对右侧结肠进行额外的30秒观察,以检测错过的聚体,并与狭窄带成像相比,使用链接的彩色成像
Hikaru Hashimoto1, Naohisa Yoshida1, Yoshikazu Inagaki2
1Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Endoscopy international open
|October 14, 2024
概括
通过连接色彩成像 (LCI) 或窄带成像 (NBI) 增加30秒的观察,可以显著增加右侧结肠腺瘤检测率 (ADR). 在检测腺瘤和状状病变方面,LCI和NBI之间没有发现显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 内镜成像技术的内镜成像技术.
- 大肠直肠癌查检查
背景情况:
- 之前的研究表明,使用连接色彩成像 (LCI) 或窄带成像 (NBI) 的额外30秒 (Add-30s) 观察可以提高腺瘤检测率 (ADR).
- 这项研究直接比较了Add-30s LCI与Add-30s NBI对右侧结肠观察的疗效.
研究的目的:
- 为了比较Add-30s LCI和Add-30s NBI在检测右侧结肠中的腺瘤和状状病变 (SSL) 的有效性.
- 评估这些技术对右侧结肠的整体ADR的影响.
主要方法:
- 对1023例Add-30s LCI和1011例Add-30s NBI右侧结肠观察 (2018-2022) 的回顾性分析.
- 倾向性得分匹配被用来比较群体.
- 分析了腺瘤和SSL检测率,包括每个患者的平均数量 (MASP) 和平均uth相关多重症 (MUTYH相关多重症).
主要成果:
- 在Add-30s LCI和Add-30s NBI组之间没有观察到MASP或MUTYH相关多重症的显著差异 (分别为0.18对0.19和0.14对0.15).
- 在非专家中,Add-30s NBI显示了对腺瘤更高检测的趋势 (0.12对0.07).
- 无论是LCI还是NBI,都显著增加了右侧ADR,分别增加了7.5%和7.2%,这两种成像方式之间没有显著差异.
结论:
- 添加-30s LCI和Add-30s NBI在检测右侧结肠中的腺瘤和SSL中表现出相似的有效性.
- 这两种先进的成像技术在白光成像后作为额外的观察时间使用时显著提高ADR.
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