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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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/2672289 |
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| author | Reo Kobayashi Naohisa Yoshida Yukiko Morinaga Hikaru Hashimoto Yuri Tomita Satoshi Sugino Ken Inoue Ryohei Hirose Osamu Dohi Takaaki Murakami Yutaka Inada Yasutaka Morimoto Yoshito Itoh |
| author_facet | Reo Kobayashi Naohisa Yoshida Yukiko Morinaga Hikaru Hashimoto Yuri Tomita Satoshi Sugino Ken Inoue Ryohei Hirose Osamu Dohi Takaaki Murakami Yutaka Inada Yasutaka Morimoto Yoshito Itoh |
| author_sort | Reo Kobayashi |
| collection | DOAJ |
| 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<0.001), NV (55.3% vs. 1.4%, p<0.001), and either WDC or NV (86.8% vs. 9.0%, p<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. |
| format | Article |
| id | doaj-art-20d67d7272824f31b92e54694dad68cc |
| institution | Kabale University |
| issn | 1687-630X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-20d67d7272824f31b92e54694dad68cc2025-02-03T07:23:39ZengWileyGastroenterology Research and Practice1687-630X2024-01-01202410.1155/2024/2672289The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without DysplasiaReo Kobayashi0Naohisa Yoshida1Yukiko Morinaga2Hikaru Hashimoto3Yuri Tomita4Satoshi Sugino5Ken Inoue6Ryohei Hirose7Osamu Dohi8Takaaki Murakami9Yutaka Inada10Yasutaka Morimoto11Yoshito Itoh12Department of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Surgical PathologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of Molecular Gastroenterology and HepatologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of Molecular Gastroenterology and HepatologyObjectives. 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<0.001), NV (55.3% vs. 1.4%, p<0.001), and either WDC or NV (86.8% vs. 9.0%, p<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.http://dx.doi.org/10.1155/2024/2672289 |
| spellingShingle | Reo Kobayashi Naohisa Yoshida Yukiko Morinaga Hikaru Hashimoto Yuri Tomita Satoshi Sugino Ken Inoue Ryohei Hirose Osamu Dohi Takaaki Murakami Yutaka Inada Yasutaka Morimoto Yoshito Itoh The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia Gastroenterology Research and Practice |
| title | The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia |
| title_full | The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia |
| title_fullStr | The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia |
| title_full_unstemmed | The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia |
| title_short | The Comparison of Diagnostic Ability between Blue Laser/Light Imaging and Narrowband Imaging for Sessile Serrated Lesions with or without Dysplasia |
| title_sort | comparison of diagnostic ability between blue laser light imaging and narrowband imaging for sessile serrated lesions with or without dysplasia |
| url | http://dx.doi.org/10.1155/2024/2672289 |
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