Diagnosis of endoscopic Barrett’s esophagus by transnasal flexible spectral imaging color enhancement
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
The diagnosis of endoscopic Barrett’s esophagus (BE) has been under discussion for the past decade because palisade vessels may be obscured by inflammation or the location of upper end of gastric fold may be diversely changed. The flexible spectral imaging color enhancement (FICE) system can reconstruct improved spectral images decomposed from ordinary endoscopic images with free selection of three wavelengths, and can provide non-magnified images with high light intensity.
To evaluate whether the transnasal FICE system enables easier diagnosis of endoscopic BE, 72 patients with endoscopic BE were observed prospectively with a transnasal endoscope using both conventional images and FICE images. The visualization of palisade vessels and the identification of the demarcation between endoscopic BE mucosa and gastric mucosa were compared between FICE images and conventional endoscopic images, and the CIELAB color differences were calculated among palisade vessels, background BE mucosa and gastric folds.
Palisade vessels could be more clearly visualized in BE mucosa with transnasal FICE than with conventional endoscopy. Demarcation between whitish BE mucosa and the upper end of the brownish gastric mucosa could be clearly identified using transnasal FICE images. Greater color differences existed with FICE images between palisade vessels and background BE mucosa as well as between BE mucosa and gastric folds than with conventional images, leading to better contrasting images.
The transnasal FICE system enables clear visualization of palisade vessels and provides better contrasting images of the demarcation between the BE mucosa and the gastric mucosa, and thus contributes to easier diagnosis of endoscopic BE.
- Cameron AJ, Zinsmeister AR, Ballard DJ, Carney JA. Prevalence of columnar-lined (Barrett’s) esophagus. Comparison of population-based clinical and autopsy findings. Gastroenterology. 1990;99:918–22.
- Schnell TG, Sontag SJ, Chejfec G. Adenocarcinomas arising in tongues or short segments of Barrett’s esophagus. Dig Dis Sci. 1992;37:137–43. CrossRef
- Pera M, Cameron AJ, Trastek VF, Carpenter HA, Zinsmeister AR. Increasing incidence of adenocarcinoma of the esophagus and esophagogastric junction. Gastroenterology. 1993;104:510–3.
- Sharma P, Dent J, Armstrong D, Bergman JJ, Gossner L, Hoshihara Y, et al. The development and validation of an endoscopic grading system for Barrett’s esophagus: the Prague C & M criteria. Gastroenterology. 2006;131:1392–9. CrossRef
- Armstrong D. Review article: towards consistency in the endoscopic diagnosis of Barrett’s oesophagus and columnar metaplasia. Aliment Pharmacol Ther. 2004;20(Suppl 5):40–7. CrossRef
- Azuma N, Endo T, Arimura Y, Motoya S, Itoh F, Hinoda Y, et al. Prevalence of Barrett’s esophagus and expression of mucin antigens detected by a panel of monoclonal antibodies in Barrett’s esophagus and esophageal adenocarcinoma in Japan. J Gastroenterol. 2000;35:583–92. CrossRef
- Eda A, Osawa H, Satoh K, Yanaka I, Kihira K, Ishino Y, et al. Aberrant expression of CDX2 in Barrett’s epithelium and inflammatory esophageal mucosa. J Gastroenterol. 2003;38:14–22. CrossRef
- Takubo K, Honma N, Aryal G, Sawabe M, Arai T, Tanaka Y, et al. Is there a set of histologic changes that are invariably reflux associated? Arch Pathol Lab Med. 2005;129:159–63.
- Osawa H, Yoshizawa M, Yamamoto H, Kita H, Satoh K, Ohnishi H, et al. Optimal band imaging system can facilitate detection of changes in depressed-type early gastric cancer. Gastrointest Endosc. 2008;67:226–34. CrossRef
- Yoshizawa M, Osawa H, Yamamoto H, Kita H, Nakano H, Satoh K, et al. Diagnosis of elevated-type early gastric cancer by optimal band imaging system. Gastrointest Endosc. 2009;69:19–28. CrossRef
- Togashi K, Osawa H, Koinuma K, Hayashi Y, Miyata T, Sunada K, et al. A comparison of conventional endoscopy, chromoendoscopy and optimal band imaging system for the differentiation of neoplastic versus nonneoplastic colon polyps. Gastrointest Endosc. 2009;69:734–41. CrossRef
- Shaker R. Unsedated trans-nasal pharyngoesophagogastroduodenoscopy (T-EGD): technique. Gastrointest Endosc. 1994;40:346–8.
