How tech is revolutionizing breast cancer diagnosis and treatment in Saudi Arabia

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Saudi Arabia formed the largest pink ribbon with 10,000 women. (AN file photo)
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Updated 07 October 2022

How tech is revolutionizing breast cancer diagnosis and treatment in Saudi Arabia

  • Breast cancer diagnoses have increased fivefold over 17 years owing to improved screening
  • Breakthroughs in detection using artificial intelligence could help further improve cancer care

JEDDAH: Technological advancements in the early detection and treatment of breast cancer are radically improving the chances of survival, recovery, and quality of life for women in Saudi Arabia, according to health experts. 

Breast cancer is among the biggest challenges facing health systems worldwide. Studies have shown that a girl born today has a one-in-eight chance of developing breast cancer during the course of her lifetime. 

FASTFACT

2.3 million

Women diagnosed with breast cancer worldwide in 2020.

According to the World Health Organization, there were 2.3 million new breast cancer cases and 685,000 deaths in 2020. By the end of that year, 7.8 million women had been diagnosed within the past five years, making it the world’s most prevalent cancer.

Over the last three decades, the number of breast cancer diagnoses has risen, mainly due to the increased use of screening, early detection, and better overall public awareness of self-checking and reporting. 

In Saudi Arabia, breast cancer is the most common form of cancer among women aged over 40. However, more than 50 percent of cases are detected at a late stage, compared to 20 percent in Western countries, which means the Kingdom has a higher mortality rate. 




Riyadh’s Kingdom Centre skyscraper is lit pink every October. (Shutterstock)

In most cases, breast cancer does not develop clear symptoms in the early stages. Symptoms usually start to appear only after a tumor begins to grow. But, if detected early, the average recovery rate can be as high as 96 percent.

There are several factors associated with delayed diagnosis. These include age, poor awareness of self-examination and symptoms, social taboos, fear of stigma, and the effectiveness of public health campaigns.

According to a recent study, titled “Breast cancer stage migration in Saudi Arabia: Examining the influence of screening,” published in the Global Journal on Quality and Safety in Healthcare, 2,463 breast cancer cases were diagnosed in the Kingdom between January and December 2017. 

It found that breast cancer accounted for 17.7 percent of all cancers reported in Saudi citizens, and 30.9 percent of all cancers recorded among women of all ages.




A bus for an awareness walk from King Saud University in Riyadh to Diriyah Gate. (Supplied)

However, the study also showed that the diagnosis rate had increased fivefold over a period of 17 years, which could be attributed to an improvement in breast cancer awareness and screening programs in the Kingdom.

“A national screening program in the Kingdom was launched in 2012 and targeted women above the age of 40, ten years younger than those of western countries,” Dr. Timor Al-Alshee, a breast oncology consultant at the King Faisal Specialist Hospital and Research Center in Jeddah, told Arab News. 

“Though we don’t know the reasons behind early detection in the Kingdom per se, public health awareness campaigns have immensely changed the way the community sees and understands the disease, but we have a long way to go and efforts are being made to increase awareness every year. But it’s still not enough.” 




Dr. Timor Al-Alshee. (Supplied)

Al-Alshee said more women are getting regular mammograms, especially those with a family history of breast cancer.

“When it comes to breast cancer, it’s no secret about the implications of late detection and what makes people more comfortable today with their diagnosis is how advanced medicine has recognized there’s no ‘one size fits all’ approach,” said Al-Alshee. 

“Today, we have the tools to personalize a treatment plan and it all starts with getting a mammogram.”




Saudi Health Ministry info​​​graphic

Mammography is one of the greatest innovations in breast cancer care, as it is the only screening technology proven to decrease the breast cancer mortality rate and an essential tool for breast cancer detection.

Today, breakthroughs in the detection, diagnosis and treatment of breast cancer with the help of new technologies, particularly artificial intelligence (AI), are improving care even further. 

Nearly two years ago, the Saudi Data and AI Authority (SDAIA) began looking into the integration of AI into the breast-cancer screening pathway and has since created an AI system solution that can analyze mammography images and detect abnormalities in scans. 

