内窥镜切除中纹理和颜色增强及红色二色成像的应用

Q3 Medicine

VideoGIE Pub Date : 2025-04-23 DOI:10.1016/j.vgie.2025.04.004

Maham Hayat MD , Kambiz Kadkhodayan MD , Muhammad K. Hasan MD , Mustafa A. Arain MD , Natalie Cosgrove MD , Deepanshu Jain MD , Peter V. Draganov MD , Dennis Yang MD

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引用次数: 0

摘要

背景和目的随着图像增强内窥镜（IEE）的引入，在提高白光成像质量方面取得了显著进展。纹理和色彩增强成像（TXI）和红色二色成像（RDI）是很有前途的电子电气新技术。在本报告中，我们提供了这些技术及其临床应用的概述。方法内镜检查过程中，在EVIS X1视频处理器系统（Olympus Corporation, Tokyo, Japan）上激活IEE模式。我们提出的情况下，纹理和颜色增强和RDI模式是实时使用。结果我们展示了这些新的IEE模式(1)在光学诊断中有助于增强结肠病变的表面结构，(2)在十二指肠息肉的陷阱切除术中改善了正常粘膜和肿瘤病变的界限，(3)在内镜下粘膜剥离过程中描绘了粘膜下结构和肌肉层，(4)在内镜切除过程中增强了血管的可视化，以预防止血和管理活动性出血。结论：本视频综述了内镜下胃肠道肿瘤切除术中TXI和RDI的总体概况。未来的研究需要证实这些IEE模式的现有证据，并进一步确定它们在各种内窥镜手术中的潜在应用。

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Utility of texture and color enhancement and red dichromatic imaging during endoscopic resection

Background and Aims

There has been remarkable progress to improve the quality of white-light imaging with the introduction of image-enhanced endoscopy (IEE). Texture and color enhancement imaging (TXI) and red dichromatic imaging (RDI) are promising novel IEE techniques. In this report, we provide an overview of these technologies and their clinical applications.

Methods

The IEE modes can be activated on the EVIS X1 video processor system (Olympus Corporation, Tokyo, Japan) during the endoscopic procedure. We present cases in which texture and color enhancement and RDI modalities are used in real time.

Results

We demonstrate cases in which these novel IEE modes (1) helped enhance the surface structure of a colonic lesion during optical diagnosis, (2) improved demarcation of the normal mucosa and neoplastic lesion during snare resection of a duodenal polyp, (3) delineated submucosal structures and muscle layer during endoscopic submucosal dissection, and (4) enhanced visualization of blood vessels for prophylactic hemostasis and management of active bleeding during endoscopic resection.

Conclusions

This video review provides a general overview of both TXI and RDI during endoscopic resection of gastrointestinal neoplasia. Future studies are needed to corroborate the current evidence on these IEE modalities and further define their potential applications across various endoscopic procedures.

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.