title: Development and validation of novel digitalized cervicography system.
abstract: OBJECTIVE
  Digital cervicography systems would be expected to reduce the costs of film cervicography, and provide the opportunity for "telemedicine-based" screening. We aimed to develop web-based digital cervicography system, and validate it compared with conventional film cervicography.
  
  
  METHODS
  A hundred cases from five centers were prospectively included, and cervical images (analogue, digitalized by scanning analogue, and digital) were taken separately using both analogue (Cerviscope) and digital camera (Dr. Cervicam) in each patient. Nine specialists evaluated the three kinds of images of each case with time interval between evaluations of each image. To validate novel digitalized system, we analyzed intra-observer variance among evaluation results of three kinds of images.
  
  
  RESULTS
  Sixty-three cases were finally analyzed after excluding technically defective cases that cannot be evaluable on analogue images. The generalized kappa for analogue versus digital image was 0.83, for analogue versus scanned image 0.72, and for digital versus scanned image was 0.71; all were in excellent consensus.
  
  
  CONCLUSIONS
  Digitalized cervicography system can be substituted for the film cervicography very reliably, and can be used as a promising telemedicine tool for cervical cancer screening.
authors.affiliation: Department of Obstetrics and Gynecology, Konkuk University Hospital, Seoul, Korea.
authors.forename: Soo-Nyung
authors.initials: SN
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Ewha Womans University Mokdong Hospital, Seoul, Korea.
authors.forename: Yun Hwan
authors.initials: YH
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Soonchunhyang University Hospital, Bucheon, Korea.
authors.forename: Kye-Hyun
authors.initials: KH
authors.lastname: Nam
authors.affiliation: Department of Obstetrics and Gynecology, KyungHee University Medical Center, Seoul, Korea.
authors.forename: Seon-Kyung
authors.initials: SK
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Daegu Catholic University Medical Center, Daegu, Korea.
authors.forename: Tae Sung
authors.initials: TS
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Ho-Sun
authors.initials: HS
authors.lastname: Choi
authors.affiliation: Department of Obstetrics and Gynecology, Chosun University Hospital, Gwangju, Korea.
authors.forename: Sei-Jun
authors.initials: SJ
authors.lastname: Han
authors.affiliation: Department of Obstetrics and Gynecology, Ewha Womans University Mokdong Hospital, Seoul, Korea.
authors.forename: Seung-Cheol
authors.identifier: 0000-0002-5000-9914
authors.initials: SC
authors.lastname: Kim
keywords: Cervicography; Diagnosis; Digital; Telemedicine; Uterine cervical neoplasms