Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management
Background. Colposcopy is subjective and management of young patients with high-grade disease is challenging, as treatments may impair subsequent pregnancies and adversely affect obstetric outcomes. Conservative management of selected patients is becoming more popular amongst clinicians; however it...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/5269279 |
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| author | Angelika Kaufmann Christina Founta Emmanouil Papagiannakis Raj Naik Ann Fisher |
| author_facet | Angelika Kaufmann Christina Founta Emmanouil Papagiannakis Raj Naik Ann Fisher |
| author_sort | Angelika Kaufmann |
| collection | DOAJ |
| description | Background. Colposcopy is subjective and management of young patients with high-grade disease is challenging, as treatments may impair subsequent pregnancies and adversely affect obstetric outcomes. Conservative management of selected patients is becoming more popular amongst clinicians; however it requires accurate assessment and documentation. Novel adjunctive technologies for colposcopy could improve patient care and help individualize management decisions by introducing standardization, increasing sensitivity, and improving documentation. Case. A nulliparous 27-year-old woman planning pregnancy underwent colposcopy following high-grade cytology. The colposcopic impression was of low-grade changes, whilst the Dynamic Spectral Imaging (DSI) map of the cervix suggested potential high-grade. A DSI-directed biopsy confirmed CIN2. At follow-up, both colposcopy and DSI were suggestive of low-grade disease only, and image comparison confirmed the absence of previously present acetowhite epithelium areas. Histology of the transformation zone following excisional treatment, as per patient’s choice, showed no high-grade changes. Conclusion. Digital colposcopy with DSI mapping helps standardize colposcopic examinations, increase diagnostic accuracy, and monitor cervical changes over time, improving patient care. When used for longitudinal tracking of disease and when it confirms a negative colposcopy, it can help towards avoiding overtreatment and hence decrease morbidity related to cervical excision. |
| format | Article |
| id | doaj-art-b5eee9ddda144b4daa8c1c982a36a46f |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-b5eee9ddda144b4daa8c1c982a36a46f2025-08-20T02:23:20ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/52692795269279Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient ManagementAngelika Kaufmann0Christina Founta1Emmanouil Papagiannakis2Raj Naik3Ann Fisher4Northern Gynaecological Oncology Centre, Gateshead NHS Foundation Trust, Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UKNorthern Gynaecological Oncology Centre, Gateshead NHS Foundation Trust, Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UKDYSIS Medical Ltd, Edinburgh, UKNorthern Gynaecological Oncology Centre, Gateshead NHS Foundation Trust, Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UKNorthern Gynaecological Oncology Centre, Gateshead NHS Foundation Trust, Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX, UKBackground. Colposcopy is subjective and management of young patients with high-grade disease is challenging, as treatments may impair subsequent pregnancies and adversely affect obstetric outcomes. Conservative management of selected patients is becoming more popular amongst clinicians; however it requires accurate assessment and documentation. Novel adjunctive technologies for colposcopy could improve patient care and help individualize management decisions by introducing standardization, increasing sensitivity, and improving documentation. Case. A nulliparous 27-year-old woman planning pregnancy underwent colposcopy following high-grade cytology. The colposcopic impression was of low-grade changes, whilst the Dynamic Spectral Imaging (DSI) map of the cervix suggested potential high-grade. A DSI-directed biopsy confirmed CIN2. At follow-up, both colposcopy and DSI were suggestive of low-grade disease only, and image comparison confirmed the absence of previously present acetowhite epithelium areas. Histology of the transformation zone following excisional treatment, as per patient’s choice, showed no high-grade changes. Conclusion. Digital colposcopy with DSI mapping helps standardize colposcopic examinations, increase diagnostic accuracy, and monitor cervical changes over time, improving patient care. When used for longitudinal tracking of disease and when it confirms a negative colposcopy, it can help towards avoiding overtreatment and hence decrease morbidity related to cervical excision.http://dx.doi.org/10.1155/2017/5269279 |
| spellingShingle | Angelika Kaufmann Christina Founta Emmanouil Papagiannakis Raj Naik Ann Fisher Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management Case Reports in Obstetrics and Gynecology |
| title | Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management |
| title_full | Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management |
| title_fullStr | Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management |
| title_full_unstemmed | Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management |
| title_short | Standardized Digital Colposcopy with Dynamic Spectral Imaging for Conservative Patient Management |
| title_sort | standardized digital colposcopy with dynamic spectral imaging for conservative patient management |
| url | http://dx.doi.org/10.1155/2017/5269279 |
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