没有任何优化装置的标准查高清结肠镜检查不再相关:是时候转向优化查结肠镜检查了
1Digestive Endoscopy Unit, Clinique Paris-Bercy, Charenton-le-Pont, France.
在结直肠癌查中,优化腺瘤检测率 (ADR) 是至关重要的. 尽管有先进设备的证明好处,标准高清白光结肠镜仍然普遍存在,阻碍了减少结肠镜后癌症风险的进展.
科学领域:
- 胃肠病学和内镜检查
- 癌症查技术的使用
- 改善临床实践的改善
背景情况:
- 腺瘤检测率 (ADR) 是结直肠癌 (CRC) 查有效性的关键指标,直接影响结直肠镜后的CRC风险.
- 高清白光成像 (HD-WLI) 结肠镜检查是当前的标准,但其在ADR优化方面的局限性已得到充分证实.
研究的目的:
- 分析阻碍采用先进腺瘤检测技术的障碍.
- 论证2024年标准HD-WLI结肠镜的持续相关性.
- 突出各种ADR优化设备的互补性质.
主要方法:
- 审查现有的随机对照试验和对ADR优化装置的研究.
- 分析导致临床实践停滞不前的因素,尽管有证据.
- 对集成先进技术的必要性进行了观点讨论.
主要成果:
- 许多研究证实了优化设备 (例如,盖子,CAD,对比增强技术) 的积极影响.
- 这些设备在ADR上表现出互补的作用.
- 尽管数据一致,标准的HD-WLI结肠镜仍然没有优化.
结论:
- 没有优化装置的标准查结肠镜在2024年不再被认为是相关的.
- 需要解决采用先进技术的障碍,以改善CRC查.
- 整合互补的优化设备对于最大限度地提高ADR和患者的结果至关重要.
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