Tanaka Yusuke, Ueda Yutaka, Okazawa Akiko, Kakuda Mamoru, Matsuzaki Shinya, Kobayashi Eiji, Yoshino Kiyoshi, Kimura Tadashi
Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
BMJ Innov. 2017 Apr;3(2):123-126. doi: 10.1136/bmjinnov-2016-000174. Epub 2017 Mar 30.
The use of smartphones, mobile networks and associated health applications (known as apps) is now almost universal. Countries with low medical resources need assistance in their delivery of healthcare. This is particularly true where there are limited numbers of specialised physicians or nurses with respect to cancer screening. As smartphones become more universal, real-time and near-real-time expert medical consultations and telediagnosis are becoming more common. This leads us to believe that there will soon be a demand for mobile cancer screening services, which will be particularly useful for women living in rural areas or doctor-less inner city communities. The smartphone would seem to have almost limitless possibilities to address this need. As a first step in studying how cervical cancer screening using a smartphone could have widespread implementation, we conducted a pilot study to evaluate the utility of a smartphone to diagnose cervical intraepithelial neoplasm or invasive cervical cancer in 20 patients having an abnormal cervical cytology. Our results indicate that continuing progress in digital imaging devices may allow the quality of cervical cancer screening to be improved.
智能手机、移动网络及相关健康应用程序（即应用）的使用如今几乎无处不在。医疗资源匮乏的国家在提供医疗保健方面需要援助。在癌症筛查方面，专科医生或护士数量有限的情况下尤其如此。随着智能手机的日益普及，实时和近实时的专家医疗咨询及远程诊断变得越来越普遍。这使我们相信，对移动癌症筛查服务的需求很快就会出现，这对生活在农村地区或没有医生的市中心社区的女性尤为有用。智能手机似乎有几乎无限的可能性来满足这一需求。作为研究使用智能手机进行宫颈癌筛查如何能够广泛实施的第一步，我们进行了一项试点研究，以评估智能手机在诊断20例宫颈细胞学异常患者的宫颈上皮内瘤变或浸润性宫颈癌方面的效用。我们的结果表明，数字成像设备的持续进步可能会提高宫颈癌筛查的质量。
