The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia

Objectives. Diagnostic ability of sessile serrated lesions (SSL) and SSL with dysplasia (SSLD) using blue laser/light imaging (BLI) has not been well examined. We analyzed the diagnostic accuracy of BLI for SSL and SSLD using several endoscopic findings compared to those of narrow band imaging (NBI)...

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Published in:Gastroenterology research and practice 2024, Vol.2024, p.2672289-10
Main Authors: Kobayashi, Reo, Yoshida, Naohisa, Morinaga, Yukiko, Hashimoto, Hikaru, Tomita, Yuri, Sugino, Satoshi, Inoue, Ken, Hirose, Ryohei, Dohi, Osamu, Murakami, Takaaki, Inada, Yutaka, Morimoto, Yasutaka, Itoh, Yoshito
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Language:English
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Accuracy
Chi-square test
Classification
Colorectal cancer
Endoscopy
Histopathology
Lasers
Light emitting diodes
Medical screening
Morphology
Polyps
Tumors
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creator Kobayashi, Reo
Yoshida, Naohisa
Morinaga, Yukiko
Hashimoto, Hikaru
Tomita, Yuri
Sugino, Satoshi
Inoue, Ken
Hirose, Ryohei
Dohi, Osamu
Murakami, Takaaki
Inada, Yutaka
Morimoto, Yasutaka
Itoh, Yoshito
description Objectives. Diagnostic ability of sessile serrated lesions (SSL) and SSL with dysplasia (SSLD) using blue laser/light imaging (BLI) has not been well examined. We analyzed the diagnostic accuracy of BLI for SSL and SSLD using several endoscopic findings compared to those of narrow band imaging (NBI). Materials and Methods. This was a subgroup analysis of prospective studies. 476 suspiciously serrated lesions of ≥2 mm on the proximal colon showing serrated change with magnified NBI or BLI in our institution between 2014 and 2021 were examined histopathologically. After propensity score matching, we evaluated the diagnostic ability of SSL and SSLD of the NBI and BLI groups regarding various endoscopic findings. For WLI findings, granule, depression, and reddish were examined for diagnosing SSLD. For NBI/BLI findings, expanded crypt opening (ECO) or thick and branched vessels (TBV) were examined for diagnosing SSL. Network vessels (NV) and white dendritic change (WDC) defined originally were examined for diagnosing SSLD. Results. Among matched 176 lesions, the sensitivity of lesions with either ECO or TBV for SSL in the NBI/BLI group was 97.5%/98.5% (p=0.668). Those with either WDC or NV for diagnosing SSLD in the groups were 81.0%/88.9% (p=0.667). Regarding the rates of endoscopic findings among 30 SSLD and 290 SSL, there were significant differences in WDC (66.4% vs. 8.6%, p
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Diagnostic ability of sessile serrated lesions (SSL) and SSL with dysplasia (SSLD) using blue laser/light imaging (BLI) has not been well examined. We analyzed the diagnostic accuracy of BLI for SSL and SSLD using several endoscopic findings compared to those of narrow band imaging (NBI). Materials and Methods. This was a subgroup analysis of prospective studies. 476 suspiciously serrated lesions of ≥2 mm on the proximal colon showing serrated change with magnified NBI or BLI in our institution between 2014 and 2021 were examined histopathologically. After propensity score matching, we evaluated the diagnostic ability of SSL and SSLD of the NBI and BLI groups regarding various endoscopic findings. For WLI findings, granule, depression, and reddish were examined for diagnosing SSLD. For NBI/BLI findings, expanded crypt opening (ECO) or thick and branched vessels (TBV) were examined for diagnosing SSL. Network vessels (NV) and white dendritic change (WDC) defined originally were examined for diagnosing SSLD. Results. Among matched 176 lesions, the sensitivity of lesions with either ECO or TBV for SSL in the NBI/BLI group was 97.5%/98.5% (p=0.668). Those with either WDC or NV for diagnosing SSLD in the groups were 81.0%/88.9% (p=0.667). Regarding the rates of endoscopic findings among 30 SSLD and 290 SSL, there were significant differences in WDC (66.4% vs. 8.6%, p&lt;0.001), NV (55.3% vs. 1.4%, p&lt;0.001), and either WDC or NV (86.8% vs. 9.0%, p&lt;0.001). Conclusions. The diagnostic ability of BLI for SSL and SSLD was not different from NBI. NV and WDC were useful for diagnosing SSLD.</description><identifier>ISSN: 1687-6121</identifier><identifier>EISSN: 1687-630X</identifier><identifier>DOI: 10.1155/2024/2672289</identifier><identifier>PMID: 38882393</identifier><language>eng</language><publisher>Egypt: Wiley</publisher><subject>Accuracy ; Chi-square test ; Classification ; Colorectal cancer ; Endoscopy ; Histopathology ; Lasers ; Light emitting diodes ; Medical screening ; Morphology ; Polyps ; Tumors</subject><ispartof>Gastroenterology research and practice, 2024, Vol.2024, p.2672289-10</ispartof><rights>Copyright © 2024 Reo Kobayashi et al.</rights><rights>Copyright © 2024 Reo Kobayashi et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2024 Reo Kobayashi et al. