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In Vivo Agents and Markers for Endomicroscopy

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Endoscopic Imaging Techniques and Tools

Abstract

Novel in vivo agents and molecular markers are steadily enhancing the field of endoscopy. By resolving glandular patterns and subcellular features, these targeted agents can provide endoscopists with near histologic-grade images of gastrointestinal disease. This chapter will review the clinical research in vital-dye, contrast, peptide, molecular, and mucolytic agents that have been studied to better target suspicious lesions for biopsy. To start off, the characteristics of each agent will be summarized. Then, the chapter will examine each organ system (esophagus, stomach, and colon) in turn and discuss how agents and their respective imaging systems have performed.

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Abbreviations

2-NBDG:

2-[N-(7-nitrobenz-2-oxa-1,3-diaxol-4-yl) amino]-2-deoxyglucose

CLE:

Confocal laser endomicroscopy

eCLE:

Endoscopic-integrated CLE

ECS:

Endocytoscopy

HRME:

High-resolution microendoscopy

IBD:

Inflammatory bowel disease

MCE:

Magnification chromoendoscopy

MDM:

Multispectral digital microscope

mTNF:

Membrane-bound tumor necrosis factor

NIR:

Near-infrared imaging

pCLE:

Probe-based CLE

WLE:

White-light endoscopy

References

  1. Goetz M. Endomicroscopy and targeted imaging of gastric neoplasia. Gastrointest Endosc Clin N Am [Internet]. 2013 [cited 2015 Jan 25];23(3):597–606. http://www.sciencedirect.com/science/article/pii/S1052515713000226

  2. Choi K-S, Jung H-Y. Confocal laser endomicroscopy and molecular imaging in barrett esophagus and stomach. Clin Endosc [Internet]. 2014 [cited 2015 Jan 21];47(1):23–30. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3928487&tool=pmcentrez&rendertype=abstract

  3. Kodashima S, Fujishiro M, Takubo K, Kammori M, Nomura S, Kakushima N, et al. Ex-vivo study of high-magnification chromoendoscopy in the gastrointestinal tract to determine the optimal staining conditions for endocytoscopy. Endoscopy [Internet]. 2006 [cited 2015 Feb 11];38(11):1115–21. http://www.ncbi.nlm.nih.gov/pubmed/17111333

  4. Inoue H, Yokoyama A, Kudo S. [Ultrahigh magnifying endoscopy: development of CM double staining for endocytoscopy and its safety]. Nihon Rinsho [Internet]. 2010 [cited 2015 Jan 27];68(7):1247–52. http://www.ncbi.nlm.nih.gov/pubmed/20662202

  5. Neumann H, Kudo S-E, Kiesslich R, Neurath MF. Advanced colonoscopic imaging using endocytoscopy. Dig Endosc [Internet]. 2014 [cited 2014 Dec 18];27(2):232–8. http://www.ncbi.nlm.nih.gov/pubmed/25311804

    Google Scholar 

  6. Peitz U, Malfertheiner P. Chromoendoscopy: from a research tool to clinical progress. Dig Dis [Internet]. 2002 [cited 2015 Feb 5];20(2):111–9. http://www.karger.com/Article/FullText/67480

    Google Scholar 

  7. Li M, Wang TD. Targeted endoscopic imaging. Gastrointest Endosc Clin N Am [Internet]. 2009 [cited 2015 Jan 25];19(2):283–98. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3217463&tool=pmcentrez&rendertype=abstract

  8. O’Neil RG, Wu L, Mullani N. Uptake of a fluorescent deoxyglucose analog (2-NBDG) in tumor cells. Mol Imaging Biol [Internet]. [cited 2015 Jan 25];7(6):388–92. http://www.ncbi.nlm.nih.gov/pubmed/16284704

    Google Scholar 

  9. Bird-Lieberman EL, Neves AA, Lao-Sirieix P, O’Donovan M, Novelli M, Lovat LB, et al. Molecular imaging using fluorescent lectins permits rapid endoscopic identification of dysplasia in Barrett’s esophagus. Nat Med [Internet]. 2012 [cited 2015 Jan 25];18(2):315–21. http://www.ncbi.nlm.nih.gov/pubmed/22245781

