scholarly journals TXI (Texture and Color Enhancement Imaging) for Serrated Colorectal Lesions

2021 ◽  
Vol 11 (1) ◽  
pp. 119
Author(s):  
Toshihiro Nishizawa ◽  
Osamu Toyoshima ◽  
Shuntaro Yoshida ◽  
Chie Uekura ◽  
Ken Kurokawa ◽  
...  
Keyword(s):  
Narrow Band ◽  
Narrow Band Imaging ◽  
Colorectal Polyps ◽  
Serrated Polyps ◽  
Serrated Lesions ◽  
Surface Patterns ◽  
Visibility Score ◽  
Color Enhancement ◽  
Image Enhancing ◽  
White Light Imaging

Background and aim: Olympus Corporation released the texture and color enhancement imaging (TXI) technology as a novel image-enhancing endoscopic technique. We investigated the effectiveness of TXI in the imaging of serrated colorectal polyps, including sessile serrated lesions (SSLs). Methods: Serrated colorectal polyps were observed using white light imaging (WLI), TXI, narrow-band imaging (NBI), and chromoendoscopy with and without magnification. Serrated polyps were histologically confirmed. TXI was compared with WLI, NBI, and chromoendoscopy for the visibility of the lesions without magnification and for that of the vessel and surface patterns with magnification. Three expert endoscopists evaluated the visibility scores, which were classified from 1 to 4. Results: Twenty-nine consecutive serrated polyps were evaluated. In the visibility score without magnification, TXI was significantly superior to WLI but inferior to chromoendoscopy in the imaging of serrated polyps and the sub-analysis of SSLs. In the visibility score for vessel patterns with magnification, TXI was significantly superior to WLI and chromoendoscopy in the imaging of serrated polyps and the sub-analysis of SSLs. In the visibility score for surface patterns with magnification, TXI was significantly superior to WLI but inferior to NBI in serrated polyps and in the sub-analysis of SSLs and hyperplastic polyps. Conclusions: TXI provided higher visibility than did WLI for serrated, colorectal polyps, including SSLs.

scholarly journals Clinical outcomes of the “resect and discard” strategy using magnifying narrow-band imaging for small (< 10 mm) colorectal polyps

2018 ◽  
Vol 06 (12) ◽  
pp. E1382-E1389 ◽  
Author(s):  
Shigetsugu Tsuji ◽  
Yasuhito Takeda ◽  
Kunihiro Tsuji ◽  
Naohiro Yoshida ◽  
Kenichi Takemura ◽  
...  
Keyword(s):  
Narrow Band ◽  
Narrow Band Imaging ◽  
Colorectal Polyps ◽  
Low Grade ◽  
New Paradigm ◽  
Term Outcome ◽  
Clinical Records ◽  
The Cost ◽  
White Light Imaging

Abstract Background and study aim The “resect and discard” strategy is a new paradigm for the management of small colorectal polyps that reduces the cost and effort related to pathological diagnosis after polypectomy. This retrospective study aimed to clarify the clinical outcome of the “resect and discard” strategy for small colorectal polyps. Patients and methods The clinical records were reviewed from 501 consecutive patients who underwent the “resect and discard” strategy for colorectal polyps smaller than 10 mm at our hospital between January 2008 and December 2010. All colorectal lesions were evaluated onsite under magnifying narrow-band imaging after careful conventional white-light imaging. In cases of low grade adenoma predicted with high confidence, colonoscopists selected the “resect and discard” option without formal histopathology. The mid-term outcomes were evaluated to validate the curability of the “resect and discard” strategy. Results The present study included 501 consecutive patients with 816 lesions. The mid-term outcomes were examined for 476 (95 %) patients who received follow-up for at least 1 year after undergoing the “resect and discard” strategy. The median observation period was 83 months (range 12 – 117 months). No patient died from colorectal cancer related to the procedure, resulting in a disease-specific survival rate of 100 %. There were no local and/or distant recurrences detected during follow-up. Conclusions The “resect and discard” strategy for small colorectal polyps under strict preoperative diagnosis achieves excellent mid-term outcome.

scholarly journals Image-Enhanced Capsule Endoscopy Improves the Identification of Small Intestinal Lesions

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2122
Author(s):  
Noriyuki Ogata ◽  
Kazuo Ohtsuka ◽  
Masataka Ogawa ◽  
Yasuharu Maeda ◽  
Fumio Ishida ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Capsule Endoscopy ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Intestinal Lesions ◽  
Breakthrough Technology ◽  
Color Enhancement ◽  
Small Intestinal ◽  
Image Enhancing ◽  
Significant Attention

Image-enhanced endoscopy is useful for diagnosing and identifying lesions in the gastrointestinal tract. Recently, image-enhanced endoscopy has become a breakthrough technology that has attracted significant attention. This image enhancing technology is available for capsule endoscopy, which is an effective tool for small intestinal lesions and has been applied in flexible spectral color enhancement technology and in contrast capsule like narrow-band imaging. In this field, most researchers focus on improving the visibility and detection of small intestinal lesions. This review summarizes previous studies on image-enhanced capsule endoscopy and aims to evaluate the efficacy of this technology.

scholarly journals Abstract Near-Focus Versus Normal-Focus Narrow Band Imaging Colonoscopy in Diagnosis of ColorectalPolyps Based on Combined NICE and WASP Classification in Routine Colonoscopy: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Nisa Netinatsunton ◽  
Natcha Cheewasereechon ◽  
Tanawat Pattarapuntakul ◽  
Jaksin Sottisuporn ◽  
Kanet Kanjanapradit ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Controlled Trial ◽  
Colorectal Polyps ◽  
Optical Diagnosis ◽  
Serrated Polyps ◽  
Randomized Controlled ◽  
Group A ◽  
Group B

Abstract Near-focus versus Normal-focus Narrow Band Imaging Colonoscopy in Diagnosis of Colorectal Polyps based on Combined NICE and WASP Classification in routine colonoscopy: a Randomized Controlled TrialNisa Netinatsunton1, Natcha Cheewasereechon1Tanawat Pattarapuntakul1, Jaksin Sottisuporn1, Kanet Kanjanapradit2, Bancha Ovartlarnporn1Background: NICE (NBI International Colorectal Endoscopic) and WASP (Workgroup on Serrated Polyps and Polyposis) classification were developed for optical diagnosis of adenoma and sessile serrated polyps, respectively. Near focus NBI with NICE combined with WASP criteria for optical diagnosis of colonic polyps has not been assessed formerly. Aims: To compare the accuracy of near focus NBI (group A) with normal focus NBI (group B) in real time optical diagnosis of colorectal polyps using combined NICE and WASP criteria.Methods: 118 out of 362 patients with 227 polyps were recruited. 62 patients with 130 polyps (3 lost polyps) were assigned to group A and 56 patients with 106 polyps (6 lost polyps) were assigned to group B. Optical diagnoses were compared with pathological reports.Results: The performance of optical diagnosis of neoplastic polyps in group A compared with group B in terms of accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) was not significantly difference (76%, 72%, 81%, 86%, 64%, in group A, and 71%, 66%, 83%, 90%, 51%, in group B, respectively). Combined NICE and WASP criteria provided all false positive diagnosis of sessile polyps as serrated polyps in 31 (15.9%).Conclusions: Near-focus NBI was not superior to normal-focus NBI in in optical diagnostic of neoplastic polyps using NICE criteria. Combined NICE and WASP classification yielded all false positive in the diagnosis SSAPs in our study. Routine real life optical diagnosis of polyps is still not recommended.Trial registration: Clinical Trials.gov, NCT 04831814, was retrospectively registered on 04/01/2021.

scholarly journals Evaluating Laryngopharyngeal Tumor Extension Using Narrow Band Imaging Versus Conventional White Light Imaging

2021 ◽  
Author(s):  
Manon A. Zwakenberg ◽  
Gyorgy B. Halmos ◽  
Jan Wedman ◽  
Bernard F. A. M. Laan ◽  
Boudewijn E. C. Plaat
Keyword(s):  
White Light ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Tumor Extension ◽  
White Light Imaging

scholarly journals P236 Evaluation of histological inflammation by a novel image enhanced endoscopy technique, dual red imaging, in patients with ulcerative colitis: Preliminary study

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S261-S261
Author(s):  
K FUJIMOTO ◽  
K Watanabe ◽  
K Hori ◽  
K Kaku ◽  
N Kinoshita ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
White Light ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Topical Steroid ◽  
Treatment Goal ◽  
Practical Approach ◽  
Mayo Score ◽  
White Light Imaging ◽  
Pathological Assessment

Abstract Background Endoscopic remission is the ideal treatment goal for patients with ulcerative colitis (UC) in clinical practice. However, several recent investigations tried to evaluate histological healing as a more optimal treatment goal. The assessment of histological healing, however, is usually inconvenient and time-consuming because of the requirement of a biopsy and pathological assessment. Dual red imaging (DRI; Olympus Corporation, Japan) is a novel image enhanced endoscopy technique that can visualise the inflammation, including that in the surface crypt, and vessel findings of the brownish surface or green-coloured deeper layer of the mucosa in contrast to narrow band imaging. We preliminarily evaluated the utility of DRI in the assessment of histological healing in UC as a practical approach. Methods We enrolled UC patients who provided consent from May 2018 to September 2019 in our hospital, and performed colonoscopy in the entire colon with white-light imaging and DRI, and then endoscopic pictures and biopsy samples were obtained. Central pathological assessment of histological inflammation based on the Nancy index with individual items was performed for each biopsy sample. We also assessed the clinical background, UC activity according to the Mayo score, white-light endoscopic activity according to the Mayo endoscopic subscore (MES), and DRI findings using a 5-point scale. Results We evaluated a total of 90 sets of DRI and pathological findings from 47 UC patients (20 females; median age, 42 [20–84] years; 25 with pancolitis, 17 left-sided colitis, 3 proctitis, and 2 others; median duration of disease, 83 [1–379] months; median Mayo score, 2 [0–11]). Participants were treated with 5-aminosalicylates (38 oral; 7 topical), steroid (4 systemic; 6 topical), immunomodulator (7), anti-TNF agents (5), tofacitinib (3), and tacrolimus (8). Both the MES (r = 0.70) and DRI scale (r = 0.65) correlated well with the Nancy index. Among individual pathological items with respect to inflammation, ulceration (r = 0.69), chronic inflammatory infiltrate (r = 0.66), neutrophils in the lamina propria (r = 0.65), and serrated architectural abnormalities (r = 0.60) correlated well with the Nancy index in contrast to other pathological items. DRI seemed to facilitate the visualisation of histological inflammation in deeper layers of the mucosa compared with white-light imaging or narrow-band imaging. Conclusion The novel DRI technique has potential in the evaluation of histological inflammation without the requirement of a biopsy in patients with UC as a practical approach. A further prospective multicenter study in this regard is needed.

