Education Archive

Cervical screening - from algorithms to risk assessment tools

Management decisions for cervical abnormalities are currently based on a combination of cytological, colposcopic, and histological diagnoses. These decision processes are formalised in algorithms that narrow down the clinical management options to a single course of action. As new technologies and new tests come on line the algorithm approach will beome ever more complex and eventually unworkable. A research group in Bethesda is developing a computer-based risk assessment tool that will enable far more accurate and evidence-based clinical decision making in cervical screening programmes of the future.