Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms

Abstract In 2020, Olympus Medical Systems Corporation introduced the Texture and Color Enhancement Imaging (TXI) as a new image-enhanced endoscopy. This study aimed to evaluate the visibility of neoplasms and mucosal atrophy in the upper gastrointestinal tract through TXI. We evaluated 72 and 60 ima...

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Autores principales:	Tsubasa Ishikawa, Tomoaki Matsumura, Kenichiro Okimoto, Ariki Nagashima, Wataru Shiratori, Tatsuya Kaneko, Hirotaka Oura, Mamoru Tokunaga, Naoki Akizue, Yuki Ohta, Keiko Saito, Makoto Arai, Jun Kato, Naoya Kato
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/66f01db113a04f1a831eb73af78718cf
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spelling	oai:doaj.org-article:66f01db113a04f1a831eb73af78718cf2021-12-02T17:04:07ZEfficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms10.1038/s41598-021-86296-x2045-2322https://doaj.org/article/66f01db113a04f1a831eb73af78718cf2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86296-xhttps://doaj.org/toc/2045-2322Abstract In 2020, Olympus Medical Systems Corporation introduced the Texture and Color Enhancement Imaging (TXI) as a new image-enhanced endoscopy. This study aimed to evaluate the visibility of neoplasms and mucosal atrophy in the upper gastrointestinal tract through TXI. We evaluated 72 and 60 images of 12 gastric neoplasms and 20 gastric atrophic/nonatrophic mucosa, respectively. The visibility of gastric mucosal atrophy and gastric neoplasm was assessed by six endoscopists using a previously reported visibility scale (1 = poor to 4 = excellent). Color differences between gastric mucosal atrophy and nonatrophic mucosa and between gastric neoplasm and adjacent areas were assessed using the International Commission on Illumination Lab* color space system. The visibility of mucosal atrophy and gastric neoplasm was significantly improved in TXI mode 1 compared with that in white-light imaging (WLI) (visibility score: 3.8 ± 0.5 vs. 2.8 ± 0.9, p < 0.01 for mucosal atrophy; visibility score: 2.8 ± 1.0 vs. 2.0 ± 0.9, p < 0.01 for gastric neoplasm). Regarding gastric atrophic and nonatrophic mucosae, TXI mode 1 had a significantly greater color difference than WLI (color differences: 14.2 ± 8.0 vs. 8.7 ± 4.2, respectively, p < 0.01). TXI may be a useful observation modality in the endoscopic screening of the upper gastrointestinal tract.Tsubasa IshikawaTomoaki MatsumuraKenichiro OkimotoAriki NagashimaWataru ShiratoriTatsuya KanekoHirotaka OuraMamoru TokunagaNaoki AkizueYuki OhtaKeiko SaitoMakoto AraiJun KatoNaoya KatoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tsubasa Ishikawa Tomoaki Matsumura Kenichiro Okimoto Ariki Nagashima Wataru Shiratori Tatsuya Kaneko Hirotaka Oura Mamoru Tokunaga Naoki Akizue Yuki Ohta Keiko Saito Makoto Arai Jun Kato Naoya Kato Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
description	Abstract In 2020, Olympus Medical Systems Corporation introduced the Texture and Color Enhancement Imaging (TXI) as a new image-enhanced endoscopy. This study aimed to evaluate the visibility of neoplasms and mucosal atrophy in the upper gastrointestinal tract through TXI. We evaluated 72 and 60 images of 12 gastric neoplasms and 20 gastric atrophic/nonatrophic mucosa, respectively. The visibility of gastric mucosal atrophy and gastric neoplasm was assessed by six endoscopists using a previously reported visibility scale (1 = poor to 4 = excellent). Color differences between gastric mucosal atrophy and nonatrophic mucosa and between gastric neoplasm and adjacent areas were assessed using the International Commission on Illumination Lab* color space system. The visibility of mucosal atrophy and gastric neoplasm was significantly improved in TXI mode 1 compared with that in white-light imaging (WLI) (visibility score: 3.8 ± 0.5 vs. 2.8 ± 0.9, p < 0.01 for mucosal atrophy; visibility score: 2.8 ± 1.0 vs. 2.0 ± 0.9, p < 0.01 for gastric neoplasm). Regarding gastric atrophic and nonatrophic mucosae, TXI mode 1 had a significantly greater color difference than WLI (color differences: 14.2 ± 8.0 vs. 8.7 ± 4.2, respectively, p < 0.01). TXI may be a useful observation modality in the endoscopic screening of the upper gastrointestinal tract.
format	article
author	Tsubasa Ishikawa Tomoaki Matsumura Kenichiro Okimoto Ariki Nagashima Wataru Shiratori Tatsuya Kaneko Hirotaka Oura Mamoru Tokunaga Naoki Akizue Yuki Ohta Keiko Saito Makoto Arai Jun Kato Naoya Kato
author_facet	Tsubasa Ishikawa Tomoaki Matsumura Kenichiro Okimoto Ariki Nagashima Wataru Shiratori Tatsuya Kaneko Hirotaka Oura Mamoru Tokunaga Naoki Akizue Yuki Ohta Keiko Saito Makoto Arai Jun Kato Naoya Kato
author_sort	Tsubasa Ishikawa
title	Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
title_short	Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
title_full	Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
title_fullStr	Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
title_full_unstemmed	Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms
title_sort	efficacy of texture and color enhancement imaging in visualizing gastric mucosal atrophy and gastric neoplasms
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/66f01db113a04f1a831eb73af78718cf
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Efficacy of Texture and Color Enhancement Imaging in visualizing gastric mucosal atrophy and gastric neoplasms

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