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第三腔内視鏡における解剖学的構造認識向上のためのアンバーレッドカラーイメージング：前向きビデオベース研究

Roberta Maselli¹, Roberto de Sire², Vincenzo Vadalà¹

¹Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.

Gastrointestinal endoscopy

|January 31, 2026

まとめ

アンバーレッドカラーイメージング（ACI）は、内視鏡的粘膜下層剥離術（ESD）および経口内視鏡的食道筋層切開術（POEM）中の粘膜下血管および層の視覚化を著しく向上させます。この新しい技術は、第三腔内視鏡検査における専門家および非専門家の両方にとって明瞭さを向上させます。

科学分野:

消化器病学;内視鏡イメージング;外科的視覚化

背景:

アンバーレッドカラーイメージング（ACI）は、新しい画像強調内視鏡技術です。;ACIは、血流が豊富で粘膜下の構造の視覚化を向上させることを目的としています。

研究の目的:

ACIが粘膜下血管、粘膜下層、および筋層の同定を向上させるかどうかを評価すること。;臨床設定におけるACIと白色光イメージング（WLI）の比較。

主な方法:

ESDおよびPOEMの第三腔内視鏡クリップを分析した前向きビデオベース研究。;マッチさせたWLIおよびACIセグメントをランダム化し、専門家および非専門家によって鮮明度を評価しました。;10点のリッカート尺度を使用して、血管、粘膜下層、および筋層の鮮明度を評価しました。

主要な成果:

ACIは、非専門家（7.33から8.55）および専門家（7.96から9.63）にとって粘膜下血管の鮮明度を著しく向上させました。;ACIにより、非専門家（6.37から8.14）および専門家（7.82から9.80）にとって粘膜下層の鮮明度が向上しました。;筋層の鮮明度も、両群ともにACIにより著しく向上しました。

結論:

ACIは、ESDおよびPOEM処置における主要構造の認識を向上させます。;ACIの利点は、専門家および非専門家の両方の内視鏡医に及びます。;ACIは、第三腔内視鏡検査に価値のある補助となります。

キーワード:

アンバーレッドカラーイメージング ESD 専門家画像強調内視鏡第三腔内視鏡トレーニング白色光イメージング

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