In coordination with the Saudi Ministry of Health (MOH), the SDAIA launched the first phase of the AI system at the Global AI Summit in Riyadh this September. 

The system can triage routine mammography exams with a high degree of sensitivity, to support radiologists and oncologists by detecting positively malignant tumors.

With an all-Saudi team, 70 percent of whom are women, the SDAIA has cooperated with specialists to validate the results and to ensure that the AI system is integrable and can be quickly adopted across all systems. 

“In its initial phase, the AI system is used in cooperation and is limited to two entities: The National Program for Breast Cancer Detection under the MOH and the Seha-Virtual-Hospital,” the SDAIA told Arab News.




Saudi schoolchildren go pink as part of the Breast Cancer Awareness Month's activities. (AN photo by Huda Bashatah)

“We seek to make the system available on a national scale, which will require enhancements to scale it up and develop further through the help of local partners. The system is currently working on the screening phase and we’re working to add more features to help with the national efforts to screen 4 million women (above 40 years of age) in the Kingdom.” 

Mammograms acquired through population-based breast cancer screening programs, such as Saudi Arabia’s National Program for Breast Cancer Detection, can produce a significant workload for radiologists. 

Healthcare providers usually meet to discuss cancer cases and evaluate information to determine a diagnosis, the best treatment, and care plan for an individual patient. This process can take several weeks.

"We’re looking at an 80:20 ratio where 80 percent of the cases can be excluded by the same and the other 20 percent will be the main focus for physicians eventually,” the authority said.

With the AI model system, the screening time will be drastically reduced, and with further enhancements and developments provided by national developers, additional features can be added to the system to increase innovation.




Saudi Health Ministry info​​​graphic

“By coordinating with specialists, we’re training the algorithms to for example detect pathologically proven cancers by mimicking human behaviors and practices. We’re using screening data, diagnostic data, investigations, and more to train the system. The accuracy of AI should exceed the accuracy of radiologists in some cases.”

A common concern for screening efficacy  is tissue density. Women with dense tissue have a higher risk of breast cancer misdiagnosis, making it harder for radiologists to see cancer on mammograms. 

According to a 2020 paper published in the medical journal European Radiology, 22 percent of the screen-detected cancers are missed, based on a review of prior screening mammograms with diagnostic images. 




Shutterstock illustration image

“Breast density makes the screening test a little more challenging for radiologists and especially for women younger than 50. They may be called back for a follow up,” said Al-Alshee. “The difference between screening today and a decade ago is the advancement in technology that can interpret digital mammograms. 

“Advancements also include developing individual treatment plans with less aggressive side effects such as targeted therapies to block the growth of breast cancer cells, new therapeutic approaches in surgeries such as conservative mastectomies for the aesthetic satisfaction of breast cancer patients coupled with the oncological safety, and many more advancements thanks to modern medicine,” he added. 

Beyond detection, emerging technologies are also radically improving breast cancer care. The expansion of targeted therapies has increased treatment options for patients, as new areas of research ranging from immunotherapies, to vaccines, and recurrence prevention are being explored.

“Our vision is clear. We want to save lives,” said Al-Alshee. “Once a patient gets a confirmed diagnosis early, they will find the best treatment in the comfort of their home, surrounded by their loved ones, and with a very supportive ecosystem.

“The earlier the diagnosis, the better the prospects of beating the cancer. Coupled with today’s advancement in technology, the success rate will be even greater.”

 

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Saudi Arabia’s largest e-sports festival kick starts in Riyadh

Updated 28 November 2022

Saudi Arabia’s largest e-sports festival kick starts in Riyadh

  • The RUSH festival allows video-game aficionados to experience latest technology
  • Over five days, gamers will be provided best-known games, real-life experiences

RIYADH: The RUSH festival, the largest event for virtual sports and games, opened at the Riyadh Front on Saturday as part of the Riyadh Season of activities.

Over five days, it will provide gamers with the best-known games and real-life experiences.

