Evaluation of linked-color imaging endoscopy combined with CAD EYE for the detection and characterization of right-sided colon polyps

IF 1.3 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Arab Journal of Gastroenterology Pub Date : 2025-11-01 Epub Date: 2025-11-07 DOI:10.1016/j.ajg.2025.09.016

Phuoc Huu Tran , Thi Huyen Thuong Nguyen , Van Huy Tran

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引用次数: 0

Abstract

Background and study aims: Optimizing polyp detection, in particular the right-sided colon polyps, is a challenge for endoscopists. This study aimed to evaluate the diagnostic value of LCI combined with CAD EYE in the detection and characterization of right-sided colon polyps.

Patients and methods

Patients underwent colonoscopy with WLI up to the cecum and terminal ileum, followed by LCI combined with CAD EYE. All polyps detected were removed and subjected to histological examination.

Results

116 patients were enrolled. Out of them, 66 patients had at least one polyp in their right-sided colon. Endoscopy utilizing LCI resulted in a significantly high additional polyp detection rate (APDR) of 25.9 % (95 % CI: 17.6–36.4 %) in the right colon compared to endoscopy with WLI. The APDRs were significantly higher for flat polyps, 43.5 % (95 % CI: 25.6–63.2 %), p = 0.023. The adenoma detection rate (ADR) was also increased, with APDRs for adenomatous polyps and sessile serrated polyps at 30.6 % (95 % CI: 18.0–46.9 %) and 66.7 % (95 % CI: 30–90.3 %), respectively (p = 0.022). The concordance in neoplasia detection utilizing LCI combined with CAD EYE and histological examination demonstrated substantial agreement between the two approaches, with Kappa values of 0.729 (p < 0.001).

Conclusion

LCI combined with CAD EYE emerged as a potential tool for characterizing right-sided colon polyps.

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彩色内镜联合CAD EYE对右侧结肠息肉的检测及特征评价。

背景和研究目的：优化息肉的检测，特别是右侧结肠息肉，是内镜医师面临的挑战。本研究旨在评价LCI联合CAD EYE对右侧结肠息肉的诊断价值。患者和方法：患者行WLI至盲肠和回肠末结肠镜检查，然后行LCI联合CAD EYE。所有检测到的息肉均被切除并进行组织学检查。结果：116例患者入组。其中，66名患者的右侧结肠至少有一个息肉。与使用WLI的内镜相比，使用LCI的内镜在右结肠的额外息肉检出率（APDR）显著高，为25.9% （95% CI: 17.6- 36.4%）。扁平息肉的apdr为43.5% (95% CI: 25.6 ~ 63.2%), p = 0.023。腺瘤检出率（ADR）也有所提高，腺瘤性息肉和无根锯齿状息肉的apdr分别为30.6% （95% CI: 18.0 ~ 46.9%）和66.7% (95% CI: 30 ~ 90.3%) （p = 0.022）。LCI联合CAD EYE的肿瘤检测结果与组织学检查结果一致，Kappa值为0.729 (p)。结论：LCI联合CAD EYE是诊断右侧结肠息肉的潜在工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arab Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Arab Journal of Gastroenterology (AJG) publishes different studies related to the digestive system. It aims to be the foremost scientific peer reviewed journal encompassing diverse studies related to the digestive system and its disorders, and serving the Pan-Arab and wider community working on gastrointestinal disorders.