Digital camera assessment for detection of cervical intraepithelial neoplasia in rural El Salvador.
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%).


CONCLUSIONS
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.
Cremer
M
M
University of Southern California-Women's and Children's Hospital, 1240 N. Mission Rd., Rm 2L33, Los Angeles, CA 90033, USA. mlcremer@hotmail.com
Jamshidi
R M
RM
Muderspach
L
L
Tsao-Wei
D
D
Felix
J C
JC
Blumenthal
P D
PD
D000328:Adult; D003127:Colposcopy; D004544:El Salvador; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D010781:Photography / Q000379:methods; D012424:Rural Population; D012680:Sensitivity and Specificity; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis*