論文

査読有り 国際誌
2020年4月

Additional effect of magnifying narrow-band imaging on estimating the invasion depth of superficial esophageal cancer.

JGH open : an open access journal of gastroenterology and hepatology
  • Minoru Kato
  • Yoshito Hayashi
  • Ryotaro Uema
  • Keiichi Kimura
  • Takanori Inoue
  • Akihiko Sakatani
  • Shunsuke Yoshii
  • Yoshiki Tsujii
  • Shinichiro Shinzaki
  • Hideki Iijima
  • Tetsuo Takehara
  • 全て表示

4
2
開始ページ
178
終了ページ
184
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1002/jgh3.12246
出版者・発行元
WILEY

Background and Aim: To investigate whether assessment by magnifying narrow-band imaging (M-NBI) based on the classification of the Japan Esophageal Society provides additional value to the estimation of the invasion depth of superficial esophageal squamous cell carcinoma (SCC) compared with assessment by white light endoscopy (WLE) alone. Methods: Endoscopic images of 211 consecutive superficial esophageal SCCs resected by endoscopic submucosal dissection were separated into WLE and M-NBI images. Depth estimation was performed independently by five evaluators using the numerical depth estimation scale (0 = epithelium (EP)/lamina propria (LPM), 1 = EP/LPM > muscularis mucosa (MM)/shallow submucosa (SM1), 2 = MM/SM1 > EP/LPM, 3 = MM/SM1, 4 = MM/SM1 > deep submucosa (SM2), 5 = SM2 > MM/SM1, 6 = SM2), using primarily WLE images (step 1), and subsequently both WLE and M-NBI images (step 2). The discordance scores, determined by the average of the five evaluators' difference between the estimated score (from 0 to 6) and pathological score (0 for histologically proven EP/LPM, 3 for MM/SM1, and 6 for SM2), were analyzed in steps 1 and 2. Results: The discordance scores significantly decreased in step 2 (0.53 ± 0.06) compared with those in step 1 (0.79 ± 0.07) (P < 0.001). When the discordance score < 1.5 was regarded as a clinically correct diagnosis, the rate of the clinically correct diagnosis significantly increased in step 2 compared with that in step 1 (81% to 91%, P < 0.001). Conclusion: M-NBI has an additive value for estimating the invasion depth of superficial esophageal SCCs.

リンク情報
DOI
https://doi.org/10.1002/jgh3.12246
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32280762
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144767
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000626747900013&DestApp=WOS_CPL
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85070797740&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85070797740&origin=inward
ID情報
  • DOI : 10.1002/jgh3.12246
  • ISSN : 2397-9070
  • eISSN : 2397-9070
  • PubMed ID : 32280762
  • PubMed Central 記事ID : PMC7144767
  • SCOPUS ID : 85070797740
  • Web of Science ID : WOS:000626747900013

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