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Updated: Dec 18, 2025

Diagnosis of Neoplasia in Barrett’s Esophagus using Vital-dye Enhanced Fluorescence Imaging
Published on: May 11, 2014
Optical evaluation: the crux for effective management of colorectal neoplasia
Neal Shahidi1, Sergei Vosko1, W Arnout van Hattem1
1Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, NSW, Australia.
Abstract:
Advances in minimally invasive tissue resection techniques now allow for the majority of early colorectal neoplasia to be managed endoscopically. To optimize their respective risk-benefit profiles, and, therefore, appropriately select between endoscopic mucosal resection, endoscopic submucosal dissection, and surgery, the endoscopist must accurately predict the risk of submucosal invasive cancer and estimate depth of invasion. Herein, we discuss the evidence and our approach for optical evaluation of large (⩾ 20 mm) colorectal laterally spreading lesions.
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