Endoscopic Tri-Modal Imaging (ETMI) With Optical Magnification in the Detection of Barrett's Early Neoplasia

Sarmed S. Sami , Philip Kaye , Krish Ragunath
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引用次数: 4

Abstract

Early lesion detection and characterisation is vital to ensure accurate management in patients with gastrointestinal neoplasia. Endoscopic Tri-modal Imaging (ETMI) technology has been shown to improve the targeted detection of early dysplastic lesions in Barrett's Oesophagus, but these results were not confirmed in non-expert hands [1]. This technology incorporates high resolution while light endoscopy (HRE), Auto Fluorescence Imaging (AFI) and Narrow Band Imaging (NBI) in one endoscope. The mucosa is first inspected with HRE, and then AFI is switched on to help in highlighting any suspicious areas in the mucosa [2]. These areas can be further examined by switching to NBI mode with magnification which helps to characterise mucosal patterns and identify early neoplasia [3].

光学放大的内镜三模态成像(ETMI)检测Barrett早期肿瘤
早期病变的发现和特征是至关重要的,以确保准确的管理患者胃肠道肿瘤。内镜下三模态成像(ETMI)技术已被证明可以提高Barrett食管早期发育不良病变的靶向检测,但这些结果尚未在非专家手bbb中得到证实。该技术将高分辨率的光内窥镜(HRE)、自动荧光成像(AFI)和窄带成像(NBI)集成在一个内窥镜中。首先用HRE检查粘膜,然后打开AFI以帮助突出粘膜中的任何可疑区域。这些区域可以通过放大切换到NBI模式进一步检查,这有助于描述粘膜模式并识别早期瘤变[3]。
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