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
- 巻
- 4
- 号
- 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