Pengembangan Purwarupa Kolposkop Dengan Peningkatan Kualitas Citra Untuk Skrining Deteksi Dini Kanker Serviks Menggunakan Raspberry Pi 4
Abstract
Kanker serviks merupakan penyebab kematian utama wanita di Indonesia. Metode skrining IVA yang digunakan secara luas di layanan primer masih menghadapi keterbatasan akurasi karena bergantung pada pengamatan visual tanpa alat bantu. Penelitian ini mengembangkan purwarupa kolposkop digital berbasis Raspberry Pi 4 untuk meningkatkan kualitas citra guna mendukung deteksi dini. Sistem dilengkapi kamera ArduCam 64MP autofokus, pencahayaan LED dengan kontrol intensitas, dan filter polarisasi untuk mengurangi pantulan. Pengujian dilakukan terhadap performa akuisisi citra, intensitas cahaya, efisiensi daya, serta evaluasi kualitas citra dan validasi deteksi lesi dengan algoritma YOLO. Hasil menunjukkan frame rate mencapai 85.5 FPS (VGA), pencahayaan sesuai standar medis (>1000 lux), dan area refleksi minimum (0.01%). Konfigurasi optimal tercapai pada resolusi 16MP, jarak 15 cm, dan pencahayaan maksimum. Deteksi lesi oleh YOLO mencapai confidence hingga 97%. Purwarupa ini menunjukkan potensi sebagai alat bantu IVA yang terjangkau dan efektif, mendukung observasi klinis dan dokumentasi visual di layanan primer.
Kata Kunci—Kanker Ovarium, Deteksi Dini, Artificial Intelligent (AI), Kanker serviks, Pemeriksaan IVA, Deteksi dini, Kualitas citra, Kolposkop, Raspberry Pi 4
References
D. Stelzle et al., “Estimates of The Global Burden of Cervical Cancer Associated with HIV,” Lancet Glob Health, vol. 9, pp. e161–e169, Feb. 2021, doi: 10.1016/S2214-109X(20)30459-9.
GLOBOCAN, “Statistics at a Glance, 2022 Top 5 most Frequent Cancers Number of New Cases 408 661 Number of Deaths 242 988 Number of Prevalent Cases (5-year),” 2022.
P. Rema, A. Mathew, and S. Thomas, “Performance of Colposcopic Scoring by Modified International Federation of Cervical Pathology and Colposcopy Terminology for Diagnosing Cervical Intraepithelial Neoplasia in a Low-Resource Setting,” South Asian J Cancer, vol. 8, no. 4, pp. 218–220, Oct. 2019, doi: 10.4103/sajc.sajc_302_18.
“WHO Results Report 2020-2021,” https://www.who.int/about/accountability/results/who-results-report-2020-2021.
A. N. Hutabarat and N. Puspitasari, “Spatial Autocorrelation Analysis on Coronavirus Transmission and Population Density in East Java Province 2020,” Jurnal Biometrika dan Kependudukan, vol. 12, pp. 230–238, Nov. 2023, doi: 10.20473/jbk.v12i2.2023.230-238.
O. Febriyanti Marantika et al., “Faktor-faktor yang Berpengaruh Terhadap Keikutsertaan WUS (Wanita Usia Subur) Dalam Pemeriksaan IVA (Inspeksi Visual Asam Asetat) Tahun 2021,” 2022.
Dinkes Kota Bandung, “Profil-Kesehatan-Kota-Bandung-Tahun-2022-Combine-V2-24072023 (1),” 2022.
C. Nakisige et al., “Artificial Intelligence and Visual Inspection in Cervical Cancer Screening,” International Journal of Gynecological Cancer, vol. 33, pp. 1515–1521, Oct. 2023, doi: 10.1136/ijgc-2023-004397.
L. Gaffikin, P. D. Blumenthal, J. McGrath, and Z. M. Chirenje, “Visual Inspection with Acetic Acid For Cervical-Cancer Screening: Test Qualities in a Primary-Care Setting,” Lancet, vol. 353, pp. 869–873, Mar. 1999, doi: 10.1016/S0140-6736(98)07033-0.