They will get the chance to play real games such as “Fortnite,” “FIFA,” and “Valorant.” The event will also bring together the best international teams so that the biggest tournaments and direct qualifiers can be held on the e-sports stage.

Representatives of the 25 E-Sport organization greeted fans at the event’s meet-and-greet booth.

Aoun, the organization’s director of operations, told Arab News: “We have content makers and professional players in all games, and we came to meet the audience here.”

The festival aims to provide fun video games, competitions, and challenges through direct tournaments with prizes, and includes live entertainment shows, DJ performances, an augmented reality experience, and a cosplay competition.

The Valar Club booth was promoting e-sports for women.

Malak Al-Qahtani, founder of Valar Club, told Arab News: “Valar Club is the first licensed women’s club from the federation’s electronic sports, and our goal is to help female Saudi players, as they aspire to the world, and help with their training.”

Saudi YouTuber Pika Loli travelled from Jeddah to attend the event.

“This event brings together most of the YouTubers and gamers, and it is a good opportunity to get to know each other, and it will increase our followers and grow the channel on YouTube.”

Some of the cosplayers were dressed as video game characters.

Abdulelah Al-Qahtani said: “Today we are dressed as characters from the ‘Genshin Impact’ game, and I think this is so good that Saudi Arabia brought up a hidden community, like cosplayers and gamers.”

With a focus on the whole of the gaming industry, from console and PC gaming to mobile and e-sports, the RUSH festival aims to give gaming aficionados the opportunity to access and experience the latest tech and the chance to interact with each other in real life, and online.

Tickets for the event are available via https://riyadhseason.sa/event-details-en.html?id=599/en_RUSH.


Saudi ambassador to Thailand sees ‘a prosperous and promising future’ for bilateral relations

Updated 27 November 2022

Saudi ambassador to Thailand sees ‘a prosperous and promising future’ for bilateral relations

  • Investment opportunities are many thanks to similar development priorities, Abdurrahman bin Abdulaziz Al-Suhaibani tells Arab News
  • He says the crown prince’s recent visit will contribute to accelerated steps for enhancement of bilateral and trade relations

BANGKOK: Crown Prince Mohammed bin Salman’s visit to Bangkok last week has opened not only a new chapter in Saudi-Thai ties but also new horizons in which officials and the people see a promising future for both kingdoms.

Relations between Saudi Arabia and Thailand were officially restored in January this year, during Thai Prime Minister Prayuth Chan-o-cha’s trip to Riyadh, when the two countries agreed to appoint ambassadors for the first time in over three decades.

The crown prince arrived in Bangkok as a guest of honor at the Asia-Pacific Economic Cooperation summit hosted by Thailand on Nov. 18-19 and became the first Saudi official to make such a trip.

“It was the first visit at the level of the Kingdom’s leadership since the establishment of relations between the two countries in 1957,” Abdurrahman bin Abdulaziz Al-Suhaibani, Saudi Arabia’s ambassador to Thailand, told Arab News.

In welcome messages, many Thais wrote it was an “honor” for them to see the Saudi crown prince in their country. (SPA)

“It will move the relations of the two countries to broader horizons and a prosperous and promising future.

“It will also contribute to accelerating steps that will enhance bilateral, economic and trade relations between the two countries by exploring potential investment opportunities in light of the Kingdom’s Vision 2030 and the development priorities of Thailand.”

The crown prince’s meetings with the Thai leadership have yielded numerous memorandums on energy, investment, tourism, anticorruption efforts and the normalization of diplomatic relations.

When the crown prince arrived in Bangkok, he was officially received by the country’s top leadership and royal family and unofficially by many others, especially from the younger generation, who took to social media to welcome him and set up online fan clubs.

In welcome messages, many Thais wrote it was an “honor” for them to see the Saudi crown prince in their country.

“I think Thai people are looking and are expecting more cooperation with Saudi Arabia,” Abdurrahman bin Abdulaziz Al-Suhaibani, Saudi Arabia’s ambassador to Thailand, told Arab News. (Supplied)

Photos and videos from the visit went viral and made the rounds with captions such as “Warm welcome, Prince,” “This is what people in the country (Thailand) want,” “Happy: Thai-Saudi relations are very close after 32 years,” “Long live MBS.”

