New Aspects and an Artificial Intelligence Approach for the Detection of Cervical Abnormalities

The COVID-19 pandemic has challenged health systems worldwide by decreasing their reserves and effectiveness. In this changing landscape, the urge for reallocation of financial and human resources represents a top priority. In screening, effectiveness and efficiency are most relevant. In the quest against cervical cancer, numerous molecular ancillary techniques detecting HPV DNA or mRNA or other related biomarkers complement morphological assessment by the Papanicolaou test. However, no technique is perfect as sensitivity increases at the cost of specificity. Various approaches try to resolve this issue by incorporating several examination results, such as artificial intelligence are proposed. In this study, 1,258 cases with a complete result dataset for cytology, HPV DNA, HPV mRNA, and p16 were used to evaluate the performance of a self-organizing map (SOM), an unsupervised artificial neural network. The results of the SOM application were encouraging since it is capable of producing maps discriminating the necessary tests and has improved performance.