- Craig A, Hanlon J, Dent J, Schoeman M. A comparison of transnasal and transoral endoscopy with small-diameter endoscopes in unsedated patients. Gastrointest Endosc. 1999;49:292–6. CrossRef
- Zaman A, Hahn M, Hapke R, Knigge K, Fennerty MB, Katon RM. A randomized trial of peroral versus transnasal unsedated endoscopy using an ultrathin videoendoscope. Gastrointest Endosc. 1999;49:279–84. CrossRef
- Preiss C, Charton JP, Schumacher B, Neuhaus H. A randomized trial of unsedated transnasal small-caliber esophagogastroduodenoscopy (EGD) versus peroral small-caliber EGD versus conventional EGD. Endoscopy. 2003;35:641–6. CrossRef
- Yagi J, Adachi K, Arima N, Tanaka S, Ose T, Azumi T, et al. A prospective randomized comparative study on the safety and tolerability of transnasal esophagogastroduodenoscopy. Endoscopy. 2005;37:1226–31. CrossRef
- Miyake Y, Sekiya T, Kubo S, Hara T. A new spectrophotometer for measuring the spectral reflectance of gastric mucous membrane. J Photogr Sci. 1989;37:134–8.
- Shiobara T, Zhou S, Haneishi H, Tsumura N, Miyake Y. Improved color reproduction of electronic endoscopes. J Imag Sci Technol. 1996;40:494–501.
- Tsumura N, Tanaka T, Haneishi H, Miyake Y. Optimal design of mosaic color electronic endoscopes. Opt Commun. 1998;145:27–32. CrossRef
- Shiobara T, Haneishi H, Miyake Y. Color correction for colorimetric color reproduction in an electronic endoscope. Opt Commun. 1995;114:57–63. CrossRef
- Amano Y, Ishimura N, Furuta K, Takahashi Y, Chinuki D, Mishima Y, et al. Which landmark results in a more consistent diagnosis of Barrett’s esophagus, the gastric folds or the palisade vessels? Gastrointest Endosc. 2006;64:206–11. CrossRef
- Kuehni RG. Color-tolerance data and the tentative CIE 1976 L a b formula. J Opt Soc Am. 1976;66:497–500. CrossRef
- Birkner B, Fritz N, Schatke W, Hasford J. A prospective randomized comparison of unsedated ultrathin versus standard esophagogastroduodenoscopy in routine outpatient gastroenterology practice: does it work better through the nose? Endoscopy. 2003;35:647–51. CrossRef
- Faulx AL, Catanzaro A, Zyzanski S, Cooper GS, Pfau PR, Isenberg G, et al. Patient tolerance and acceptance of unsedated ultrathin esophagoscopy. Gastrointest Endosc. 2002;55:620–3. CrossRef
- Hongo M. Review article: Barrett’s oesophagus and carcinoma in Japan. Aliment Pharmacol Ther. 2004;8:50–4. CrossRef
- Sambongi M, Igarashi T, OBI T, Yamaguchi M, Ohyama N, Kobayashi M, et al. Analysis of spectral reflectance using normalization methods from endoscopic spectrophy system. Opt Rev. 2002;9:238–43. CrossRef
- Zonios G, Perelman LT, Backman V, Manoharan R, Fitzmaurice M, Van Dam J, et al. Diffuse reflectance spectroscopy of human adenomatous colon polyps in vivo. Appl Opt. 1999;38:6628–37. CrossRef
- Yao K, Yao T, Matsui T, Iwashita A, Oishi T. Hemoglobin content in intramucosal gastric carcinoma as a marker of histologic differentiation: a clinical application of quantitative electronic endoscopy. Gastrointest Endosc. 2000;52:241–5. CrossRef
- Gono K, OBI T, Ohyama N, Ohyama N, Machida H, Sano Y, et al. Appearance of enhanced tissue features in narrow-band endoscopic imaging. J Biomed Opt. 2004;9:568–77. CrossRef
- Diagnosis of endoscopic Barrett’s esophagus by transnasal flexible spectral imaging color enhancement
Journal of Gastroenterology
Volume 44, Issue 11 , pp 1125-1132
- Cover Date
- Print ISSN
- Online ISSN
- Springer Japan
- Additional Links
- Flexible spectral imaging color enhancement
- Endoscopic Barrett’s esophagus
- Extent of Barrett’s esophagus
- Color difference
- Industry Sectors
- Author Affiliations
- 1. Division of Gastroenterology, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan
- 2. Yamada Internal Medicine and Neurosurgery Clinic, Tochigi, Japan
- 3. Department of Gastroenterology, Saitama Medical University, International Medical Center, Saitama, Japan