The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Meshed capillary vessels by use of narrow-band imaging for differential diagnosis of small colorectal polyps
Open accessAbstract
BACKGROUND Although microvascular vessels on the surface of colorectal polyps are observed by narrow-band imaging (NBI) with magnification, its clinical usefulness is still uncertain. OBJECTIVE Our purpose was to evaluate the usefulness of meshed capillary (MC) vessels observed by NBI magnification for differentiating between nonneoplastic and neoplastic colorectal lesions. DESIGN Prospective polyp study. SETTING National Cancer Center Hospital East, Chiba, Japan. PATIENTS A total of 702 consecutive patients who underwent total colonoscopy between September and December 2004 were prospectively evaluated. Patients with polyps >10 mm and those with polyps previously evaluated by histologic examination or colonoscopy were excluded. INTERVENTION Lesions were classified into 2 groups: polyps with invisible or faintly visible MC vessels as nonneoplastic and polyps with clearly visible MC vessels as neoplastic. Lesions judged as nonneoplastic were subjected to biopsy and those as neoplastic were removed endoscopically. Histologic analysis was performed in all lesions. MAIN OUTCOME MEASUREMENT Visible or invisible surface MC vessels, prediction of histologic diagnosis. RESULTS Of 92 eligible patients enrolled in this study, 150 lesions, including 39 (26%) hyperplastic polyps and 111 (74%) adenomatous polyps, were detected. Observation of MC vessels detected 107 of 111 neoplastic polyps and 36 of 39 nonneoplastic polyps. The overall diagnostic accuracy, sensitivity, and specificity were 95.3%, 96.4%, and 92.3%, respectively. LIMITATIONS MC vessel judgment performed by a single colonoscopist with extensive experience in magnifying NBI. CONCLUSION Observation of surface MC vessels by magnifying NBI is a useful and simple method for differentiating colorectal nonneoplastic and neoplastic polyps.
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Cited by
Hewett, D. G., Kaltenbach, T., Sano, Y., Tanaka, S., Saunders, B. P., Ponchon, T., Soetikno, R., & Rex, D. K. (2012) · Gastroenterology · doi:10.1053/j.gastro.2012.05.006 · Cited by 592
Self-citationHayashi, N., Tanaka, S., Hewett, D. G., Kaltenbach, T. R., Sano, Y., Ponchon, T., Saunders, B. P., Rex, D. K., & Soetikno, R. M. (2013) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2013.04.185 · Cited by 485
Self-citationAbu Dayyeh, B. K., Thosani, N., Konda, V., Wallace, M. B., Rex, D. K., Chauhan, S. S., Hwang, J. H., Komanduri, S., Manfredi, M., Maple, J. T., et al. (2015) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2014.12.022 · Cited by 389
Ladabaum, U., Fioritto, A., Mitani, A., Desai, M., Kim, J. P., Rex, D. K., Imperiale, T., & Gunaratnam, N. (2013) · Gastroenterology · doi:10.1053/j.gastro.2012.09.054 · Cited by 224
Metadata
- Authors
- Sano, Y., Ikematsu, H., Fu, K. I., Emura, F., Katagiri, A., Horimatsu, T., Kaneko, K., Soetikno, R., & Yoshida, S.
- Venue
- Gastrointestinal Endoscopy
- Publisher
- Elsevier BV
- Published
- 2009-02
- Volume
- 69
- Issue
- 2
- Pages
- 278-283
- ISSN
- 0016-5107 (ISSN-L)
- OpenAlex
- W1981013931
- Cited by
- 290
- References
- 26
- FWCI
- 8.78
- Type
- journal article
- Language
- en
- Open access
- green
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