A Systematic Review of the Application of Artificial Intelligence in Colposcopy: Diagnostic Accuracy for Cervical Intraepithelial Neoplasia and Cervical Cancer.

Background: Artificial intelligence (AI) is increasingly applied to colposcopy to enhance the detection of cervical intraepithelial neoplasia (CIN) and cervical cancer. We conducted a systematic review to summarize the diagnostic performance achieved by AI‑based colposcopic systems. Methods: Followi...

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Publicado en:Clinical Medicine Insights: Oncology Vol. 19; pp. 1 - 10
Autores principales: Takahashi, Takayuki, Kobayashi, Yusuke, Sakurai, Rieko, Matsuoka, Keiko, Akatsuka, Jun, Kisu, Iori, Iwata, Takashi, Takayama, Jun, Matsuzaki, Motomichi, Yamagami, Wataru, Banno, Kouji, Yamamoto, Yoichiro, Matsuoka, Hikaru, Tamiya, Gen
Formato: research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. 9/28/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/28/2025
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: A Systematic Review of the Application of Artificial Intelligence in Colposcopy: Diagnostic Accuracy for Cervical Intraepithelial Neoplasia and Cervical Cancer.
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        au:
          Takahashi, Takayuki
          Kobayashi, Yusuke
          Sakurai, Rieko
          Matsuoka, Keiko
          Akatsuka, Jun
          Kisu, Iori
          Iwata, Takashi
          Takayama, Jun
          Matsuzaki, Motomichi
          Yamagami, Wataru
          Banno, Kouji
          Yamamoto, Yoichiro
          Matsuoka, Hikaru
          Tamiya, Gen
        affil: Statistical Genetics Team, RIKEN Center for Advanced Intelligence Project, Tokyo, Japan
      sug:
        subj:
          Artificial Intelligence
          Colposcopy
          Cervical Intraepithelial Neoplasia Diagnosis
          Cervix Neoplasms Diagnosis
          Human
          Systematic Review
          PubMed
          Sensitivity and Specificity
          Deep Learning
          Convolutional Neural Networks
      ab: Background: Artificial intelligence (AI) is increasingly applied to colposcopy to enhance the detection of cervical intraepithelial neoplasia (CIN) and cervical cancer. We conducted a systematic review to summarize the diagnostic performance achieved by AI‑based colposcopic systems. Methods: Following the PRISMA 2020 guidelines, the PubMed database was searched using the search terms 'artificial intelligence' and 'colposcop*' for articles published between 2019 and 2024. From the initial 43 articles retrieved, 19 studies were selected based on specific inclusion criteria: original research articles, written in the English language, and relevant to CIN or cervical cancer diagnosis. For each, we extracted the sample size, AI architecture (e.g., convolutional neural networks, U-Net/DeepLab V3 + segmentation models, multimodal fusion networks), reference standard, and reported metrics (sensitivity, specificity, accuracy, and area under the curve). Results: Across multiple studies, AI systems demonstrated superior diagnostic accuracy, sensitivity, and specificity, particularly for early detection of high-risk lesions and classification of cervical abnormalities. Deep-learning models, such as convolutional neural networks, consistently outperformed conventional methods by reducing diagnostic variability and offering robust performance even in low-resource settings. The review also highlights the potential of AI for real-time diagnostics and its capacity to support clinical decision-making via automated systems. Conclusion: AI has the potential to revolutionize cervical cancer diagnosis and management by enhancing the accuracy and efficiency of colposcopic evaluations. However, challenges remain, including the development of standardized datasets, validation in diverse populations, and ethical considerations surrounding data privacy and access to technology. Continued research and development are crucial to harness AI's global potential to improve patient outcomes.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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