使用虚拟尺度内镜或视觉评估测量结肠直肠息肉的大小:一项随机对照试验
Mahsa Taghiakbari1,2, Roupen Djinbachian1,2, Claire Haumesser3
1Montreal University Hospital Research Center, Montreal, Quebec, Canada.
虚拟尺度内镜 (VSE) 与视觉评估 (VA) 相比,在结肠镜检查期间显著提高结肠直肠息肉大小测量精度. 在临界尺寸值时,VSE导致错误分类较少.
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:
- 准确的结肠直肠息肉大小测量对于结肠镜检查期间的临床决策至关重要.
- 传统的视觉评估 (VA) 聚大小可能是主观的,容易产生不准确性.
- 新技术旨在提高体内测量的精度.
研究的目的:
- 用虚拟尺度内镜 (VSE) 与集成的基于激光的自适应尺度功能对视觉评估 (VA) 进行对比,以比较聚体大小测量的准确性.
- 评估VSE对减少临床相关尺寸值的错误分类错误的影响.
主要方法:
- 进行了一项单盲,前性随机对照试验,对230名45-80岁的患者进行了结肠镜检查.
- 患者被随机分配到VSE或VA,以测量多体大小.
- 测量结果与数字标尺测量的基准标准进行了比较.
主要成果:
- 与VA (68.4%,P < 0.001) 相比,VSE的相对准确率显著更高 (84%).
- 更多的VSE测量比例在真实尺寸的25%之内 (81.4%与41%,P<0.001).
- 与VA相比,VSE显著减少了较大的息肉被错误分类到较小的尺寸类别 (例如,错误分类为1-5毫米的>5毫米的息肉:13.5%与57.1%,P<0.001).
结论:
- 虚拟尺度内镜 (VSE) 在结肠镜检查过程中显著提高了结肠直肠息肉大小测量的准确性.
- 随着VSE技术的发展,错误分类的发生越来越少,特别是在治疗决定关键的尺寸值时.
- 这种提高的准确性有可能优化结肠镜检查后的患者管理策略.
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