“The relations now seem to be on the right track and will grow stronger and more comprehensive in the coming period,” Al-Suhaibani told Arab News.

“The Saudi embassy will focus on implementing and following up on the agreements and memoranda of understanding that were signed during this historic visit.”

Tanee Sangrat, director-general of information at the Thai Ministry of Foreign Affairs and soon-to-be Thailand’s ambassador to the US, told Arab News that the visit was “closely watched and followed by the Thai people in Thailand and around the world.”

Thai Prime Minister Prayuth Chan-o-cha’s trip to Riyadh in January. (Shutterstock)

He said: “We look to Saudi Arabia as a country that has great potential. The crown prince and prime minister is very widely well respected by our people.

“I think Thai people are looking and are expecting more cooperation with Saudi Arabia.”

With the restoration of ties with Saudi Arabia, Thailand has found not only a new powerful partner in navigating volatile energy markets and energy transition, but also, as many have said, a “gateway” to the Middle East, where Thailand’s presence is not very strong.

 

 

The restored relationship would give not only Thai exporters but also investors more access to opportunities in the Gulf and beyond.

“This is a big, big issue for Thailand. Saudi Arabia is a critical partner in the Middle East,” Thitinan Pongsudhirak, director of the Bangkok-based Institute of Security and International Studies, told Arab News.

“That is a gateway for Thailand to re-engage and re-enter Middle East markets. Without the Saudi Arabia relationship, a lot of doors were closed. Now, more doors will be opened.”

Suppalerk Aramkitphotha, a business development professional, saw the crown prince’s visit as a “great opportunity.”

“We are very glad that we have this opportunity,” he said, citing the business prospects between Thailand and the Middle East that would now be facilitated.

Jirayut Srupsrisopa, the founder of the first Thai fintech startup to notch up a valuation of more than $1 billion, said he was glad that the Saudi crown prince visited Thailand and new bridges were built.

“Now we can do so much more between Thailand and Saudi Arabia. We can work with Saudis for the future of energy, the future of green hydrogen or future growth in other aspects like the digital economy,” he told Arab News, adding that there would also be opportunities such as medical tourism.

Thailand, where healthcare services are well developed, already has agreements with countries such as Kuwait and Qatar for receiving patients. A deal with Saudi Arabia is likely to be a part of the two countries’ relations going forward.

“We are famous for medical tourism,” Jirayut said. “Everyone can come here, have a nice holiday, nice beach, nice mountains, nice hotels, nice services. And they can get their teeth done. They can recover. They can have a health checkup here at a fraction of the cost elsewhere.”

But there is much more to the renewed ties than business opportunities.

Referring to the potential role that culture can play in cementing the re-established Saudi-Thai relationship, Ambassador Al-Suhaibani said: “There are many similarities between the two countries, particularly in hospitality, generosity, friendliness and, most importantly the richness of culture.

Crown Prince Mohammed bin Salman and the Thai Prime Minister witness the exchange of several MoU between Saudi Arabia and Thailand. (Supplied)

“This will encourage us to strengthen relationships and communication between our people, as well as to promote constructive dialogue in many aspects of social, cultural and religious (life).”

This kind of exchange is what Thais have waited for a long time.

Voralak Tulaphorn, a marketing professional, said a Saudi presence is something that was missing from the multicultural landscape of Thailand for a long time.

“Saudi Arabia and (Thailand) actually have rich cultures, and with rich cultures it would be nice to have exchanges in everything from food and nature to fashion and handicrafts.”

For her, what holds the greatest promise as a means of bringing Thais and Saudis together is an appreciation of each other’s cuisines. Food is a good way to win hearts and spread cultural influence.

“I think people love Thai street food,” Voralak told Arab News, adding that she hoped that soon Saudi restaurants would start emerging in Bangkok. “We would love to taste Saudi Arabian food too.”