    Google Scholar 

  10. Yagi K, Aruga Y, Nakamura A, Sekine A, Umezu H. The study of dynamic chemical magnifying endoscopy in gastric neoplasia. Gastrointest Endosc [Internet]. 2005 [cited 2015 Feb 5];62(6):963–9. http://www.ncbi.nlm.nih.gov/pubmed/16301045

    Google Scholar 

  11. Sharma P, Bansal A, Mathur S, Wani S, Cherian R, McGregor D, et al. The utility of a novel narrow band imaging endoscopy system in patients with Barrett’s esophagus. Gastrointest Endosc [Internet]. 2006 [cited 2015 Mar 4];64(2):167–75. http://www.sciencedirect.com/science/article/pii/S0016510705031676

    Google Scholar 

  12. Saxena P, Canto MI. Red flag imaging techniques in Barrett’s esophagus. Gastrointest Endosc Clin N Am [Internet]. 2013 [cited 2015 Jan 25];23(3):535–47. http://www.sciencedirect.com/science/article/pii/S1052515713000202

    Google Scholar 

  13. Leggett CL, Gorospe EC. Application of confocal laser endomicroscopy in the diagnosis and management of Barrett’s esophagus. Ann Gastroenterol Q Publ Hell Soc Gastroenterol [Internet]. 2014 [cited 2015 Jan 25];27(3):193–9. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4073013&tool=pmcentrez&rendertype=abstract

  14. Kiesslich R, Gossner L, Goetz M, Dahlmann A, Vieth M, Stolte M, et al. In vivo histology of Barrett’s esophagus and associated neoplasia by confocal laser endomicroscopy. Clin Gastroenterol Hepatol [Internet]. 2006 [cited 2015 Jan 25];4(8):979–87. http://www.cghjournal.org/article/S1542356506004757/fulltext

    Google Scholar 

  15. Canto MI, Anandasabapathy S, Brugge W, Falk GW, Dunbar KB, Zhang Z, et al. In vivo endomicroscopy improves detection of Barrett’s esophagus-related neoplasia: a multicenter international randomized controlled trial (with video). Gastrointest Endosc [Internet]. 2014 [cited 2015 Jan 25];79(2):211–21. http://www.ncbi.nlm.nih.gov/pubmed/24219822

  16. Pech O, Rabenstein T, Manner H, Petrone MC, Pohl J, Vieth M, et al. Confocal laser endomicroscopy for in vivo diagnosis of early squamous cell carcinoma in the esophagus. Clin Gastroenterol Hepatol [Internet]. 2008 [cited 2015 Jan 25];6(1):89–94. http://www.cghjournal.org/article/S1542356507009743/fulltext

  17. Sharma P, Meining AR, Coron E, Lightdale CJ, Wolfsen HC, Bansal A, et al. Real-time increased detection of neoplastic tissue in Barrett’s esophagus with probe-based confocal laser endomicroscopy: final results of an international multicenter, prospective, randomized, controlled trial. Gastrointest Endosc [Internet]. 2011 [cited 2015 Jan 25];74(3):465–72. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3629729&tool=pmcentrez&rendertype=abstract

  18. Gupta A, Attar BM, Koduru P, Murali AR, Go BT, Agarwal R. Utility of confocal laser endomicroscopy in identifying high-grade dysplasia and adenocarcinoma in Barrett’s esophagus: a systematic review and meta-analysis. Eur J Gastroenterol Hepatol [Internet]. 2014 [cited 2015 Jan 25];26(4):369–77. http://www.ncbi.nlm.nih.gov/pubmed/24535597

    Google Scholar 

  19. Muldoon TJ, Anandasabapathy S, Maru D, Richards-Kortum R. High-resolution imaging in Barrett’s esophagus: a novel, low-cost endoscopic microscope. Gastrointest Endosc [Internet]. 2008 [cited 2015 Jan 25];68(4):737–44. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2869299&tool=pmcentrez&rendertype=abstract