R. Naufaldiansyah, M. L. Adriansyah, and C. Muda Suparjo, “Desain Kolposkop Kanker Serviks Portabel dengan Pengurangan Pantulan Cahaya Berbiaya Rendah - WRAP Entrepreneurship (Capstone),” https://openlibrary.telkomuniversity.ac.id/pustaka/204964/desain-kolposkop-kanker-serviks-portabel-dengan-pengurangan-pantulan-cahaya-berbiaya-rendah-wrap-entrepreneurship-capstone-.html.
A. Hasegawa and Y. Kondo, “Effect of Frame Rate on Image Quality in Cardiology Evaluated Using an Indirect Conversion Dynamic Flat-Panel Detector,” Radiol Phys Technol, vol. 17, pp. 947–954, Dec. 2024, doi: 10.1007/s12194-024-00845-3.
A. M. Jawad, L. Alamro, L. F. Abdulrazak, A. A. B. Abdelrahman, and I. Bezklubenko, “Study of Camera Efficiency and Image Resolution,” in Conference of Open Innovation Association, FRUCT, IEEE Computer Society, 2024, pp. 294–306. doi: 10.23919/fruct61870.2024.10516363.
National Cancer Institute, “What Is Cervical Cancer?,” https://www.cancer.gov/types/cervical. Accessed: Jun. 26, 2025. [Online]. Available: https://www.cancer.gov/types/cervical
M. Läsche, H. Urban, J. Gallwas, and C. Gründker, “HPV and Other Microbiota; Who’s Good and Who’s Bad: Effects of The Microbial Environment on The Development of Cervical Cancer—a Non-Systematic Review,” Mar. 2021, MDPI. doi: 10.3390/cells10030714.
A. Y. Wuriningsih, H. Distinarista, and A. J. Laely, “Cervical Cancer Self Management Education (CSME) Meningkatkan Kualitas Hidup Pasien dengan Kanker Serviks,” NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan, vol. 5, p. 45, Jul. 2021, doi: 10.30659/nurscope.5.1.45-51.
M. A. Jain and F. Limaiem, “Cervical Squamous Cell Carcinoma,” StatPearls, Jan. 2023, Accessed: Jun. 26, 2025. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK559075/
N. N. Anggraini, N. D. Indrawati, and E. Kusumawati, “Pemeriksaan IVA Test Kerjasama PKBI Jawa Tengah di Lapas Bulu Kelas II Semarang Jawa Tengah,” Jurnal Pengabdian Masyarakat Kebidanan, vol. 2, p. 36, Jan. 2020, doi: 10.26714/jpmk.v2i1.5369.
L. Gattoc and L. C. Flowers, “Colposcopy,” in Clinical Gynecology, Second Edition, Cambridge University Press, 2015, pp. 168–186. doi: 10.1017/CBO9781139628938.015.
Badan Standardisa Nasional, “Standar Nasional Indonesia Konservasi energi pada sistem pencahayaan,” 2020. [Online]. Available: www.bsn.go.id
A. I. Setyarini et al., Obstetri dan Ginekologi untuk Kebidanan. [Online]. Available: www.globaleksekutifteknologi.co.id
S. Nazaralizadeh, P. Banerjee, A. K. Srivastava, and P. Famouri, “Battery Energy Storage Systems: A Review of Energy Management Systems and Health Metrics,” Mar. 01, 2024, Multidisciplinary Digital Publishing Institute (MDPI). doi: 10.3390/en17051250.
Y. Rodriguez-Gallo, R. Orozco-Morales, and Marlen Perez-Diaz, “Analysis of Objective Quality Metrics in Computed Tomography Images Affected by Metal Artifacts,” Biomedizinische Technik, vol. 67, pp. 1–9, Feb. 2022, doi: 10.1515/bmt-2020-0244.
