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Linked color imaging improves the visibility of colorectal polyps: a video study

机译:链接的彩色成像可提高结肠直肠息肉的可见度:一项视频研究

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Background/study aim Linked color imaging (LCI) by a laser endoscope (Fujifilm Co, Tokyo, Japan) is a novel narrow band light observation. In this study, we aimed to investigate whether LCI could improve the visibility of colorectal polyps using endoscopic videos. Patients and methods We prospectively recorded videos of consecutive polyps 2?–?20?mm in size diagnosed as neoplastic polyps. Three videos, white light (WL), blue laser imaging (BLI)-bright, and LCI, were recorded for each polyp by one expert. After excluding inappropriate videos, all videos were evaluated in random order by two experts and two non-experts according to a published polyp visibility score from four (excellent visibility) to one (poor visibility). Additionally, the relationship between polyp visibility scores in LCI and various clinical characteristics including location, size, histology, morphology, and preparation were analyzed compared to WL and BLI-bright. Results We analyzed 101 colorectal polyps (94 neoplastic) in 66 patients (303 videos). The mean polyp size was 9.0?±?8.1?mm and 54 polyps were non-polypoid. The mean polyp visibility scores for LCI (2.86?±?1.08) were significantly higher than for WL and BLI-bright (2.53?±?1.15, P Conclusions LCI improved polyp visibility compared to WL for both expert and non-expert endoscopists. It is useful for improving polyp visibility in any location, any size, any morphology, any histology, and any preparation level. Study registration: UMIN000013770
机译:背景/研究目的通过激光内窥镜(日本东京富士胶片公司)进行的链接彩色成像(LCI)是一种新颖的窄带光观察。在这项研究中,我们旨在调查LCI是否可以使用内窥镜视频改善结肠直肠息肉的可见性。患者和方法我们前瞻性地记录了被诊断为肿瘤性息肉的连续性息肉2?–?20?mm的视频。一位专家为每个息肉录制了三个视频,白光(WL),蓝色激光成像(BLI)-亮和LCI。排除不适当的视频后,由两名专家和两名非专家按照发布的息肉可见性评分从四(极佳可见度)到一(差)来随机评估所有视频。此外,与WL和BLI-bright相比,分析了LCI中息肉可见性评分与各种临床特征之间的关系,包括位置,大小,组织学,形态学和制备等。结果我们分析了66例患者(303个视频)中的101个大肠息肉(94个肿瘤)。息肉平均大小为9.0±±8.1?mm,54个息肉为非息肉状。 LCI的平均息肉可见度得分(2.86±1.08)显着高于WL和BLI-bright(2.53±1.15),P结论结论专家和非专业内镜医师的LCI息肉可见度均高于WL。对改善息肉在任何位置,任何大小,任何形态,任何组织学和任何制备水平的可见性很有用研究注册:UMIN000013770

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