  20. Muldoon TJ, Thekkek N, Roblyer D, Maru D, Harpaz N, Potack J, et al. Evaluation of quantitative image analysis criteria for the high-resolution microendoscopic detection of neoplasia in Barrett’s esophagus. J Biomed Opt [Internet]. [cited 2015 Jan 25];15(2):026027. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2874050&tool=pmcentrez&rendertype=abstract

  21. Perl DP, Parikh N, Chang S, Peng P, Thekkek N, Lee MH, et al. Diagnosis of neoplasia in Barrett’s esophagus using vital-dye enhanced fluorescence imaging. J Vis Exp [Internet]. 2014 [cited 2015 Jan 27];(87):e50992. http://www.jove.com/video/50992/diagnosis-neoplasia-barretts-esophagus-using-vital-dye-enhanced

  22. Roblyer D, Richards-Kortum R, Sokolov K, El-Naggar AK, Williams MD, Kurachi C, et al. Multispectral optical imaging device for in vivo detection of oral neoplasia. J Biomed Opt [Internet]. [cited 2015 Jan 27];13(2):024019. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3970814&tool=pmcentrez&rendertype=abstract

  23. Neumann H, Fuchs FS, Vieth M, Atreya R, Siebler J, Kiesslich R, et al. Review article: in vivo imaging by endocytoscopy. Aliment Pharmacol Ther [Internet]. 2011 [cited 2015 Jan 28];33(11):1183–93. http://www.ncbi.nlm.nih.gov/pubmed/21457290

    Google Scholar 

  24. Kumagai Y, Kawada K, Yamazaki S, Iida M, Momma K, Odajima H, et al. Endocytoscopic observation for esophageal squamous cell carcinoma: can biopsy histology be omitted? Dis Esophagus [Internet]. 2009 [cited 2015 Mar 4];22(6):505–12. http://www.ncbi.nlm.nih.gov/pubmed/19302209

  25. Minami H, Inoue H, Yokoyama A, Ikeda H, Satodate H, Hamatani S, et al. Recent advancement of observing living cells in the esophagus using CM double staining: endocytoscopic atypia classification. Dis Esophagus [Internet]. 2012 [cited 2015 Jan 27];25(3):235–41. http://www.ncbi.nlm.nih.gov/pubmed/21895852

    Google Scholar 

  26. Tomizawa Y, Iyer PG, Wongkeesong LM, Buttar NS, Lutzke LS, Wu T-T, et al. Assessment of the diagnostic performance and interobserver variability of endocytoscopy in Barrett’s esophagus: a pilot ex-vivo study. World J Gastroenterol [Internet]. 2013 [cited 2015 Jan 27];19(46):8652–8. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3870511&tool=pmcentrez&rendertype=abstract

  27. Fortun PJ, Anagnostopoulos GK, Kaye P, James M, Foley S, Samuel S, et al. Acetic acid-enhanced magnification endoscopy in the diagnosis of specialized intestinal metaplasia, dysplasia and early cancer in Barrett’s oesophagus. Aliment Pharmacol Ther [Internet]. 2006 [cited 2015 Jan 28];23(6):735–42. http://www.ncbi.nlm.nih.gov/pubmed/16556175

    Google Scholar 

  28. Longcroft-Wheaton G, Duku M, Mead R, Poller D, Bhandari P. Acetic acid spray is an effective tool for the endoscopic detection of neoplasia in patients with Barrett’s esophagus. Clin Gastroenterol Hepatol [Internet]. 2010 [cited 2015 Jan 28];8(10):843–7. http://www.cghjournal.org/article/S1542356510006609/fulltext

    Google Scholar 

  29. Bhandari P, Kandaswamy P, Cowlishaw D, Longcroft-Wheaton G. Acetic acid-enhanced chromoendoscopy is more cost-effective than protocol-guided biopsies in a high-risk Barrett’s population. Dis Esophagus [Internet]. 2012 [cited 2015 Jan 28];25(5):386–92. http://www.ncbi.nlm.nih.gov/pubmed/21981061

