三维成像设备在结肠镜检查期间对多和腺瘤检测的影响:随机对照试验
Xiujing Sun1, Qian Zhang1, Shanshan Wu1
1Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Disease, Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Disease, Beijing, China.
The American journal of gastroenterology
|July 6, 2023
概括
三维 (3D) 成像在结肠镜检查期间显著提高了多和腺瘤检测率 (PDR和ADR),特别是在经验较少的内镜师身上. 这种先进的可视化增强了结直肠癌查的诊断准确性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜技术的使用方法
背景情况:
- 结肠镜检查是结肠直肠癌查和诊断的一个关键程序.
- 提高聚和腺瘤检测率 (PDR和ADR) 对于提高结肠镜疗效至关重要.
- 先进的成像技术,如3D可视化在改善结肠镜检查结果中的作用需要进一步研究.
研究的目的:
- 评估三维 (3D) 成像设备在结肠镜检查期间对多和腺瘤检测的影响.
- 为了比较3D辅助结肠镜与标准的2D结肠镜在检测胃肠的疗效.
主要方法:
- 进行了一项单盲随机对照试验,涉及1196名18至70岁的参与者,接受了结肠镜检查.
- 参与者被随机分配1:1进行2D-3D或3D-2D结肠镜检查.
- 主要结局是聚检测率 (PDR) 和腺瘤检测率 (ADR),分析使用治疗意图.
主要成果:
- 虽然最初的第一阶段结果显示2D和3D组之间的PDR和ADR没有显著差异,但第二阶段显示3D组的PDR (27.7%与19.9%) 和ADR (13.8%与9.9%) 显著更高.
- 在第2阶段,3D成像设备显示PDR增加1.54倍,ADR增加1.45倍.
- 小组分析表明,3D成像的好处在中级和初级内镜师中尤为明显.
结论:
- 3D成像设备可以在结肠镜检查期间提高整体多和腺瘤检测率.
- 这项技术在改善经验较少的内镜师的表现方面特别有前途.
- 3D成像代表了结肠镜手术的宝贵进步,可能导致更早,更准确的诊断.
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