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   1   REGIONAL CONFERENCE  onon                                           O r g a n i s e d   b y :
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   P P  R    E   C    I S    I O    N       H    E   A    L   T   H
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   PRECISION HEALTH
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                      Abstracts for 1st Regional Conference on Precision Health (RCPH)
                                 15-16th April 2026, Royale Chulan Kuala Lumpur
             From Apps to Access: Digital Triage and Community Pathways for Early
                                            Detection of Oral Cancer
                                               Professor Dr Sok Ching Cheong
                                                 Cancer Research Malaysia
                                                      ABSTRACT
       Oral cancer remains a major public health challenge, particularly in low- and middle-income settings
       where late-stage diagnosis is common and access to specialist care is limited. In Malaysia and across
       Asia, a substantial proportion of patients present at advanced stages, resulting in significantly poorer
       survival  outcomes.  Early  detection  is  therefore  critical,  yet  conventional  screening  models  are
       constrained by centralised services, workforce limitations, and geographical barriers. I will discuss our
       work on MeMoSA® (Mobile Mouth Screening Anywhere), a digital health platform developed to enable
       community-based  oral  cancer  screening  through  mobile  technology,  teleconsultation,  and  artificial
       intelligence (AI). By leveraging the widespread availability of smartphones and the visual nature of oral
       lesions,  MeMoSA  enables  non-specialist  personnel  to  capture  structured  clinical  images  and  risk
       information,  which  are  then  reviewed  by  clinicians.  The  platform  integrates  multiple  components,
       including  AI-guided  image  capture,  digital  data  collection,  and  clinician-facing  reporting  systems,
       facilitating a scalable approach to early detection. Real-world implementation demonstrates that such a
       model can extend screening reach, improve access to care, and identify individuals with lesions at risk
       of  malignancy  who  may  otherwise  remain  undetected.  A  key  component  of  this  approach  is  the
       development of AI models trained on a large, multi-country dataset of annotated oral images, enabling
       risk  stratification  and  referral  decision  support.  These  models  show  promising  performance  in
       identifying  high-risk  lesions  and  support  more  efficient  use  of  specialist  resources.  Importantly,
       MeMoSA represents a shift from specialist-centred screening towards community-embedded, digitally
       enabled pathways, aligning with broader precision health goals of delivering the right care to the right
       population at the right time. This work demonstrates that integrating digital tools, AI, and community-
       based implementation can help close critical gaps in early cancer detection, offering a scalable model
       for improving equity and outcomes in underserved populations.
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