    Google Scholar 

  30. Thekkek N, Maru DM, Polydorides AD, Bhutani MS, Anandasabapathy S, Richards-Kortum R. Pre-clinical evaluation of fluorescent deoxyglucose as a topical contrast agent for the detection of Barrett’s-associated neoplasia during confocal imaging. Technol Cancer Res Treat [Internet]. 2011 [cited 2015 Jan 25];10(5):431–41. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3193280&tool=pmcentrez&rendertype=abstract

  31. Sturm MB, Joshi BP, Lu S, Piraka C, Khondee S, Elmunzer BJ, et al. Targeted imaging of esophageal neoplasia with a fluorescently labeled peptide: first-in-human results. Sci Transl Med [Internet]. 2013 [cited 2015 Jan 8];5(184):184ra61. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3859345&tool=pmcentrez&rendertype=abstract

  32. Choi KS, Suh M. Screening for gastric cancer: the usefulness of endoscopy. Clin Endosc [Internet]. 2014 [cited 2015 Jan 29];47(6):490–6. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4260095&tool=pmcentrez&rendertype=abstract

  33. Guo Y-T, Li Y-Q, Yu T, Zhang T-G, Zhang J-N, Liu H, et al. Diagnosis of gastric intestinal metaplasia with confocal laser endomicroscopy in vivo: a prospective study. Endoscopy [Internet]. 2008 [cited 2015 Jan 25];40(7):547–53. http://www.ncbi.nlm.nih.gov/pubmed/18618938

    Google Scholar 

  34. Zhang J-N, Li Y-Q, Zhao Y-A, Yu T, Zhang J-P, Guo Y-T, et al. Classification of gastric pit patterns by confocal endomicroscopy. Gastrointest Endosc [Internet]. 2008 [cited 2015 Jan 25];67(6):843–53. http://www.ncbi.nlm.nih.gov/pubmed/18440377

    Google Scholar 

  35. Ji R, Li Y-Q, Gu X-M, Yu T, Zuo X-L, Zhou C-J. Confocal laser endomicroscopy for diagnosis of Helicobacter pylori infection: a prospective study. J Gastroenterol Hepatol [Internet]. 2010 [cited 2015 Jan 25];25(4):700–5. http://www.ncbi.nlm.nih.gov/pubmed/20492325

    Google Scholar 

  36. Wang P, Ji R, Yu T, Zuo X-L, Zhou C-J, Li C-Q, et al. Classification of histological severity of Helicobacter pylori-associated gastritis by confocal laser endomicroscopy. World J Gastroenterol [Internet]. 2010 [cited 2015 Jan 25];16(41):5203–10. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2975091&tool=pmcentrez&rendertype=abstract

  37. Lim LG, Yeoh KG, Srivastava S, Chan YH, Teh M, Ho KY. Comparison of probe-based confocal endomicroscopy with virtual chromoendoscopy and white-light endoscopy for diagnosis of gastric intestinal metaplasia. Surg Endosc [Internet]. 2013 [cited 2015 Jan 25];27(12):4649–55. http://www.ncbi.nlm.nih.gov/pubmed/23892761

    Google Scholar 

  38. Li Z, Zuo X-L, Yu T, Gu X-M, Zhou C-J, Li C-Q, et al. Confocal laser endomicroscopy for in vivo detection of gastric intestinal metaplasia: a randomized controlled trial. Endoscopy [Internet]. 2014 [cited 2015 Jan 30];46(4):282–90. http://www.ncbi.nlm.nih.gov/pubmed/24473908

    Google Scholar 

  39. Li W-B, Zuo X-L, Zuo F, Gu X-M, Yu T, Zhao Y-A, et al. Characterization and identification of gastric hyperplastic polyps and adenomas by confocal laser endomicroscopy. Surg Endosc [Internet]. 2010 [cited 2015 Jan 25];24(3):517–24. http://www.ncbi.nlm.nih.gov/pubmed/19597774

    Google Scholar 

  40. Li W-B, Zuo X-L, Li C-Q, Zuo F, Gu X-M, Yu T, et al. Diagnostic value of confocal laser endomicroscopy for gastric superficial cancerous lesions. Gut [Internet]. 2011 [cited 2015 Jan 25];60(3):299–306. http://www.ncbi.nlm.nih.gov/pubmed/21193460

