Current Status of Photodynamic Diagnosis for Gastric Tumors

Although the recent development and widespread use of image-enhanced endoscopy and magnifying endoscopy have improved endoscopic diagnosis of gastric cancer, it is somewhat complicated, requires a higher level of expertise, and is still subjective. Photodynamic endoscopic diagnosis (PDED) is based o...

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Autores principales: Hiroki Kurumi, Tsutomu Kanda, Yuichiro Ikebuchi, Akira Yoshida, Koichiro Kawaguchi, Kazuo Yashima, Hajime Isomoto
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/35f95c8bd8104b2c8ebf8fa05209438a
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spelling oai:doaj.org-article:35f95c8bd8104b2c8ebf8fa05209438a2021-11-25T17:20:19ZCurrent Status of Photodynamic Diagnosis for Gastric Tumors10.3390/diagnostics111119672075-4418https://doaj.org/article/35f95c8bd8104b2c8ebf8fa05209438a2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1967https://doaj.org/toc/2075-4418Although the recent development and widespread use of image-enhanced endoscopy and magnifying endoscopy have improved endoscopic diagnosis of gastric cancer, it is somewhat complicated, requires a higher level of expertise, and is still subjective. Photodynamic endoscopic diagnosis (PDED) is based on the fluorescence of photosensitizers that accumulate in tumors, which enables objective evaluation independent of the endoscopist’s experience, and is useful for tumor detection. The objective of this work was to perform a narrative review of PDED for gastric tumors and to introduce our approach to PDED in gastric tumors in our hospital. In our review there have been case reports of PDED for gastric cancer, but its usefulness has not been established because no prospective studies evaluating its usefulness have been performed. In our previous study, 85.7% (42/49) of gastric tumors exhibited fluorescence in PDED. PDED may be useful in the diagnosis of early gastric cancer. Our previous studies were pilot studies in cancer patients; therefore, future prospective studies are required to verify the usefulness of PDED.Hiroki KurumiTsutomu KandaYuichiro IkebuchiAkira YoshidaKoichiro KawaguchiKazuo YashimaHajime IsomotoMDPI AGarticlephotodynamic diagnosisgastric cancertumorendoscopyphotosensitizerMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1967, p 1967 (2021)
institution DOAJ
collection DOAJ
language EN
topic photodynamic diagnosis
gastric cancer
tumor
endoscopy
photosensitizer
Medicine (General)
R5-920
spellingShingle photodynamic diagnosis
gastric cancer
tumor
endoscopy
photosensitizer
Medicine (General)
R5-920
Hiroki Kurumi
Tsutomu Kanda
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
Current Status of Photodynamic Diagnosis for Gastric Tumors
description Although the recent development and widespread use of image-enhanced endoscopy and magnifying endoscopy have improved endoscopic diagnosis of gastric cancer, it is somewhat complicated, requires a higher level of expertise, and is still subjective. Photodynamic endoscopic diagnosis (PDED) is based on the fluorescence of photosensitizers that accumulate in tumors, which enables objective evaluation independent of the endoscopist’s experience, and is useful for tumor detection. The objective of this work was to perform a narrative review of PDED for gastric tumors and to introduce our approach to PDED in gastric tumors in our hospital. In our review there have been case reports of PDED for gastric cancer, but its usefulness has not been established because no prospective studies evaluating its usefulness have been performed. In our previous study, 85.7% (42/49) of gastric tumors exhibited fluorescence in PDED. PDED may be useful in the diagnosis of early gastric cancer. Our previous studies were pilot studies in cancer patients; therefore, future prospective studies are required to verify the usefulness of PDED.
format article
author Hiroki Kurumi
Tsutomu Kanda
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
author_facet Hiroki Kurumi
Tsutomu Kanda
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
author_sort Hiroki Kurumi
title Current Status of Photodynamic Diagnosis for Gastric Tumors
title_short Current Status of Photodynamic Diagnosis for Gastric Tumors
title_full Current Status of Photodynamic Diagnosis for Gastric Tumors
title_fullStr Current Status of Photodynamic Diagnosis for Gastric Tumors
title_full_unstemmed Current Status of Photodynamic Diagnosis for Gastric Tumors
title_sort current status of photodynamic diagnosis for gastric tumors
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/35f95c8bd8104b2c8ebf8fa05209438a
work_keys_str_mv AT hirokikurumi currentstatusofphotodynamicdiagnosisforgastrictumors
AT tsutomukanda currentstatusofphotodynamicdiagnosisforgastrictumors
AT yuichiroikebuchi currentstatusofphotodynamicdiagnosisforgastrictumors
AT akirayoshida currentstatusofphotodynamicdiagnosisforgastrictumors
AT koichirokawaguchi currentstatusofphotodynamicdiagnosisforgastrictumors
AT kazuoyashima currentstatusofphotodynamicdiagnosisforgastrictumors
AT hajimeisomoto currentstatusofphotodynamicdiagnosisforgastrictumors
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