Detectability of colon polyp using computed virtual chromoendoscopy with flexible spectral imaging color enhancement.

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-03-05 DOI:10.1155/2012/596303
Shinsuke Kiriyama, Takahisa Matsuda, Takeshi Nakajima, Taku Sakamoto, Yutaka Saito, Hiroyuki Kuwano
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引用次数: 11

Abstract

The aim of this pilot study was to assess the feasibility of using computed virtual chromoendoscopy with the flexible spectral imaging color enhancement (FICE) for colon neoplasia screening. A modified back-to-back colonoscopy using FICE and white light in the right-sided colon was conducted prospectively for the consecutive patients attending for the postoperative (sigmoidectomy or anterior resection) follow-up colonoscopy. Histopathology of detected lesions was confirmed by evaluation of endoscopic resection or biopsy specimens. One-hundred and two patients were enrolled, and 100 patients (61 males and mean age 63 years) were finally analyzed. The total number of polyps detected by FICE and white light colonoscopy was 65 and 45, respectively. The miss rate for all polyps with FICE (24%) was significantly less than that with white light (46%) (P = 0.03). Colonoscopy using FICE could beneficially enhance the detection of neoplastic lesions in the right-sided colon compared to white light colonoscopy.

利用柔性光谱成像彩色增强的计算机虚拟色内窥镜检测结肠息肉。
本初步研究的目的是评估使用计算机虚拟色内窥镜与柔性光谱成像彩色增强(FICE)结肠肿瘤筛查的可行性。对连续参加术后(乙状结肠切除术或前切除术)随访结肠镜检查的患者,前瞻性地使用FICE和右侧结肠白光进行改良背靠背结肠镜检查。检测到的病变的组织病理学是通过内镜切除或活检标本的评估来证实的。纳入102例患者,最终分析100例患者(男性61例,平均年龄63岁)。FICE和白光结肠镜检出的息肉总数分别为65和45个。FICE的漏诊率(24%)明显低于白光的漏诊率(46%)(P = 0.03)。与白光结肠镜检查相比,FICE结肠镜检查可有效提高右侧结肠肿瘤病变的检出率。
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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