RT - European Journal of Gynaecological Oncology ID - 10.22514/ejgo.2024.020 T1 - Evaluation of AI-assisted colposcopy for detecting high-risk subtypes of human papillomavirus in CIN2 A1 - Takayuki Takahashi A1 - Hikaru Matsuoka A1 - Yusuke Kobayashi A1 - Takashi Iwata A1 - Kouji Banno A1 - Wataru Yamagami A1 - Gen Tamiya K1 - Colposcopy; Artificial intelligence; Cervical intraepithelial neoplasia; Deep learning; Human papillomavirus YR - 2024 SP - 143 AB -

Cervical cancer is the second most common cancer in women, and the role of human papillomavirus (HPV) testing in its etiology is becoming increasingly important. We aimed to evaluate the performance of an artificial intelligence (AI)-assisted colposcopy system in detecting high-risk human papillomavirus (HR-HPV) subtypes in cervical intraepithelial neoplasia (CIN) 2 patients. We conducted a post-hoc analysis of a previous observational study that developed an AI algorithm for colposcopic images of patients with CIN2. Out of 78 patients with HR-HPVs (HPV 16, 18, 31, 33, 35, 45, 52 and 58), 60 (76.9%) had positive AI colposcopy results. The accuracy, sensitivity and specificity of the AI-assisted colposcopy system in detecting HR-HPVs (16, 18, 31, 33, 35, 45, 52 and 58) were 0.689, 0.769 and 0.537, respectively. This study is the first to focus on using AI to detect high-risk subtypes. The AI algorithm accurately detects the characteristics of HR-HPVs. It can be used to detect high-risk CIN types in patients with cervical dysplasia based only on colposcopic imaging findings and is potentially a valuable tool for follow-up.