Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification

Blue light imaging (BLI) and narrow-band imaging (NBI) are two modalities that enable narrow-band light observation. We aimed to compare the diagnostic ability of magnifying endoscopy with BLI (ME-BLI) and NBI (ME-NBI) for determining the invasion depth of superficial esophageal squamous cell carcin...

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Autores principales: Waku Hatta, Tomoyuki Koike, Yohei Ogata, Yutaka Kondo, Nobuyuki Ara, Kaname Uno, Naoki Asano, Akira Imatani, Atsushi Masamune
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:9bda6f033c7b4fa6ad583df06c4d624b2021-11-25T17:20:05ZComparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification10.3390/diagnostics111119412075-4418https://doaj.org/article/9bda6f033c7b4fa6ad583df06c4d624b2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1941https://doaj.org/toc/2075-4418Blue light imaging (BLI) and narrow-band imaging (NBI) are two modalities that enable narrow-band light observation. We aimed to compare the diagnostic ability of magnifying endoscopy with BLI (ME-BLI) and NBI (ME-NBI) for determining the invasion depth of superficial esophageal squamous cell carcinoma (SESCC) by the Japanese Esophageal Society’s intrapapillary capillary loop (IPCL) classification. We enrolled 81 patients between 2014 and 2018, and the still endoscopic images for diagnosing the invasion depth at the same part in ME-BLI and ME-NBI were registered. Two blinded investigators reviewed them and diagnosed the invasion depth by the IPCL classification. Subsequently, the diagnostic yields in two modalities were compared. The overall accuracies for the invasion depth by the IPCL classification in ME-BLI and ME-NBI did not differ significantly (67.9–71.6% vs. 72.8–74.1%). In the analysis based on the invasion depth, the sensitivities and positive predictive values in tumors invading the muscularis mucosa or submucosa ≤200 µm were low (23.1–30.8% and 16.7–25.0%, respectively) in both modalities. In conclusion, the diagnostic ability for determining the invasion depth of SESCC by the IPCL classification was relatively similar in ME-BLI and ME-NBI, but diagnosis by magnifying endoscopy alone might not be satisfactory.Waku HattaTomoyuki KoikeYohei OgataYutaka KondoNobuyuki AraKaname UnoNaoki AsanoAkira ImataniAtsushi MasamuneMDPI AGarticleesophageal squamous cell carcinomainvasion depthblue light imagingnarrow-band imagingMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1941, p 1941 (2021)
institution DOAJ
collection DOAJ
language EN
topic esophageal squamous cell carcinoma
invasion depth
blue light imaging
narrow-band imaging
Medicine (General)
R5-920
spellingShingle esophageal squamous cell carcinoma
invasion depth
blue light imaging
narrow-band imaging
Medicine (General)
R5-920
Waku Hatta
Tomoyuki Koike
Yohei Ogata
Yutaka Kondo
Nobuyuki Ara
Kaname Uno
Naoki Asano
Akira Imatani
Atsushi Masamune
Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
description Blue light imaging (BLI) and narrow-band imaging (NBI) are two modalities that enable narrow-band light observation. We aimed to compare the diagnostic ability of magnifying endoscopy with BLI (ME-BLI) and NBI (ME-NBI) for determining the invasion depth of superficial esophageal squamous cell carcinoma (SESCC) by the Japanese Esophageal Society’s intrapapillary capillary loop (IPCL) classification. We enrolled 81 patients between 2014 and 2018, and the still endoscopic images for diagnosing the invasion depth at the same part in ME-BLI and ME-NBI were registered. Two blinded investigators reviewed them and diagnosed the invasion depth by the IPCL classification. Subsequently, the diagnostic yields in two modalities were compared. The overall accuracies for the invasion depth by the IPCL classification in ME-BLI and ME-NBI did not differ significantly (67.9–71.6% vs. 72.8–74.1%). In the analysis based on the invasion depth, the sensitivities and positive predictive values in tumors invading the muscularis mucosa or submucosa ≤200 µm were low (23.1–30.8% and 16.7–25.0%, respectively) in both modalities. In conclusion, the diagnostic ability for determining the invasion depth of SESCC by the IPCL classification was relatively similar in ME-BLI and ME-NBI, but diagnosis by magnifying endoscopy alone might not be satisfactory.
format article
author Waku Hatta
Tomoyuki Koike
Yohei Ogata
Yutaka Kondo
Nobuyuki Ara
Kaname Uno
Naoki Asano
Akira Imatani
Atsushi Masamune
author_facet Waku Hatta
Tomoyuki Koike
Yohei Ogata
Yutaka Kondo
Nobuyuki Ara
Kaname Uno
Naoki Asano
Akira Imatani
Atsushi Masamune
author_sort Waku Hatta
title Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
title_short Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
title_full Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
title_fullStr Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
title_full_unstemmed Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
title_sort comparison of magnifying endoscopy with blue light imaging and narrow band imaging for determining the invasion depth of superficial esophageal squamous cell carcinoma by the japanese esophageal society’s intrapapillary capillary loop classification
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9bda6f033c7b4fa6ad583df06c4d624b
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