POCkeT Colposcope in Mombasa, Kenya
A novel POCkeT Colposcope has been developed by Nimmi Ramanujam to improve access to colposcopy. The POCkeT Colposcope can be constructed using relatively low-cost materials and collects high-quality digital images that can be easily transmitted for external colposcopic review. Researchers at the UNC Gillings School of Global Public Health (Smith J), Duke University Medical Center (Ramanujam N), the University of Washington (McClelland S), and the University of Nairobi, Kenya (Mugo N), are collaborating on a new pilot study to assess the POCkeT Colposcope’s clinical validity. This study, funded by the UNC Lineberger Comprehensive Cancer Center, will first assess concordance of Kenyan colposcopist readings of previously collected paired images obtained by the POCkeT Colposcope and by a conventional colposcope for cases of different known grades of histologically confirmed pathology. Researchers will then collect new images from a population of 200 high-risk women in Mombasa, Kenya, to assess POCkeT Colposcope clinical performance compared to conventional colposcopy for the detection of high-grade precancerous lesions. This pilot study will produce preliminary data to inform the development of a future large-scale validation study.