图像增强结肠镜检查:最新进展和前景综述。

IF 3 4区 医学 Q1 Medicine
Dariush Shahsavari, Muhammad Waqar, Viveksandeep Thoguluva Chandrasekar
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引用次数: 0

摘要

结肠镜检查已被证明是一种识别和预防结直肠癌的成功方法。结合先进的成像技术,如图像增强内窥镜(IEE),在实时诊断中起着至关重要的作用。内窥镜成像技术的进步是持续的,从用电荷耦合器件取代光纤到20世纪70年代引入彩色内窥镜。最近的技术进步包括“按钮”技术,如自体荧光成像(AFI)、窄光谱内窥镜和共聚焦激光内窥镜(CLE)。由于染料染色内窥镜(DCE)的应用和去除染料所需的时间较长,并且在某些情况下难以识别病变,因此DCE正在失宠。窄带成像(NBI)是一种过滤用于照明的光的技术,可以提高对比度和更好地看到粘膜表面的结构,并且与白光内窥镜相比,一直显示出更高的腺瘤检出率(ADR)。CLE对于息肉的检测和表征具有很高的敏感性和特异性,并且已经开发了几种分类来准确识别正常,再生和发育不良的上皮。其他IEE技术,如蓝色激光成像(BLI)、联色成像(LCI)、i-SCAN和AFI,也显示出改善不良反应和表征息肉的希望。Optivista、红色二色成像(RDI)、纹理和色彩增强成像(TXI)以及使用人工智能(AI)的计算机辅助检测(CAD)等新技术正在开发中,以改善息肉的检测和病理预测,然后再广泛应用于临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Image enhanced colonoscopy: updates and prospects-a review.

Image enhanced colonoscopy: updates and prospects-a review.

Colonoscopy has been proven to be a successful approach in both identifying and preventing colorectal cancer. The incorporation of advanced imaging technologies, such as image-enhanced endoscopy (IEE), plays a vital role in real-time diagnosis. The advancements in endoscopic imaging technology have been continuous, from replacing fiber optics with charge-coupled devices to the introduction of chromoendoscopy in the 1970s. Recent technological advancements include "push-button" technologies like autofluorescence imaging (AFI), narrowed-spectrum endoscopy, and confocal laser endomicroscopy (CLE). Dye-based chromoendoscopy (DCE) is falling out of favor due to the longer time required for application and removal of the dye and the difficulty of identifying lesions in certain situations. Narrow band imaging (NBI) is a technology that filters the light used for illumination leading to improved contrast and better visibility of structures on the mucosal surface and has shown a consistently higher adenoma detection rate (ADR) compared to white light endoscopy. CLE has high sensitivity and specificity for polyp detection and characterization, and several classifications have been developed for accurate identification of normal, regenerative, and dysplastic epithelium. Other IEE technologies, such as blue laser imaging (BLI), linked-color imaging (LCI), i-SCAN, and AFI, have also shown promise in improving ADR and characterizing polyps. New technologies, such as Optivista, red dichromatic imaging (RDI), texture and color enhancement imaging (TXI), and computer-aided detection (CAD) using artificial intelligence (AI), are being developed to improve polyp detection and pathology prediction prior to widespread use in clinical practice.

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来源期刊
CiteScore
8.20
自引率
0.00%
发文量
1
期刊介绍: Translational Gastroenterology and Hepatology (Transl Gastroenterol Hepatol; TGH; Online ISSN 2415-1289) is an open-access, peer-reviewed online journal that focuses on cutting-edge findings in the field of translational research in gastroenterology and hepatology and provides current and practical information on diagnosis, prevention and clinical investigations of gastrointestinal, pancreas, gallbladder and hepatic diseases. Specific areas of interest include, but not limited to, multimodality therapy, biomarkers, imaging, biology, pathology, and technical advances related to gastrointestinal and hepatic diseases. Contributions pertinent to gastroenterology and hepatology are also included from related fields such as nutrition, surgery, public health, human genetics, basic sciences, education, sociology, and nursing.
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