    Google Scholar 

  41. Jeon SR, Cho WY, Jin SY, Cheon YK, Choi SR, Cho JY. Optical biopsies by confocal endomicroscopy prevent additive endoscopic biopsies before endoscopic submucosal dissection in gastric epithelial neoplasias: a prospective, comparative study. Gastrointest Endosc [Internet]. 2011 [cited 2015 Jan 25];74(4):772–80. http://www.giejournal.org/article/S0016510711016646/fulltext

    Google Scholar 

  42. Sakai Y, Eto R, Kasanuki J, Kondo F, Kato K, Arai M, et al. Chromoendoscopy with indigo carmine dye added to acetic acid in the diagnosis of gastric neoplasia: a prospective comparative study. Gastrointest Endosc [Internet]. 2008 [cited 2015 Feb 5];68(4):635–41. http://www.ncbi.nlm.nih.gov/pubmed/18561923

    Google Scholar 

  43. Lee BE, Kim GH, Park DY, Kim DH, Jeon TY, Park SB, et al. Acetic acid-indigo carmine chromoendoscopy for delineating early gastric cancers: its usefulness according to histological type. BMC Gastroenterol [Internet]. 2010 [cited 2015 Feb 2];10(1):97. http://www.biomedcentral.com/1471-230X/10/97

  44. Eberl T, Jechart G, Probst A, Golczyk M, Bittinger M, Scheubel R, et al. Can an endocytoscope system (ECS) predict histology in neoplastic lesions? Endoscopy [Internet]. 2007 [cited 2015 Jan 27];39(6):497–501. http://www.ncbi.nlm.nih.gov/pubmed/17554643

  45. Recognition of goblet cells upon endocytoscopy indicates the presence of gastric intestinal metaplasia [Internet]. [cited 2015 Feb 2]. file:///Users/katalinbanki/Downloads/540ecdb40cf2d8daaacdccb1.pdf

    Google Scholar 

  46. Kaise M, Ohkura Y, Iizuka T, Kimura R, Nomura K, Kuribayashi Y, Yamada A, Yamashita S, Furuhata T, Kikuchi D, Ogawa O, Matsui A, Mitani T, Hoteya S. Endocytoscopy is a promising modality with high diagnostic accuracy for gastric cancer. Endoscopy [Internet]. 2015 [cited 2015 Jan 28];47:19–25. file:///Users/katalinbanki/Desktop/In Vivo Agents Chapter - Papers/endocyscopy gastric.pdf

    Google Scholar 

  47. Li Z, Zuo XL, Li CQ, Zhou CJ, Liu J, Goetz M, et al. In vivo molecular imaging of gastric cancer by targeting MG7 antigen with confocal laser endomicroscopy. Endoscopy [Internet]. 2013 [cited 2015 Jan 25];45(2):79–85. http://www.ncbi.nlm.nih.gov/pubmed/23364839

    Google Scholar 

  48. Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol [Internet]. The American College of Gastroenterology; 2006 [cited 2015 Jan 25];101(2):343–50. http://dx.doi.org/10.1111/j.1572-0241.2006.00390.x

  49. Tung SY, Wu CS, Su MY. Magnifying colonoscopy in differentiating neoplastic from nonneoplastic colorectal lesions. Am J Gastroenterol [Internet]. 2001 [cited 2015 Feb 8];96(9):2628–32. http://www.ncbi.nlm.nih.gov/pubmed/11569686

    Google Scholar 

  50. Hurlstone DP, Cross SS, Adam I, Shorthouse AJ, Brown S, Sanders DS, et al. Efficacy of high magnification chromoscopic colonoscopy for the diagnosis of neoplasia in flat and depressed lesions of the colorectum: a prospective analysis. Gut [Internet]. 2004 [cited 2015 Feb 8];53(2):284–90. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1774917&tool=pmcentrez&rendertype=abstract

