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从东方的角度来看,结直肠瘤的光学诊断

Katsuro Ichimasa¹, Shin-Ei Kudo², Yuta Kouyama²

¹Digestive Disease Center, Showa Medical University Northern Yokohama Hospital, Kanagawa, Japan; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Best practice & research. Clinical gastroenterology

|February 22, 2026

概括

光学活检在结肠镜检查期间提供实时的组织病理学预测,有助于区分结肠直肠病变. 日本的进步,包括窄带成像,提高了治疗决策的诊断准确性.

科学领域:

胃肠病学胃肠病学
内镜检查是指内镜检查.
在瘤学瘤学.

背景情况:

对结直肠病变进行准确的实时组织病理学评估对于有效治疗至关重要.
在标准结肠镜检查中,区分瘤和非瘤病变以及确定侵袭深度仍然是挑战.

研究的目的:

审查结直肠病变的光学活检技术,强调日本最近的进展.
探索光学诊断在指导结直肠癌内镜治疗策略中的作用.

主要方法:

图像增强内镜技术的审查,包括窄带成像 (NBI) 和坑道模式分析.
用NBI和甲基烯蓝色染色对内细胞镜的检查.
专注于日本NBI专家团队分类系统.

主要成果:

光学活检技术可以在结肠镜检查期间实时预测组织病理学和侵袭深度.
图像增强内镜,特别是NBI,在区分结直肠病变类型方面表现有前途.
内分细胞镜可提供高分辨率可视化,用于详细分析.

结论:

光学活检正在发展成为用于实时诊断结直肠病变的宝贵工具.
光学诊断方面的进步支持扩大早期结直肠癌 (T1和选择的T2) 的内镜治疗.
未来的前景包括进一步将光学活检纳入常规临床实践和治疗计划.

关键词:

结直肠瘤是什么意思诊断成像诊断成像的使用内镜检查是指内镜检查.图像增强图像增强图像增强

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