Diagnosis of Cervical Cancer and Pre-Cancerous Lesions by Artificial Intelligence: A Systematic Review

Allahqoli, Leila; Laganà, Antonio Simone; Mazidimoradi, Afrooz; Salehiniya, Hamid; Chiàntera, Vito; Goghari, Shirin Karimi Karimi; Ghiasvand, Mohammad Matin; Rahmani, Azam; Momenimovahed, Zohre; Alkatout, İbrahim

doi:10.3390/diagnostics12112771

Cited by 33 publications

(31 citation statements)

References 166 publications

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“…Effective prevention strategies for cervical cancer include the use of screening tests for primary and secondary prevention, human papillomavirus (HPV) vaccination, and early detection and treatment of cervical intraepithelial neoplasia (10) Artificial Intelligence interpretation of cervical smears or images could serve as an aid when combined with human evaluation. Further studies on prediction and detection are needed for making appropriate decisions about the treatment of cervical cancer (11). The incidence of bone metastasis varies from 1.1-8.2% (12)(13).…”

Section: Discussionmentioning

confidence: 99%

Carcinoma cervix with synchronous isolated pelvic bone metastasis:a case report and review of literature

Karnika¹,

Nair²,

Singh³

et al. 2024

Ital J Gynaecol Obstet

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Background. Bone metastasis in cervix cancer is uncommon. Its incidence ranges between 1.8%-6.6%. It indicates that the disease is advanced and carries a poor prognosis.Case Presentation. We present a 47 years female case of non-keratinizing squamous cell carcinoma cervix with synchronous isolated pelvic bone metastasis. The bone scan was suggestive of metastasis to bilateral pubic bones, ischium, and a suspicious lesion in the right M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o n iliac bone. There is no well described management of oligometastatic cervical cancer.Management of metastatic carcinoma cervix is individualized, but palliative chemotherapy is mainly included and has a median survival of about ten months. The presentation, diagnosis of a patient of carcinoma cervix with synchronous isolated pelvic bone metastasis has been discussed. Because of bone metastasis, she was started on palliative chemotherapy (Inj paclitaxel and Inj carboplatin) and zoledronic acid.She has received 4 cycles of palliative chemotherapy and 3 cycles of zoledronic acid so far and has good response.Conclusions. Synchronous isolated bone metastasis in carcinoma cervix is very rare and is associated with poor prognosis.Appropriate investigations and palliative treatment should be offered.

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Section: Discussionmentioning

confidence: 99%

Carcinoma cervix with synchronous isolated pelvic bone metastasis:a case report and review of literature

Karnika¹,

Nair²,

Singh³

et al. 2024

Ital J Gynaecol Obstet

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“…Currently, artificial intelligence (AI) can be applied for the prediction, screening, detection of cervical cancer or precancerous lesion and predicting the prognosis of patients [ 44 , 45 ]. In addition, AI has the potential to distinguish surgeon experience and to provide access to standard surgical solutions that are independent of individuals’ experience and day-to-day performance changes.…”

Section: Discussionmentioning

confidence: 99%

Effect of annualized surgeon volume on major surgical complications for abdominal and laparoscopic radical hysterectomy for cervical cancer in China, 2004–2016: a retrospective cohort study

