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Conference Talk
Does Colposcopy have a future ? Speaker: Theresa Freeman-Wang
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Cervical Cancer is the 4th commonest female cancer. Maternal mortality rates have greatly improved over 15 years. Cervical cancer is preventable, detectable, and curable if detected early.

Dr. Theresa Freeman-Wang discusses the aetiology, prevention and treatment of cervical cancer. Colposcopically directed cervical biopsy has been the gold standard for the detection of cervical intra-epithelial neoplasia and cancer following an abnormal cervical smear. Colposcopy has an accuracy at least 65% for high grade cervical intra-epithelial neoplasia with a sensitivity of 55-95% and specificity 58-86%. The deficiencies of colposcopy, differences in colposcopy practice, training, quality assurance and the future of colposcopy are analysed.

Newer technologies include the Mobile ODT mobile phone and 3D printed case, fiber-optic confocal microscope, DySIS - a digital video-colposcope using dynamic spectral imaging technology to measure the rate, extent and duration of aceto- whitening of cervical epithelium and Zedscan based on electrical impedance spectroscopy. In the future, colposcopy will be aided by biomarkers, biomedical devices and image recognition applications.

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