Feasibility study of hyperspectral colposcopy as a novel tool for detecting precancerous cervical lesions

Sci Rep. 2025 Jan 4;15(1):820. doi: 10.1038/s41598-024-84422-z.

Abstract

Cervical cancer remains a major global health concern, with a specially alarming incidence in younger women. Traditional detection techniques such as the Pap smear and colposcopy often lack sensitivity and specificity and are highly dependent on the experience of the gynaecologist. In response, this study proposes the use of Hyperspectral Imaging, a pioneering technology that combines traditional imaging with spectroscopy to provide detailed spatial and spectral information. Over a period of six-months, our custom-designed hyperspectral colposcope was used on 62 patients. The gathered data underwent a specialized preprocessing workflow using a PCA-based strategy for unsupervised segmentation of the cervical region. This process extracted spectral signatures from various tissue types, and our subsequent statistical analysis highlighted its ability to detect differences and alterations in the cervical tissue. This offers a promising avenue for improving the precision of cervical lesion diagnosis.

MeSH terms

  • Adult
  • Cervix Uteri / diagnostic imaging
  • Cervix Uteri / pathology
  • Colposcopy* / methods
  • Feasibility Studies*
  • Female
  • Humans
  • Hyperspectral Imaging / methods
  • Middle Aged
  • Precancerous Conditions* / diagnosis
  • Precancerous Conditions* / diagnostic imaging
  • Precancerous Conditions* / pathology
  • Uterine Cervical Dysplasia / diagnosis
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms* / diagnosis
  • Uterine Cervical Neoplasms* / diagnostic imaging
  • Uterine Cervical Neoplasms* / pathology