IMPROVE-COLPO I
Cholkeri-Singh et al, Journal of the Lower Genital Tract Disease, 2018
Overview:
This publication presents results from the IMPROVE-COLPO, which was designed to observe changes in practice and outcomes after the adoption of the DYSIS digital colposcope with dynamic spectral imaging, in routine colposcopy across a wide range of US community-based clinics. Retrospective cases that had colposcopy with standard methods were used as controls.
Purpose:
To compare the number of women detected with high-grade cervical disease among those examined with DYSIS and those women examined with conventional colposcopy.
Design:
This study included women with a low-grade indication from screening and assessed the percentage of women found with high-grade CIN, the number of biopsied women and the numbers of biopsies.
Findings:
Significantly more women were found with CIN2+ (31%) and CIN3+ (56%) in the group that had colposcopy with DYSIS compared to the controls. This was achieved with a comparable number of women undergoing biopsies and one extra biopsy taken for every five women.
Conclusion:
Using DYSIS with the DYSISmap, biopsies were more efficient and helped detect more women with high-grade disease.
The publication can be accessed here