 


History, mystery and magic as first Ancient Kingdoms Festival wraps up in Saudi Arabia

Updated 27 November 2022

History, mystery and magic as first Ancient Kingdoms Festival wraps up in Saudi Arabia

  • The festival focused entirely on sites at crossroads of culture, centers of influence and wealth
  • By focusing on a range of events, the festival gave these ancient landscapes a new lease of life

KHAYBAR: Past, present and future came together as the inaugural Ancient Kingdoms Festival drew to a close with a series of dramatic events showcasing three historic oases of the northwest — AlUla, Khaybar and Tayma — for a modern audience.

The festival, launched on Nov. 11, was the first of its kind to focus entirely on the sites, which were at the crossroads of culture in ancient times, and also centers of influence and wealth.

By focusing on a range of events, including cultural performances, workshops and sightseeing opportunities, the festival gave these ancient landscapes a new lease of life, with many of the activities expected to continue after the festival’s close.

A spectacular show lit up the night sky as 1,450 drones formed shapes while an orchestra played music by UK composer Matt Faddy. The show will continue until Dec. 15, 2023.

Visitors to Khaybar can still explore the mysterious prehistoric stone structures on foot, or by car or a 20-minute helicopter excursion, hovering over the old and new.

“We made this festival to reflect the stories behind all the ancient civilizations that lived around or in these three places,” Abdulrazzag Alanzi, a local storyteller and tour guide, told Arab News.

Alanzi used to visit his cousins in Khaybar as a child and still recalls hearing stories about the region going back centuries.

“I used to love reading a lot of fictional stories and also a lot of old stories, and when I heard about something that happened in this area many years ago, it always fascinated me. This is what pushed me into this line of work, tourism,” he said.

“AlUla, Khaybar and Tayma have a lot of historical stories and a lot of information that we need to show the world.”

Fahad Aljuhani, a storyteller who describes the area as the “greatest living museum,” also came to the area as a child to connect with his cousins — and to discover hidden treasures.

“I’m a ‘Rawi’ and ‘Rawi’ in English means a storyteller. Now we are on an island that floats on a sea of rock which is Khaybar. I used to come to Khaybar and visit my relatives, and they would tell us a story about the tombs and the oasis, and I didn’t have the chance to visit them until now,” he told Arab News.

 

 

Aljuhani said that 5 million years ago, hundreds of volcanic eruptions occurred simultaneously in the area.

“If you feel the rocks, they seem to generate heat from within, similar to those who choose to watch over the land today and tell its many-layered stories,” he said.

Tour guide Enass Al-Sherrif told Arab News that she is excited to see people, including those from around the Kingdom, taking the time to learn about their past.

Al-Sherrif describes her job as the best she could ever have.

“I am really proud and honored. And I want to show you and make you feel the experience, how we transformed this place into an amazing destination for others to come and visit us,” she said.

The festival and its extended program aims to shed light on the legends and legacies of ancient times in the Kingdom’s northwest region, allowing visitors to explore and learn about the “largest living museum in the world.”

It is two years since AlUla began reopening heritage sites to domestic and international tourists with its pioneering Winter at Tantora program, which lasts until March.

While the Ancient Kingdoms Festival wrapped up on a chilly day on Nov. 27, many of the visitor experiences will continue well beyond the festival period, with some available year-round.

“The northwest Arabian Peninsula is the jewel in the heritage crown of the Kingdom of Saudi Arabia and a source of fascination for a global community of archaeologists and researchers. Their discoveries shed new light on the societies that endowed the region with such relics of the ancients, preserved in wonders of prehistoric geology, art, and historical architecture that reveal important truths,” the Royal Commission for AlUla, which hosted the event, said in a statement.

The commission plans to host the Ancient Kingdoms Festival annually. Further details are available on its website.


Jeddah receives 179mm of rainfall, higher figure than 2009 peak

Updated 25 November 2022

Jeddah receives 179mm of rainfall, higher figure than 2009 peak

  • Maximum alert issued in face of weather conditions

JEDDAH: The National Center of Meteorology recorded 179 mm of rainfall on Thursday, the highest amount ever received in the city.

