A Comprehensive Review of Cervical Cancer Screening Devices: The Pros and the Cons

Document Type : Systematic Review and Meta-analysis

Authors

1 School of Engineering, Faculty of Innovation & Technology, Taylor’s University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

2 School of Biosciences, Faculty of Health & Medical Sciences, Taylor’s University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

3 Digital Health and Innovations Impact Lab, Taylor’s University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

4 Additive Manufacturing Cluster, Center for Smart Society 5.0, Taylor’s University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

5 School of Medicine, Faculty of Health & Medical Sciences, Taylor’s University, 1, Jalan Taylors, Subang Jaya, 47500, Selangor, Malaysia.

Abstract

Objective: The low screening coverage and reluctance of women in participation lead to low uptake in cervical screening tests. Hence the majority of cervical cancer patients visiting the hospitals are diagnosed at advanced stage, often leading to poor survival rate. This paper aims to review and compile available cancer screening devices so that more people in this field will adopt suitable devices in cervical cancer screening routine depending on requirements which may encourage the uptake in cervical screening tests. Methods: This paper reviews devices invented for different cervical cancer screening methods, which are Pap smear test, visual inspection with acetic acid (VIA) or Lugol’s iodine (VILI), and HPV (human papillomavirus)-DNA (deoxyribonucleic acid) self-test in terms of functionality, performance in solving the limitations of screening procedure and additionally where applicable, the cervical cell collection efficacy and abnormality detection accuracy. The devices are either available in the market, published in research articles or published in international patent databases. Result: The reviewed devices either simplified the screening procedure to improve the clinical efficiency and accuracy in screening, reduced the pain and discomfort experienced by women during screening procedures, or achieved both outcomes. Conclusion: Many devices have been invented to improve the screening procedures which may potentially improve the uptake in cervical screening tests and encourage the organization of screening campaigns to reduce cervical cancer incidence.

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