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c402t-4ad4e476219a45a7552e1e4224bdf165f567261092adc6cb73b2e84218f8bba63</cites><orcidid>0000-0001-6167-9705</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3065745752/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3065745752?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,25753,27923,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38882393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ardengh, Jose Celso</contributor><contributor>Jose Celso Ardengh</contributor><creatorcontrib>Kobayashi, Reo</creatorcontrib><creatorcontrib>Yoshida, Naohisa</creatorcontrib><creatorcontrib>Morinaga, Yukiko</creatorcontrib><creatorcontrib>Hashimoto, Hikaru</creatorcontrib><creatorcontrib>Tomita, Yuri</creatorcontrib><creatorcontrib>Sugino, Satoshi</creatorcontrib><creatorcontrib>Inoue, Ken</creatorcontrib><creatorcontrib>Hirose, Ryohei</creatorcontrib><creatorcontrib>Dohi, Osamu</creatorcontrib><creatorcontrib>Murakami, Takaaki</creatorcontrib><creatorcontrib>Inada, Yutaka</creatorcontrib><creatorcontrib>Morimoto, Yasutaka</creatorcontrib><creatorcontrib>Itoh, Yoshito</creatorcontrib><title>The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia</title><title>Gastroenterology research and practice</title><addtitle>Gastroenterol Res Pract</addtitle><description>Objectives. Diagnostic ability of sessile serrated lesions (SSL) and SSL with dysplasia (SSLD) using blue laser/light imaging (BLI) has not been well examined. We analyzed the diagnostic accuracy of BLI for SSL and SSLD using several endoscopic findings compared to those of narrow band imaging (NBI). Materials and Methods. This was a subgroup analysis of prospective studies. 476 suspiciously serrated lesions of ≥2 mm on the proximal colon showing serrated change with magnified NBI or BLI in our institution between 2014 and 2021 were examined histopathologically. After propensity score matching, we evaluated the diagnostic ability of SSL and SSLD of the NBI and BLI groups regarding various endoscopic findings. For WLI findings, granule, depression, and reddish were examined for diagnosing SSLD. For NBI/BLI findings, expanded crypt opening (ECO) or thick and branched vessels (TBV) were examined for diagnosing SSL. Network vessels (NV) and white dendritic change (WDC) defined originally were examined for diagnosing SSLD. Results. Among matched 176 lesions, the sensitivity of lesions with either ECO or TBV for SSL in the NBI/BLI group was 97.5%/98.5% (p=0.668). Those with either WDC or NV for diagnosing SSLD in the groups were 81.0%/88.9% (p=0.667). Regarding the rates of endoscopic findings among 30 SSLD and 290 SSL, there were significant differences in WDC (66.4% vs. 8.6%, p&lt;0.001), NV (55.3% vs. 1.4%, p&lt;0.001), and either WDC or NV (86.8% vs. 9.0%, p&lt;0.001). Conclusions. The diagnostic ability of BLI for SSL and SSLD was not different from NBI. 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Diagnostic ability of sessile serrated lesions (SSL) and SSL with dysplasia (SSLD) using blue laser/light imaging (BLI) has not been well examined. We analyzed the diagnostic accuracy of BLI for SSL and SSLD using several endoscopic findings compared to those of narrow band imaging (NBI). Materials and Methods. This was a subgroup analysis of prospective studies. 476 suspiciously serrated lesions of ≥2 mm on the proximal colon showing serrated change with magnified NBI or BLI in our institution between 2014 and 2021 were examined histopathologically. After propensity score matching, we evaluated the diagnostic ability of SSL and SSLD of the NBI and BLI groups regarding various endoscopic findings. For WLI findings, granule, depression, and reddish were examined for diagnosing SSLD. For NBI/BLI findings, expanded crypt opening (ECO) or thick and branched vessels (TBV) were examined for diagnosing SSL. Network vessels (NV) and white dendritic change (WDC) defined originally were examined for diagnosing SSLD. Results. Among matched 176 lesions, the sensitivity of lesions with either ECO or TBV for SSL in the NBI/BLI group was 97.5%/98.5% (p=0.668). Those with either WDC or NV for diagnosing SSLD in the groups were 81.0%/88.9% (p=0.667). Regarding the rates of endoscopic findings among 30 SSLD and 290 SSL, there were significant differences in WDC (66.4% vs. 8.6%, p&lt;0.001), NV (55.3% vs. 1.4%, p&lt;0.001), and either WDC or NV (86.8% vs. 9.0%, p&lt;0.001). Conclusions. The diagnostic ability of BLI for SSL and SSLD was not different from NBI. NV and WDC were useful for diagnosing SSLD.</abstract><cop>Egypt</cop><pub>Wiley</pub><pmid>38882393</pmid><doi>10.1155/2024/2672289</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6167-9705</orcidid><oa>free_for_read</oa></addata></record>
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subjects Accuracy
Chi-square test
Classification
Colorectal cancer
Endoscopy
Histopathology
Lasers
Light emitting diodes
Medical screening
Morphology
Polyps
Tumors
title The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia
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