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使用日本窄带成像专家团队的诊断一致性用于诊断结肠直肠瘤的分类:一个基于Web的诊断一致性研究

Taku Sakamoto^1,2, Yasuhiko Mizuguchi², Hideki Ishikawa³

¹Department of Gastroenterology Institute of Medicine University of Tsukuba Ibaraki Japan.

|November 17, 2025

概括

日本窄带成像专家团队 (JNET) 的分类显示,对状状病变/超塑性息肉的诊断一致性很高. 然而,瘤病变存在变异性,这表明在结直肠癌诊断中需要对JNET分类进行细化.

科学领域:

胃肠病学胃肠病学
内镜成像系统的成像
在瘤学瘤学.

背景情况:

日本窄带成像专家团队 (JNET) 的分类是通过放大内镜诊断结直肠瘤的标准.
评估JNET分类在其核心开发人员之间的诊断一致性对于其临床应用至关重要.

研究的目的:

评估JNET核心成员之间JNET分类的诊断一致率 (DCR).
为了确定具有较低诊断一致性的特定结直肠病变类型.

主要方法:

基于Web的静态图像解释测试与27个JNET核心成员进行了两次会议.
分析了诊断一致率 (DCR),将一致性分为高 (≥80%),中等 (70%-79%),或低 (<70%).

主要成果:

观察到高一致性 (>85%) 对于状状病变/高可塑性息肉 (SSL/HP).
对瘤病变发现较低的DCR:低度内瘤的54%,高度内瘤/T1a的63%和T1b的52%.
癌症分类T1b在专家之间显示出显著的变化.

结论:

根据JNET的分类,SSL/HP的诊断一致性很强,但对于瘤病变,尤其是T1b癌症,需要进一步改进.
提高JNET分类的一致性对于临床实践中准确的结直肠癌诊断至关重要.

关键词:

结直肠瘤是什么意思通过内镜检查 (endoscopy) 进行内镜检查图像解释图像解释窄带成像技术的使用.观察者变化的变化.

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