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Di Fede O, Panzarella V, Buttacavoli F, La Mantia G, Campisi G. Doctoral: A smartphone-based decision support tool for the early detection of oral potentially malignant disorders. Digit Health 2023; 9:20552076231177141. [PMID: 37256016 PMCID: PMC10226164 DOI: 10.1177/20552076231177141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 05/04/2023] [Indexed: 06/01/2023] Open
Abstract
Oral potentially malignant disorders can be defined as mucosal lesions and conditions with an increased risk of malignant transformation. Oral potentially malignant disorders are a significant health burden, and they are often diagnosed late due to scant attention to routine dental practice and the low number of specialized oral medicine centres. This report summarizes the DoctOral experience, a research initiative, providing a free smartphone-based decision support tool for the general medical/dental practitioner; the tool is based on the clinical appearance of oral lesions. Captured, oral pictures can be immediately examined via interactive decision trees and constructed on the smartphone. Such decision trees are expressed in standard formats, and they are readily accessible for facilitating the completion of a hypothetical diagnostic path. Since October 2017 the DoctOral mobile app has been downloaded by 10K + users, achieving a score of 4.8 out of 5. DoctOral also supports an unfolding joint initiative, called DoctOralAI: this involves selecting reference images, with which to create an open-source model, and perform a Case-Based Reasoning method, both of which are combined with machine learning. The DoctOral mobile app has revolutionized oral pathology by providing dental students and professionals with an interactive platform for recognizing and diagnosing oral lesions.
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Affiliation(s)
- Olga Di Fede
- Department of Surgical, Oncological and Oral
Sciences (Di.Chir.On.S), University of Palermo, Sicily, Italy
| | - Vera Panzarella
- Department of Surgical, Oncological and Oral
Sciences (Di.Chir.On.S), University of Palermo, Sicily, Italy
| | - Fortunato Buttacavoli
- Department of Surgical, Oncological and Oral
Sciences (Di.Chir.On.S), University of Palermo, Sicily, Italy
- Unit of Oral Medicine and Dentistry for Fragile
Patients, Department of Rehabilitation, Fragility and Continuity of Care, University
Hospital Palermo, Palermo, Italy
| | - Gaetano La Mantia
- Department of Surgical, Oncological and Oral
Sciences (Di.Chir.On.S), University of Palermo, Sicily, Italy
- Unit of Oral Medicine and Dentistry for Fragile
Patients, Department of Rehabilitation, Fragility and Continuity of Care, University
Hospital Palermo, Palermo, Italy
- Department of Biomedical and Dental Sciences and
Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Giuseppina Campisi
- Department of Surgical, Oncological and Oral
Sciences (Di.Chir.On.S), University of Palermo, Sicily, Italy
- Unit of Oral Medicine and Dentistry for Fragile
Patients, Department of Rehabilitation, Fragility and Continuity of Care, University
Hospital Palermo, Palermo, Italy
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Ng SW, Syamim Syed Mohd Sobri SN, Zain RB, Kallarakkal TG, Amtha R, Wiranata Wong FA, Rimal J, Durward C, Chea C, Jayasinghe RD, Vatanasapt P, Saleha binti Ibrahim Tamin N, Cheng LC, Mazlipah binti Ismail S, Tepirou C, Ariff bin Abdul Rahman Z, Rajendran S, Kanapathy J, Liew CS, Cheong SC. Barriers to early detection and management of oral cancer in the Asia Pacific region. J Health Serv Res Policy 2022; 27:133-140. [DOI: 10.1177/13558196211053110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Objective Oral cancer is amenable to early detection but remains a prominent cause of mortality in the Asia Pacific region. This study aimed to identify barriers to early detection and management of oral cancer in the Asia Pacific region. Methods A mixed-methods approach was employed triangulating findings from a survey and focus groups. The survey was conducted among seven representative members of the Asia Pacific Oral Cancer Network (APOCNET) across six countries. Focus groups were conducted to gain deeper insights into the findings of the survey. Results The identified barriers were a lack of national cancer control strategies and cancer registries and the limited availability of trained health care professionals. Overcoming these challenges in the Asia Pacific region where resources are scarce will require collaborative partnerships in data collection and novel approaches for continuous professional training including eLearning. Further, to overcome the lack of trained health care professionals, innovative approaches to the management of oral potentially malignant lesions and oral cancer including telemedicine were suggested. Conclusion The findings of this study should be taken into account when charting national cancer control plans for oral cancer and will form the basis for future collaborative studies in evaluating effective measures to improve oral cancer detection and management in low- and middle-income countries.
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Affiliation(s)
- Sin Wi Ng
- Department of Computer System & Technology, Faculty of Computer Science & Information Technology, University of Malaya, Kuala Lumpur, Malaysia
| | - Sharifah Nur Syamim Syed Mohd Sobri
- Department of Computer System & Technology, Faculty of Computer Science & Information Technology, University of Malaya, Kuala Lumpur, Malaysia
| | - Rosnah binti Zain
- Department of Oral Pathology Oral Medicine, Faculty of Dentistry, MAHSA University, Selangor, Malaysia
| | - Thomas George Kallarakkal
- Department of Oral & Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Rahmi Amtha
- Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | | | - Jyotsna Rimal
- Department of Oral Medicine & Radiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
| | | | | | | | - Patravoot Vatanasapt
- Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
- Cancer Unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thiland
| | | | - Lai Choo Cheng
- Oral Health Programme, Ministry of Health, Kuala Lumpur, Malaysia
| | - Siti Mazlipah binti Ismail
- Department of Oral & Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Chher Tepirou
- Preventive Medicine Department, Ministry of Health, Cambodia
| | | | | | | | - Chee Sun Liew
- Department of Computer System & Technology, Faculty of Computer Science & Information Technology, University of Malaya, Kuala Lumpur, Malaysia
- Data Intensive Computing Centre, Research Management & Innovation Complex, University of Malaya, Kuala Lumpur, Malaysia
- Centre for Data Science, University of Malaya, Kuala Lumpur, Malaysia
| | - Sok Ching Cheong
- Department of Oral & Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
- Digital Health, Cancer Research Malaysia, Subang Jaya, Malaysia
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