Analysis of clinicopathological factors associate with the visibility of early gastric cancer in endoscopic examination and usefulness of linked color imaging: A multicenter prospective study
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View abstract on PubMed
Summary
This summary is machine-generated.Small lesion size and intestinal metaplasia impact early gastric cancer visibility. Linked color imaging enhances detection of these difficult-to-see lesions during endoscopic procedures.
Area Of Science
- Gastroenterology
- Endoscopic Imaging
- Oncology
Background
- Early gastric cancer (EGC) detection is crucial for effective treatment.
- Visibility of EGC during endoscopy can be challenging due to various factors.
- Optimizing endoscopic visualization techniques is essential for improving diagnostic accuracy.
Purpose Of The Study
- To identify clinicopathological factors influencing the visibility of early gastric cancer.
- To evaluate the efficacy of linked color imaging (LCI) in improving EGC visibility compared to white light imaging (WLI).
Main Methods
- A cohort of 97 patients with EGC undergoing endoscopic treatment was analyzed.
- Lesion visibility was assessed by three experts using a visual analog scale under both WLI and LCI.
- Factors associated with poor visibility were determined through multivariate analysis.
Main Results
- Small lesion size and the presence of intestinal metaplasia were significantly associated with poor EGC visibility under WLI.
- LCI demonstrated a significantly higher mean visibility score compared to WLI (P<0.001).
- LCI particularly improved visibility in cases with poor WLI visibility, intestinal metaplasia, and smaller lesion sizes (<20 mm).
Conclusions
- Clinicopathological factors like lesion size and intestinal metaplasia affect EGC visibility with standard white light imaging.
- Linked color imaging offers a significant advantage in enhancing the detection of early gastric cancer, especially in challenging cases.
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