scholarly journals Magnification endoscopy in combination with acetic acid enhancement and narrow-band imaging for the accurate diagnosis of colonic neoplasms

2020 ◽  
Vol 08 (04) ◽  
pp. E488-E497
Author(s):  
Kotaro Shibagaki ◽  
Norihisa Ishimura ◽  
Takafumi Yuki ◽  
Hideaki Taniguchi ◽  
Masahito Aimi ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Diagnostic Accuracy ◽  
Endoscopic Resection ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Colonic Neoplasms ◽  
High Accuracy ◽  
Colorectal Polyps ◽  
Histologic Diagnosis ◽  
Magnification Endoscopy

Abstract Background and study aims Magnification endoscopy with narrow-band imaging (NBIME) and NBIME with acetic acid enhancement (A-NBIME) enable visualization of the vascular and microstructural patterns of colorectal polyp. We compared the diagnostic accuracy and reproducibility of white light endoscopy (WLE), NBIME, and A-NBIME for predictive histologic diagnosis. Patients and methods Consecutive colorectal polyps (N = 628; 38 hyperplasias, 488 adenomas, 72 M-SM1 cancers, and 30 SM2 cancers) were photographed with WLE, NBIME, and A-NBIME. Endoscopic images were independently reviewed by three experts, according to the traditional criteria for WLE, the Japan NBI Expert Team classification for NBIME, and pit pattern classification for A-NBIME to compare diagnostic accuracy and interobserver diagnostic agreement among modalities. Results The specificity (95 % confidence interval) of hyperplasia and SM2 cancer with WLE were 98.2 % (96.8 %–99.1%) and 99.4 % (98.5 %–99.9 %), respectively, showing high accuracy for endoscopic resection without magnifying observation. Diagnostic accuracy of WLE, NBIME, and A-NBIME was 80.8 % (77.4 %–83.8 %), 79.3 % (75.9 %–82.4 %), and 86.1 % (83.2 %–88.7 %), respectively, showing the highest accuracy for A-NBIME among modalities (P < .05). NBIME showed a lower PPV for M-SM1 cancer (P < .05), as with WLE (P = .08) compared to A-NBIME. Fleiss’s kappa values for WLE, NBIME, and A-NBIME diagnosis were 0.43 (0.39 – 0.46), 0.52 (0.49 – 0.56) and 0.65 (0.62 – 0.69), respectively, showing insufficient reproducibility of WLE and superiority of A-NBIME among modalities. Conclusion WLE showed high accuracy for endoscopic resection of colorectal polyps in expert diagnosis. NBIME demonstrated a higher diagnostic reproducibility than WLE. A-NBIME showed possible superiority among modalities in both diagnostic accuracy and reproducibility.

Narrow band imaging in the diagnosis of bladder schistosomiasis

2020 ◽  
Vol 13 (4) ◽  
pp. e233929
Author(s):  
Joachim Jimie ◽  
Margaret Lyttle
Keyword(s):  
White Light ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Urinary Schistosomiasis ◽  
Detailed Evaluation ◽  
Characteristic Features ◽  
First Time ◽  
Urine Microscopy ◽  
White Light Imaging ◽  
Multiple Episodes

A 23-year-old man presented to us with multiple episodes of visible haematuria associated with dysuria, but no other symptoms suggestive of infection. His physical examination was completely unremarkable. On detailed evaluation of history, it was noted that he was treated for urinary schistosomiasis as a child in Sudan. A diagnostic flexible cystoscopy, with both white light and narrow band imaging (NBI), was done among other tests as a further diagnostic tool to investigate possible causes. This revealed the characteristic features of bladder schistosomiasis. Urine microscopy for Schistosoma haematobium eggs was negative, and this could have caused the diagnosis to be missed. He was treated with praziquantel for chronic bladder schistosomiasis. This is the first time that the use of NBI as an adjunct to white light imaging in the diagnosis of bladder schistosomiasis has been reported.

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