AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation

Given the shortage of cytologists, women in low-resource regions had inequitable access to cervical cytology which plays an pivotal role in cervical cancer screening. Emerging studies indicated the potential of AI-assisted system in promoting the implementation of cytology in resource-limited settin...

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Main Authors: Hui Du, Wenkui Dai, Qian Zhou, Changzhong Li, Shuai Cheng Li, Chun Wang, Jinlong Tang, Xiangchen Wu, Ruifang Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1290112/full
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author Hui Du
Hui Du
Hui Du
Wenkui Dai
Wenkui Dai
Wenkui Dai
Qian Zhou
Changzhong Li
Shuai Cheng Li
Chun Wang
Chun Wang
Chun Wang
Jinlong Tang
Jinlong Tang
Jinlong Tang
Xiangchen Wu
Ruifang Wu
Ruifang Wu
Ruifang Wu
author_facet Hui Du
Hui Du
Hui Du
Wenkui Dai
Wenkui Dai
Wenkui Dai
Qian Zhou
Changzhong Li
Shuai Cheng Li
Chun Wang
Chun Wang
Chun Wang
Jinlong Tang
Jinlong Tang
Jinlong Tang
Xiangchen Wu
Ruifang Wu
Ruifang Wu
Ruifang Wu
author_sort Hui Du
collection DOAJ
description Given the shortage of cytologists, women in low-resource regions had inequitable access to cervical cytology which plays an pivotal role in cervical cancer screening. Emerging studies indicated the potential of AI-assisted system in promoting the implementation of cytology in resource-limited settings. However, there is a deficiency in evaluating the aid of AI in the improvement of cytologists’ work efficiency. This study aimed to evaluate the feasibility of AI in excluding cytology-negative slides and improve the efficiency of slide interpretation. Well-annotated slides were included to develop the classification model that was applied to classify slides in the validation group. Nearly 70% of validation slides were reported as negative by the AI system, and none of these slides were diagnosed as high-grade lesions by expert cytologists. With the aid of AI system, the average of interpretation time for each slide decreased from 3 minutes to 30 seconds. These findings suggested the potential of AI-assisted system in accelerating slide interpretation in the large-scale cervical cancer screening.
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spelling doaj.art-b1d9a6eacd0a460b8545ff77be67e8172023-11-23T10:08:43ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-11-011310.3389/fonc.2023.12901121290112AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretationHui Du0Hui Du1Hui Du2Wenkui Dai3Wenkui Dai4Wenkui Dai5Qian Zhou6Changzhong Li7Shuai Cheng Li8Chun Wang9Chun Wang10Chun Wang11Jinlong Tang12Jinlong Tang13Jinlong Tang14Xiangchen Wu15Ruifang Wu16Ruifang Wu17Ruifang Wu18Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaInstitute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaInstitute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaDepartment of Computer Science, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaSuzhou Ruiqian Technology Company Ltd., Suzhou, ChinaDepartment of Computer Science, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaInstitute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaInstitute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaSuzhou Ruiqian Technology Company Ltd., Suzhou, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaInstitute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaGiven the shortage of cytologists, women in low-resource regions had inequitable access to cervical cytology which plays an pivotal role in cervical cancer screening. Emerging studies indicated the potential of AI-assisted system in promoting the implementation of cytology in resource-limited settings. However, there is a deficiency in evaluating the aid of AI in the improvement of cytologists’ work efficiency. This study aimed to evaluate the feasibility of AI in excluding cytology-negative slides and improve the efficiency of slide interpretation. Well-annotated slides were included to develop the classification model that was applied to classify slides in the validation group. Nearly 70% of validation slides were reported as negative by the AI system, and none of these slides were diagnosed as high-grade lesions by expert cytologists. With the aid of AI system, the average of interpretation time for each slide decreased from 3 minutes to 30 seconds. These findings suggested the potential of AI-assisted system in accelerating slide interpretation in the large-scale cervical cancer screening.https://www.frontiersin.org/articles/10.3389/fonc.2023.1290112/fullHPVcervical cancer screeningartificial intelligenceslide interpretationlow-resource areas
spellingShingle Hui Du
Hui Du
Hui Du
Wenkui Dai
Wenkui Dai
Wenkui Dai
Qian Zhou
Changzhong Li
Shuai Cheng Li
Chun Wang
Chun Wang
Chun Wang
Jinlong Tang
Jinlong Tang
Jinlong Tang
Xiangchen Wu
Ruifang Wu
Ruifang Wu
Ruifang Wu
AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
Frontiers in Oncology
HPV
cervical cancer screening
artificial intelligence
slide interpretation
low-resource areas
title AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
title_full AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
title_fullStr AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
title_full_unstemmed AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
title_short AI-assisted system improves the work efficiency of cytologists via excluding cytology-negative slides and accelerating the slide interpretation
title_sort ai assisted system improves the work efficiency of cytologists via excluding cytology negative slides and accelerating the slide interpretation
topic HPV
cervical cancer screening
artificial intelligence
slide interpretation
low-resource areas
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1290112/full
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