Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis
Abstract Objectives We aimed to conduct a systematic review and meta‐analysis to assess the value of image‐enhanced endoscopy including blue laser imaging (BLI), linked color imaging, narrow‐band imaging (NBI), and texture and color enhancement imaging to detect and diagnose gastric cancer (GC) comp...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.418 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849713883903688704 |
|---|---|
| author | Osamu Dohi Mayuko Seya Naoto Iwai Tomoko Ochiai Junki Yumoto Hiroki Mukai Katsuma Yamauchi Reo Kobayashi Ryohei Hirose Ken Inoue Naohisa Yoshida Hideyuki Konishi Yoshito Itoh |
| author_facet | Osamu Dohi Mayuko Seya Naoto Iwai Tomoko Ochiai Junki Yumoto Hiroki Mukai Katsuma Yamauchi Reo Kobayashi Ryohei Hirose Ken Inoue Naohisa Yoshida Hideyuki Konishi Yoshito Itoh |
| author_sort | Osamu Dohi |
| collection | DOAJ |
| description | Abstract Objectives We aimed to conduct a systematic review and meta‐analysis to assess the value of image‐enhanced endoscopy including blue laser imaging (BLI), linked color imaging, narrow‐band imaging (NBI), and texture and color enhancement imaging to detect and diagnose gastric cancer (GC) compared to that of white‐light imaging (WLI). Methods Studies meeting the inclusion criteria were identified through PubMed, Cochrane Library, and Japan Medical Abstracts Society databases searches. The pooled risk ratio for dichotomous variables was calculated using the random‐effects model to assess the GC detection between WLI and image‐enhanced endoscopy. A random‐effects model was used to calculate the overall diagnostic performance of WLI and magnifying image‐enhanced endoscopy for GC. Results Sixteen studies met the inclusion criteria. The detection rate of GC was significantly improved in linked color imaging compared with that in WLI (risk ratio, 2.20; 95% confidence interval [CI], 1.39–3.25; p < 0.01) with mild heterogeneity. Magnifying endoscopy with NBI (ME‐NBI) obtained a pooled sensitivity, specificity, and area under the summary receiver operating curve of 0.84 (95 % CI, 0.80–0.88), 0.96 (95 % CI, 0.94–0.97), and 0.92, respectively. Similarly, ME‐BLI showed a pooled sensitivity, specificity, and area under the curve of 0.81 (95 % CI, 0.77–0.85), 0.85 (95 % CI, 0.82–0.88), and 0.95, respectively. The diagnostic efficacy of ME‐NBI/BLI for GC was evidently high compared to that of WLI, However, significant heterogeneity among the NBI studies still existed. Conclusions Our meta‐analysis showed a high detection rate for linked color imaging and a high diagnostic performance of ME‐NBI/BLI for GC compared to that with WLI. |
| format | Article |
| id | doaj-art-8df99f43d7e240bb87a98e3e5cb8c826 |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-8df99f43d7e240bb87a98e3e5cb8c8262025-08-20T03:13:50ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.418Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysisOsamu Dohi0Mayuko Seya1Naoto Iwai2Tomoko Ochiai3Junki Yumoto4Hiroki Mukai5Katsuma Yamauchi6Reo Kobayashi7Ryohei Hirose8Ken Inoue9Naohisa Yoshida10Hideyuki Konishi11Yoshito Itoh12Molecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanMolecular Gastroenterology and Hepatology Graduate School of Medicine, Kyoto Prefectural University of Medicine Kyoto JapanAbstract Objectives We aimed to conduct a systematic review and meta‐analysis to assess the value of image‐enhanced endoscopy including blue laser imaging (BLI), linked color imaging, narrow‐band imaging (NBI), and texture and color enhancement imaging to detect and diagnose gastric cancer (GC) compared to that of white‐light imaging (WLI). Methods Studies meeting the inclusion criteria were identified through PubMed, Cochrane Library, and Japan Medical Abstracts Society databases searches. The pooled risk ratio for dichotomous variables was calculated using the random‐effects model to assess the GC detection between WLI and image‐enhanced endoscopy. A random‐effects model was used to calculate the overall diagnostic performance of WLI and magnifying image‐enhanced endoscopy for GC. Results Sixteen studies met the inclusion criteria. The detection rate of GC was significantly improved in linked color imaging compared with that in WLI (risk ratio, 2.20; 95% confidence interval [CI], 1.39–3.25; p < 0.01) with mild heterogeneity. Magnifying endoscopy with NBI (ME‐NBI) obtained a pooled sensitivity, specificity, and area under the summary receiver operating curve of 0.84 (95 % CI, 0.80–0.88), 0.96 (95 % CI, 0.94–0.97), and 0.92, respectively. Similarly, ME‐BLI showed a pooled sensitivity, specificity, and area under the curve of 0.81 (95 % CI, 0.77–0.85), 0.85 (95 % CI, 0.82–0.88), and 0.95, respectively. The diagnostic efficacy of ME‐NBI/BLI for GC was evidently high compared to that of WLI, However, significant heterogeneity among the NBI studies still existed. Conclusions Our meta‐analysis showed a high detection rate for linked color imaging and a high diagnostic performance of ME‐NBI/BLI for GC compared to that with WLI.https://doi.org/10.1002/deo2.418blue laser imaginggastric cancerimage‐enhanced endoscopylinked color imagingnarrow‐band imaging |
| spellingShingle | Osamu Dohi Mayuko Seya Naoto Iwai Tomoko Ochiai Junki Yumoto Hiroki Mukai Katsuma Yamauchi Reo Kobayashi Ryohei Hirose Ken Inoue Naohisa Yoshida Hideyuki Konishi Yoshito Itoh Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis DEN Open blue laser imaging gastric cancer image‐enhanced endoscopy linked color imaging narrow‐band imaging |
| title | Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis |
| title_full | Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis |
| title_fullStr | Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis |
| title_full_unstemmed | Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis |
| title_short | Endoscopic detection and diagnosis of gastric cancer using image‐enhanced endoscopy: A systematic review and meta‐analysis |
| title_sort | endoscopic detection and diagnosis of gastric cancer using image enhanced endoscopy a systematic review and meta analysis |
| topic | blue laser imaging gastric cancer image‐enhanced endoscopy linked color imaging narrow‐band imaging |
| url | https://doi.org/10.1002/deo2.418 |
| work_keys_str_mv | AT osamudohi endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT mayukoseya endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT naotoiwai endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT tomokoochiai endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT junkiyumoto endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT hirokimukai endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT katsumayamauchi endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT reokobayashi endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT ryoheihirose endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT keninoue endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT naohisayoshida endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT hideyukikonishi endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis AT yoshitoitoh endoscopicdetectionanddiagnosisofgastriccancerusingimageenhancedendoscopyasystematicreviewandmetaanalysis |