Assessment of knowledge and perception about Artificial Intelligence in uterine cervical cancer screening
Keywords:
INTELIGENCIA ARTIFICIAL, NEOPLASIAS DEL CUELLO UTERINO, SALUD PÚBLICA., TAMIZAJE MASIVO, DETECCIÓN PRECOZ DEL CÁNCERAbstract
Introduction: Cervical cancer is one of the leading causes of gynecological mortality in developing countries. Artificial intelligence (AI) has emerged as a promising technology for early screening and diagnosis, with the potential to improve accuracy and optimize healthcare system resources.
Objective: To determine the level of knowledge and perception regarding the use of artificial intelligence for cervical cancer screening among healthcare personnel in Panzaleo and Salcedo, Ecuador.
Methods: A descriptive, cross-sectional study was conducted. A structured questionnaire was administered to 90 healthcare professionals, selected from a population of 105. Response frequencies regarding detection methods, AI benefits, and knowledge of specific tools were analyzed.
Results: 55.56% of respondents considered that the main contribution of AI is to "improve diagnostic accuracy." However, only 40.00% stated they knew of specific AI tools, while a majority of 60.00% expressed uncertainty or lack of knowledge. To ensure the effectiveness of AI, 50.00% considered "continuous monitoring of its functionality and margin of error" to be essential.
Conclusions: Healthcare personnel exhibit a dual perception: they value the theoretical potential of AI to improve accuracy but possess limited practical knowledge of its application. The future adoption of these technologies is conditioned by the constant supervision of their performance. A critical gap is identified between positive perception and actual training, with the latter being the key factor for successful integration.
Downloads
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. [revista en internet]. 2021 [citado 2 de mayo 2025]; 71(3): 209-49. Disponible en: https://doi.org/10.3322/caac.21660.
Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health [revista en internet]. 2020 [citado 2 de mayo 2025]; 8(2): 191-203. Disponible en: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(19)30482-6/fulltext.
Sotalin Nivela E, Calvopiña Del Castillo JS, Llerena Gómez CA. Incidencia del cáncer de cuello uterino en mujeres adultas jóvenes: nivel de conocimientos para su prevención. Revista Finlay [revista en internet]. 2023 [citado 3 de mayo 2025]; 13(3): 116-26. Disponible en: https://revfinlay.sld.cu/index.php/finlay/article/view/1301.
Sawaya GF, Smith-McCune K, Kuppermann M. Cervical Cancer Screening: More Choices in 2019. JAMA [revista en internet]. 2019 [citado 4 de mayo 2025; 321(20): 2018-19. Disponible en: https://doi.org/10.1001/jama.2019.4595.
Vega Crespo BJ, Neira Molina VA, Flores Salinas MA, Guerra Astudillo GM, Mora Bravo LV, Ortiz Segarra JI. Minireview: Situación actual del cáncer de cuello uterino en Ecuador, 2019. Revista Medica HJCA [revista en internet]. 2020 [citado 4 de mayo 2025]; 12(3): 205-11. Disponible en: https://revistamedicahjca.iess.gob.ec/ojs/index.php/HJCA/article/view/636.
Guerrero Lapo GE, Encalada Campos GE, Arias Montero IG, Caranqui Encalada JD, Mejía Quizhpi JA. Mortalidad del cáncer de cuello uterino en mujeres de 20 a 50 años en el Ecuador. Salud y Bienestar Colectivo [revista en internet]. 2021 [citado 4 de mayo 2025]; 5(2): 1-14. Disponible en: https://search.bvsalud.org/gim/resource/ru/biblio-1366902?lang=es.
Basu P, Meheus F, Chami Y, Hariprasad R, Zhao F, Sankaranarayanan R. Management algorithms for cervical cancer screening and precancer treatment for resource-limited settings. Int J Gynaecol Obstet. [revista en internet]. 2017 [citado 5 de mayo 2025]; 138(Supl1):26-32. Disponible en: https://doi.org/10.1002/ijgo.12183.
Hou X, Shen G, Zhou L, Li Y, Wang T, Ma X. Artificial intelligence in cervical cancer screening and diagnosis. Front Oncol. [revista en internet] 2022 [citado 10 de mayo 2025]; 12(2017). Disponible en: https://doi.org/10.3389/fonc.2022.851367.
Khare SK, Blanes-Vidal V, Booth BB, Petersen LK, Nadimi ES. A systematic review and research recommendations on artificial intelligence for automated cervical cancer detection. Wiley Interdiscip Rev Data Min Knowl Discov. [revista en internet] 2024 [citado 10 de mayo 2025]; 14(6). Disponible en: https://doi.org/10.1002/widm.1550?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle.
Liu L, Liu J, Su Q, Chu Y, Xia H, Xu R. Performance of artificial intelligence for diagnosing cervical intraepithelial neoplasia and cervical cancer: a systematic review and meta-analysis. EClinicalMedicine [revista en internet]. 2025 [citado 11 de mayo 2025]; 80(2024). Disponible en: https://doi.org/10.1016/j.eclinm.2024.102992.
Medina Ruiz L, Chahla R, Vega I, Ortega E, Barrenechea G, Ferre Contreras M. Inteligencia Artificial: precisión diagnóstica de lesiones preneoplásicas de cérvix uterino. Medicina Buenos Aires [revista en internet]. 2024 [citado 11 de mayo 2025]; 84(3): 459-67. Disponible en: https://www.scielo.org.ar/scielo.php?pid=S0025-76802024000500459&script=sci_arttext.
Mora Balladares MI, De la Cuadra Arguello BE, Boconzaca Quichimbo EO, Montesdeoca Samaniego MJ, Rodríguez Espinoza CE, Villamar Flores GC, et al. Diagnóstico y tratamiento avanzado del cáncer de cérvix. Rev Cient INSPILIP. [revista en internet]. 2025 [citado 12 de mayo 2025]; 9(28): 1-11. Disponible en: https://doi.org/10.31790/inspilip.v9i27.718.
González Blanco M. Inteligencia artificial. ¡La palabra del año! Rev Obstet Ginecol Venez. [revista en internet] 2023 [citado 13 de mayo 2025]; 83(1): 1-5. Disponible en: https://doi.org/10.51288/00830103.
Hernández Sampieri R, Fernández Collado C, Baptista Lucio P. Metodología de la investigación. [en linea]. México DF: McGraw-Hill; 2014 [citado 14 de mayo 2025]. Disponible en: https://apiperiodico.jalisco.gob.mx/api/sites/periodicooficial.jalisco.gob.mx/files/metodologia_de_la_investigacion_-_roberto_hernandez_sampieri.pdf.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ariel Sebastián Jurado-Navas, María Ilusión Solís Sánchez , Nancy Yolanda Urbina-Romo

This work is licensed under a Creative Commons Attribution 4.0 International License.
This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.
Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.
