Study of the Role of Narrow Band Imaging in Detection of Recurrent/ Residual Lesion in Post Chemo/Radiotherapy of Hypopharyngeal and Laryngeal Malignancies.
V Saravana Selvan, M Vivek, S Mohamed Siddique, N Suresh Kumar, Balamurugan, P Karthik Raj
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引用次数: 0
Abstract
NBI as a screening tool to detect recurrent/residual lesions in Post CT/RT patients of Hypopharyngeal and Laryngeal malignancies. To evaluate the effectiveness of Narrow Band Imaging (NBI) in detecting residual or recurrent tumors in the larynx and hypopharynx of patients previously treated with radiotherapy or chemoradiotherapy. 30 patients previously treated by employing RT or CRT with curative intent for laryngeal and hypopharyngeal malignancies were enrolled in the study and were followed up for at least 3 visits that are 1-3months, 3-6 months, and above 6 months respectively with white light endoscopy/video laryngoscopy and transnasal flexible videoendoscopy with NBI mode. The sensitivity of VLS was 40% and specificity was 100%, while the positive and negative predictive values were 100% and 76% respectively. The sensitivity of NBI was 100% and specificity was 90%, while the positive and negative predictive values were 83% and 100% respectively. The accuracy of NBI was found to be 93.3%. The study showed that transnasal videoendoscopy with NBI is an excellent method for follow-up in patients with laryngeal and hypopharyngeal carcinomas treated with RT or CRT. NBI mode improves cancer detection and helps in precise biopsy.
期刊介绍:
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.