The Journal of mHealth Vol 2 Issue 2 (Apr 2015) | Page 22

Mobile Device Aids Cervical Cancer Detection in Low-Resource Settings Continued from page 19 health features with cutting-edge biomedical optics to enable healthcare providers to improve case management and optimise the use of healthcare resources, in order to aid accurate diagnosis of cancer at its earliest stages. Typical optical coherence tomography (OCT) machines in large medical practices or clinics cost upward of $50,000USD; MobileODT's costs just $400USD. The device connects to a smartphone, and projects white or green light onto the cervix, it then takes an image clearly at high magnification, and uploads it securely so a physician can quickly—and correctly—detect whether cancer treatment is necessary. Ariel Beery, MobileODT’s CEO, says “five out of every six women screened for cervical cancer are unnecessarily sent for treatment. MobileODT’s device eliminates this waste by getting the diagnosis right, thereby enabling budget-limited municipalities and countries to screen 3.6 times more women for every dollar spent on standard examinations.” Cervical cancer prevention remains a top medical priority for much of the developing world. In order to minimise the gap in screening availability between the developed and the developing worlds, visual inspection with acetic acid (or VIA) was developed as a cheap, relatively efficient and easy to implement screening method for low-income settings. As a result, in many developing countries, VIA is the primary step, and the accepted standard, for cervical cancer screening; however, it is rarely corroborated by colposcopy and biopsy. Despite its success, VIA presents a major challenge: with a positive predictive value (PPV) of 17%, five out of six patients receive cryotherapy unnecessarily, as a result of a false positives. In order to reduce the number of false positives, the mobile colposcope serves as an adjunct to VIA, while also providing a technological platform that enables high-end multi-modal imaging. MobileODT is currently conducting additional trials with the St. Francis Hospital, Scripps Medical Centre at the University of Pennsylvania, and Rambam Hospital in Israel, to test their proprietary approach to polarization difference imaging and multispectral imaging. The company also has partnerships in place with a range of global health organisations including Partners in Health, the Centre for Global Health at Massachusetts General Hospital, PROSALUD, the Botswana-UPenn Partnership, and the Scripps Medical Centre, to pilot an advanced prototype in Kenya, Haiti, Mexico, Botswana and the United States. Speaking to the Washington Post at last month’s SXSW event the company’s Director of Strategy and Communications Amit Safir said, “Our product uses a smartphone to help detect cervical cancer, which kills more than a quarter of a million women every year, many of them living in areas without access to screenings. Our product brings cervical cancer screenings to anywhere with X