Liang

Liu

et al. 2023

BMC Women's Health

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Background Previous studies have suggested that higher surgeon volume leads to improved perioperative outcomes for oncologic surgery; however, the effect of surgeon volumes on surgical outcomes might differ according to the surgical approach used. This paper attempts to evaluate the effect of surgeon volume on complications or cervical cancer in an abdominal radical hysterectomy (ARH) cohort and laparoscopic radical hysterectomy (LRH) cohort. Methods We conducted a population-based retrospective study using the Major Surgical Complications of Cervical Cancer in China (MSCCCC) database to analyse patients who underwent radical hysterectomy (RH) from 2004 to 2016 at 42 hospitals. We estimated the annualized surgeon volumes in the ARH cohort and in the LRH cohort separately. The effect of the surgeon volume of ARH or LRH on surgical complications was examined using multivariable logistic regression models. Results In total, 22,684 patients who underwent RH for cervical cancer were identified. In the abdominal surgery cohort, the mean surgeon case volume increased from 2004 to 2013 (3.5 to 8.7 cases) and then decreased from 2013 to 2016 (8.7 to 4.9 cases). The mean surgeon case volume number of surgeons performing LRH increased from 1 to 12.1 cases between 2004 and 2016 (P < 0.01). In the abdominal surgery cohort, patients treated by intermediate-volume surgeons were more likely to experience postoperative complications (OR = 1.55, 95% CI = 1.11–2.15) than those treated by high-volume surgeons. In the laparoscopic surgery cohort, surgeon volume did not appear to influence the incidence of intraoperative or postoperative complications (P = 0.46; P = 0.13). Conclusions The performance of ARH by intermediate-volume surgeons is associated with an increased risk of postoperative complications. However, surgeon volume may have no effect on intraoperative or postoperative complications after LRH.

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“… 22 AI can use sophisticated algorithms for image classification and recognition, process data autonomously, and extract features. 23 , 24 , 25 , 26 …”

Section: Introductionmentioning

confidence: 99%

“…[23][24][25][26] In 2020, there were 342,000 cervical cancer deaths; approximately 90% of these deaths occurred in low-and middle-income countries. 26 Programs that enable girls to receive vaccines against HPV infection and women to receive frequent screenings and appropriate care are in place in high-income nations. Screening makes it possible to find precancerous lesions at an early stage when they are still treatable.…”

Section: Introductionmentioning

confidence: 99%

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The trend of change in cervical tumor size and time to death of hospitalized patients in northwestern Ethiopia during 2018–2022: Retrospective study design

Aguade

Gashu²,

Jegnaw

2023

Health Science Reports

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Background and Aims: Cervical cancer is the fourth most common cause of cancerrelated death in the world. The objective of this study was to determine factors that affect the longitudinal change of tumor size and the time to death of outpat Methods: A retrospective follow-up study was carried out among 322 randomly selected patients with cervical cancer at the University of Gondar Referral Hospital from May 15, 2018 to May 15, 2022. Data were extracted from the patient's chart from all patients' data records. Kaplan-Meier estimator, log-rank test, the Cox proportional-hazard model, and the joint model for the two response variables simultaneously were used.Results: Among 322 outpatients with cervical cancer, 148 (46%) of them were human immunodeficiency virus (HIV) positive and 107 (33.3%) of them died. The results of joint and separate models show that there is an association between survival and the longitudinal data in the analysis; it indicates that there is a dependency between longitudinal terms of cervical tumor size and time-to-death events. A unit centimeter square rise in tumor size, corresponding to an exp (0.8502) = 2.34 times, significantly raised the mortality risk. Conclusion:The study showed that HIV, stage of cancer, treatment, weight, history of abortion, oral contraceptive use, smoking status, and visit time were statistically significant factors for the two outcomes jointly.Implications: As a result, adequate health services and adequate resource allocations are critical for cervical cancer control and prevention programs. Therefore, the government should provide adequate funding and well-trained health professionals to hospitals to sustain screening programs with appropriate coverage of cervical cancer patient treatments.

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Diagnosis of Cervical Cancer and Pre-Cancerous Lesions by Artificial Intelligence: A Systematic Review

Cited by 33 publications

References 166 publications

Carcinoma cervix with synchronous isolated pelvic bone metastasis:a case report and review of literature

Carcinoma cervix with synchronous isolated pelvic bone metastasis:a case report and review of literature

Effect of annualized surgeon volume on major surgical complications for abdominal and laparoscopic radical hysterectomy for cervical cancer in China, 2004–2016: a retrospective cohort study

The trend of change in cervical tumor size and time to death of hospitalized patients in northwestern Ethiopia during 2018–2022: Retrospective study design

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