外医疗,1013,23:188-189.
    [18]
    赵艳霞,马兰,任文辉,等. 2009-2018年中国农村妇女宫颈癌检查项目数据分析[J]. 中华医学杂志,2021,101(24):1863-1868.
    [19]
    Participatory innovation for human papillomavirus screening to accelerate the elimination of cervical cancer [J]. Lancet,2021,9: e582-e583.
  • Relative Articles

    [1] Siwei YANG, Yan LI, Xia XIAO, Xiaoxiao SONG, Lin SUN, Rui MA. The Analysis of Exposure and Influencing Factors of Pyrethroid Pesticides in Rural Women during Different Pregnancy Stages in Xuanwei,Yunnan Province. Journal of Kunming Medical University, 2024, 45(11): 1-7.
    [2] Ding-ji TAN, Hong-li YIN, Rui ZHU, Xi ZHANG, Xin YU, Yong FEI, Xin LI, Ming DUAN, Liang HE, Hong-ying YANG. Analysis of Vaginal Microecological in Women with Cervical Intraepithelial Neoplasia and Cervical Cancer. Journal of Kunming Medical University, 2021, 42(8): 118-122.  doi: 10.12259/j.issn.2095-610X.S20210821
    [3] Yang LIU, Jing LIAO, You-hui LU, Chun-yi SUN, Yu-shi MENG. Negative Regulation of hTERT Expression in Cervical Cancer Hela Cell Line by miR-21. Journal of Kunming Medical University, 2021, 42(3): 23-28.  doi: 10.12259/j.issn.2095-610X.S20210307
    [4] Juan ZHANG, Hong-yun ZHANG. The Value of Endocervical Curettage in Cervical Cancer Screening. Journal of Kunming Medical University, 2021, 42(8): 123-127.  doi: 10.12259/j.issn.2095-610X.S20210822
    [5] Qing Qing , Liu Yang , Zhou Hong Lin . . Journal of Kunming Medical University, 2020, 41(06): 162-166.
    [6] Sun Chun Yi , Xu Chang Jun , Huang Ya Juan , Qing Qing , Li Dai Zhu , Liu Yang . . Journal of Kunming Medical University, 2019, 40(02): 49-53.
    [7] Sun Lin , Xiao Xia , Li Yan , Yang Si Wei , Xu Qing Hua , Ma Rui , Wu Jie , Zhang Chao , Guo Guang Ping . Pyrethroid Exposure and Related Factors among Pregnant Women in the First Trimester in Rural Yunnan Province, China. Journal of Kunming Medical University, 2018, 39(06): 39-43.
    [8] Lu Xiao Ning , Zhang Hong Yun , Qian Hong , Lv Song Qin , Tian Yuan , Zhu Min , Zhao Yao . Value of Colposcopy in the Screening of High-grade Cervical Lesions in the Women with HIV Infection. Journal of Kunming Medical University, 2018, 39(07): 41-46.
    [9] Sun Chun Yi , Di Shu Juan , Cao Qing Ping , Yang Ying Ying , Zhou Hong Lin . Relationship of Cervical Columnar Eithelium Ectopy with Cervical Cancer and Cervical Intraepithelial Neoplasia. Journal of Kunming Medical University, 2017, 38(07): 76-79.
    [10] Yang Lin Lin , Wang Wei , Zhang Lei , Zhang Hong Ping , Yang Hong Ying . Clinical Significance of Examination of Pretreatment Peripheral Blood HPV16E6 mRNA and CK19 mRNA in Cervical Cancer Patients. Journal of Kunming Medical University, 2017, 38(01): 23-26.
    [11] Zhu Tian Bo . Clinical Application of Preoperative New Adjuvant Chemotherapy in Treatment of Cervical Cancer. Journal of Kunming Medical University,
    [12] Li Zheng Jin . Application of 13 High-risk HPV infection Test Combined with Thinprep Cytologic Test on Screening Cervical Carcinoma in Dali Region, Yunnan Province. Journal of Kunming Medical University,
    [13] Zhu Sheng Zhang . Clinical Analysis of Liquid-based Cervical Cytology Examination in Cervical Cancer Screening in the South of GuiZhou. Journal of Kunming Medical University,
    [14] Yang Zheng Hao . . Journal of Kunming Medical University,
    [15] Zhang Zu Xian . . Journal of Kunming Medical University,
    [16] Duan Jing . . Journal of Kunming Medical University,
    [17] Dong Chao . . Journal of Kunming Medical University,
    [18] Ma Yuan . . Journal of Kunming Medical University,
    [19] Yang Jing . . Journal of Kunming Medical University,
    [20] Huang Ya . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (112) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return