Rain fell from 8 a.m. until 2 p.m. in the south of the province in a heavier downpour than the previous biggest, in 2009.

The Jeddah Municipality announced a maximum alert in the wake of the weather conditions, while the meteorology center warned of moderate to heavy rain in the governorates of Jeddah and Rabigh in the Makkah region, including Thuwal and coastal areas, accompanied by surface winds, hail and flooding, until 7 p.m. on Thursday.

King Abdulaziz Airport announced that some flights had been delayed due to the weather. The airport was hoping to communicate with air carriers to confirm dates and times for rearranged flights.

Makkah Municipality employs 11,800 field workers to prepare for the rainy season. It has machinery and equipment to deal with the expected conditions. Its operation and maintenance department assesses the performance of rainwater drainage network channels in main and side roads, intersections and squares.

It removes sediment which can impede water flow in drainage systems, in accordance with contingency plans.

Task forces and equipment have been deployed throughout Makkah, with some 52 water tanks, each with a capacity of 194,000 gallons, removing floodwaters. Some 146 excavating machines and 89 multipurpose trucks have been dealing with the impact of the rain and removing water from the roads and streets.

The municipality has also organized field teams to remove waste that may have built up in the wake of the downpours.

It has also increased the number of cleaning teams to work on clearing sewers to prevent any dangers that may pose a threat to residents and visitors.

The teams have been deployed along with 520 machines, including lorries, pump tanks, Bobcats, tankers and automated sweepers, as well as a large number of pumps and excavating machines. Work is being carried out around the clock to implement contingency plans.

Makkah contains huge rainwater drainage systems that reach around 540 km and cover all of the region’s neighborhoods and holy sites. The systems include closed trunk water mains and deep tunnel networks, as well as shallow and open drainage channels.

The municipality also carries out maintenance and cleaning operations throughout the year to help reduce the effects of flooding on the region.

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Spanish passions of food and football combine at Riyadh festival

Updated 26 November 2022

Spanish passions of food and football combine at Riyadh festival

  • LaLiga and Spanish gastronomes host feast of Iberian culture at Ritz Carlton

RIYADH: Food and football were flavors of the week in Riyadh as Spanish cuisine experts and LaLiga officials came together to host a feast of Iberian culture.

The Spanish Pantry festival, organized by LaLiga and food experts Provacuno, was held over three days this week in the capital’s Ritz Carlton. 

Mohamad Essa, LaLiga’s delegate in Saudi Arabia, told Arab News that the festival combined two of Spain’s biggest passions, with football activities and displays from a Michelin star chef Rafael Centeno.

Essa said that Saudi Arabia had a passionate fan base for LaLiga football. “It’s my honor to be close to the local fans and to listen to their observations and understand their needs. We would like to achieve many things together. 

“We are here to promote strong relations with local institutions, clubs and media,” he said, adding that his presence helps LaLiga giants such as Real Madrid and Barcelona connect with Saudi fans, clubs and sponsors.

He added that his organization planned many activities for the Kingdom, including parties for Saudi fans to travel and watch LaLiga matches.

The league already helps develop skills in the sports industry with its LaLiga business school, and it has football academies aimed at developing youth talent.

“We want to export these capabilities to the country to create the new generation of footballers,” Essa said.

“As part of this international expansion, we are engaging in the market by hosting events, activities, different sports projects and academic opportunities.”

Ohoud M. Aljabr, of the Ritz-Carlton group, said: “Our main goal of this successful partnership is to introduce the beautiful and rich culture of Spain and present a memorable experience. Hosting the Spanish Festival for the first time in the Kingdom was a pleasure.” 

Provacuno is a promotion organization for Spanish beef and veal, and represents 140,000 farms and processing plants.

Spain produces more than 800,000 tonnes per year of meat to EU standards. Saudi Arabia meanwhile is a growing market for beef, with consumption rates increasing and outstripping local supply. “Spanish beef has been a supplier since 2016. Export figures have been rising in recent years, reaching 350 tonnes a year,” Provacuno said. “Most of our exports to Saudi Arabia are high-quality cuts that meet Saudi demands.”