Abstract
Introduction
Narrow-band imaging (NBI), an emerging imaging technology, allows direct visualization of capillaries on the gastrointestinal mucosal surface. The combination of NBI and magnifying endoscopy can be used to identify morphological changes in these capillaries during the process of carcinogenesis.
Findings and conclusions
Thus far, pathological predictions based on capillary pattern classifications have been reported to have good diagnostic accuracy. However, most of these studies have been single-center trials based on each institutional classification, and worldwide multicenter trials aimed at their standardization are needed to validate the clinical benefits of the various NBI classification systems.
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References
Kudo S, Hirota S, Nakajima T et al (1994) Colorectal tumours and pit pattern. J Clin Pathol 47:880–885
Matsuda T, Fujii T, Saito Y et al (2008) Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms. Am J Gastroenterol 103:2700–2706
Kubo H, Fujiwara T, Jussila L et al (2000) Involvement of vascular endothelial growth factor receptor-3 in maintenance of integrity of endothelial cell lining during tumor angiogenesis. Blood 96:546–553
Konerding MA, Fait E, Dimitropoulou C et al (1998) Impact of fibroblast growth factor-2 on tumor microvascular architecture. A tridimensional morphometric study. Am J Pathol 152:1607–1616
Konerding MA, Fait E, Gaumann A (2001) 3D microvascular architecture of pre-cancerous lesions and invasive carcinomas of the colon. Br J Cancer 84:1354–1362
Gono K, Obi T, Yamaguchi M et al (2004) Appearance of enhanced tissue features in narrow-band endoscopic imaging. J Biomed Opt 9:568–577
Tajiri H, Niwa H (2008) Proposal for a consensus terminology in endoscopy: how should different endoscopic imaging techniques be grouped and defined? Endoscopy 40:775–778
Hassan C, Pickhardt PJ, Rex DK (2010) A resect and discard strategy would improve cost-effectiveness of colorectal cancer screening. Clin Gastroenterol Hepatol 8:865–869
Paggi S, Rondonotti E, Amato A, et al. Resect and discard strategy in clinical practice: a prospective cohort study. Endoscopy. DOI: 10.1055/s-0032-1309891.
Kitajima K, Fujimori T, Fujii S et al (2004) Correlations between lymph node metastasis and depth of submucosal invasion in submucosal invasive colorectal carcinoma: a Japanese collaborative study. J Gastroenterol 39:534–543
Ikematsu H, Matsuda T, Emura F et al (2010) Efficacy of capillary pattern type IIIA/IIIB by magnifying narrow band imaging for estimating depth of invasion of early colorectal neoplasms. BMC Gastroenterol 10:33
Sano Y, Ikematsu H, Fu KI et al (2009) Meshed capillary vessels by use of narrow-band imaging for differential diagnosis of small colorectal polyps. Gastrointest Endosc 69:278–283
Kanao H, Tanaka S, Oka S et al (2009) Narrow-band imaging magnification predicts the histology and invasion depth of colorectal tumors. Gastrointest Endosc 69:631–636
Wada Y, Kudo SE, Kashida H et al (2009) Diagnosis of colorectal lesions with the magnifying narrow-band imaging system. Gastrointest Endosc 70:522–531
Saito S, Tajiri H, Ohya T, et al. (2011) Imaging by magnifying endoscopy with NBI implicates the remnant capillary network as an indication for endoscopic resection in early colon cancer. Int J Surg Oncol (in press).
Hewett DG, Kaltenbach T, Sano Y (2012) Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using narrow-band imaging. Gastroenterology 143:599-607.
Gross S, Trautwein C, Behrens A et al (2011) Computer-based classification of small colorectal polyps by using narrow-band imaging with optical magnification. Gastrointest Endosc 74:1354–1359
Rex DK, Bond JH, Winawer S et al (2002) Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol 97:1296–1308
Kaminski MF, Regula J, Kraszewska E et al (2010) Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med 362:1795–1803
Pohl J, Schneider A, Vogell H et al (2011) Pancolonic chromoendoscopy with indigo carmine versus standard colonoscopy for detection of neoplastic lesions: a randomised two-centre trial. Gut 60:485–490
Rastogi A, Early DS, Gupta N et al (2011) Randomized, controlled trial of standard-definition white-light, high-definition white-light, and narrow-band imaging colonoscopy for the detection of colon polyps and prediction of polyp histology. Gastrointest Endosc 74:593–602
Adler A, Aschenbeck J, Yenerim T et al (2009) Narrow-band versus white-light high definition television endoscopic imaging for screening colonoscopy: a prospective randomized trial. Gastroenterology 136:410–416
Ikematsu H, Saito Y, Tanaka S, et al. (2012) The impact of narrow band imaging for colon polyp detection: a multicenter randomized controlled trial by tandem colonoscopy. J Gastroenterol (in press).
Pasha SF, Leighton JA, Das A et al (2012) Comparison of the yield and miss rate of narrow band imaging and white light endoscopy in patients undergoing screening or surveillance colonoscopy: a meta-analysis. Am J Gastroenterol 107:363–370
Chung SJ, Kim D, Song JH et al (2010) Efficacy of computed virtual chromoendoscopy on colorectal cancer screening: a prospective, randomized, back-to-back trial of Fuji Intelligent Color Enhancement versus conventional colonoscopy to compare adenoma miss rates. Gastrointest Endosc 72:136–142
Hong SN, Choe WH, Lee JH et al (2012) Prospective, randomized, back-to-back trial evaluating the usefulness of i-SCAN in screening colonoscopy. Gastrointest Endosc 75:1011–1021
Rastogi A, Bansal A, Rao DS et al (2012) Higher adenoma detection rates with cap-assisted colonoscopy: a randomised controlled trial. Gut 61:402–408
Barclay RL, Vicari JJ, Doughty AS et al (2006) Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med 355:2533–2541
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Aihara, H., Saito, S. & Tajiri, H. Rationale for and clinical benefits of colonoscopy with narrow band imaging: pathological prediction and colorectal screening. Int J Colorectal Dis 28, 1–7 (2013). https://doi.org/10.1007/s00384-012-1591-7
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DOI: https://doi.org/10.1007/s00384-012-1591-7