On June 1, Professor LIU Zhiyong 's team from the School of Medicine and Health Management published the latest research results on artificial intelligence-assisted cervical cancer screening services for large-scale population at the Bulletin of the World Health Organization (impact factor 13.831). The article titled ' Cervical cancer screening aided by artificial intelligence, China '. ZHU Xingce, Ph.D. student of Medical Management Institute, and YAO Qiang, Associate Professor of School of Politics and Public Administration of Wuhan University were the co-first authors, and Professor LIU Zhiyong was the communication author.

To implement and evaluate a large-scale online cervical cancer screening programme in Hubei Province, China, supported by artificial intelligence and delivered by trained health workers. The screening programme, which started in 2017, used four types of health worker: sampling health workers, slide preparation technicians, diagnostic health workers and cytopathologists. Sampling health workers took samples from the women on site; slide preparation technicians prepared slides for liquid-based cytology; diagnostic health workers identified negative samples and classified positive samples based on the Bethesda System after cytological assessment using online artificial intelligence; and cytopathologists reviewed positive samples and signed reports of the results online. The programme used fully automated scanners, online artificial intelligence, an online screening management platform, and mobile telephone devices to provide screening services. We evaluated the sustainability, performance and cost of the programme.

From 2017 to 2021, 1 518 972 women in 16 cities in Hubei Province participated in the programme, of whom 1 474 788 (97.09%) had valid samples for the screening. Of the 86 648 women whose samples were positive, 30 486 required a biopsy but only 19 495 had one. The biopsy showed that 2785 women had precancerous lesions and 191 had invasive cancers. The cost of screening was 6.31 United States dollars (US$) per woman for the public payer: US$ 1.03 administrative costs and US$ 5.28 online screening costs. Cervical cancer screening using artificial intelligence in Hubei Province provided a low-cost, accessible and effective service, which will contribute to achieving universal cervical cancer screening coverage in China.

The Bulletin of the World Health Organization is a leading journal in its series of journals sponsored by the World Health Organization (WHO), with particular attention to health development in developing countries. Since its first publication in 1948, the journal has become one of the top journals in the field of public health. In 2021, the JCR impact factor was 13.831, ranking 11th among the 210 public health, occupational and environmental health journals included in SCI.

Paper link：Cervical cancer screening aided by artificial intelligence, China - PubMed (nih.gov)