  51. Ichimasa K, Kudo S, Mori Y, Wakamura K, Ikehara N, Kutsukawa M, et al. Double staining with crystal violet and methylene blue is appropriate for colonic endocytoscopy: an in vivo prospective pilot study. Dig Endosc [Internet]. 2014 [cited 2015 Jan 27];26(3):403–8. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4232925&tool=pmcentrez&rendertype=abstract

  52. Kudo S-E, Wakamura K, Ikehara N, Mori Y, Inoue H, Hamatani S. Diagnosis of colorectal lesions with a novel endocytoscopic classification—a pilot study. Endoscopy [Internet]. 2011 [cited 2015 Jan 27];43(10):869–75. http://www.ncbi.nlm.nih.gov/pubmed/21837586

    Google Scholar 

  53. Mori Y, Kudo S, Ikehara N, Wakamura K, Wada Y, Kutsukawa M, et al. Comprehensive diagnostic ability of endocytoscopy compared with biopsy for colorectal neoplasms: a prospective randomized noninferiority trial. Endoscopy [Internet]. 2013 [cited 2015 Feb 8];45(2):98–105. http://www.ncbi.nlm.nih.gov/pubmed/23307149

  54. Kudo S, Mori Y, Wakamura K, Ikehara N, Ichimasa K, Wada Y, et al. Endocytoscopy can provide additional diagnostic ability to magnifying chromoendoscopy for colorectal neoplasms. J Gastroenterol Hepatol [Internet]. 2014 [cited 2015 Feb 8];29(1):83–90. http://www.ncbi.nlm.nih.gov/pubmed/23980563

    Google Scholar 

  55. Mori Y, Kudo S-E, Wakamura K, Misawa M, Ogawa Y, Kutsukawa M, et al. Novel computer-aided diagnostic system for colorectal lesions by using endocytoscopy (with videos). Gastrointest Endosc [Internet]. 2014 [cited 2015 Feb 8]. http://www.sciencedirect.com/science/article/pii/S0016510714021713

  56. Kiesslich R, Burg J, Vieth M, Gnaendiger J, Enders M, Delaney P, et al. Confocal laser endoscopy for diagnosing intraepithelial neoplasias and colorectal cancer in vivo. Gastroenterology [Internet]. 2004 [cited 2015 Jan 25];127(3):706–13. http://www.ncbi.nlm.nih.gov/pubmed/15362025

    Google Scholar 

  57. Sanduleanu S, Driessen A, Gomez-Garcia E, Hameeteman W, de Bruïne A, Masclee A. In vivo diagnosis and classification of colorectal neoplasia by chromoendoscopy-guided confocal laser endomicroscopy. Clin Gastroenterol Hepatol [Internet]. 2010 [cited 2015 Jan 25];8(4):371–8. http://www.cghjournal.org/article/S1542356509007630/fulltext

    Google Scholar 

  58. Shahid MW, Buchner AM, Coron E, Woodward TA, Raimondo M, Dekker E, et al. Diagnostic accuracy of probe-based confocal laser endomicroscopy in detecting residual colorectal neoplasia after EMR: a prospective study. Gastrointest Endosc [Internet]. 2012 [cited 2015 Jan 25];75(3):525–33. http://www.ncbi.nlm.nih.gov/pubmed/22051243

    Google Scholar 

  59. Wang TD, Friedland S, Sahbaie P, Soetikno R, Hsiung P-L, Liu JTC, et al. Functional imaging of colonic mucosa with a fibered confocal microscope for real-time in vivo pathology. Clin Gastroenterol Hepatol [Internet]. 2007 [cited 2015 Jan 25];5(11):1300–5. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2104519&tool=pmcentrez&rendertype=abstract

  60. Hsiung P-L, Wang T. In vivo biomarkers for targeting colorectal neoplasms. Cancer Biomark [Internet]. 2008 [cited 2015 Jan 25];4(6):329–40. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3232019&tool=pmcentrez&rendertype=abstract

  61. Liu Z, Miller SJ, Joshi BP, Wang TD. In vivo targeting of colonic dysplasia on fluorescence endoscopy with near-infrared octapeptide. Gut [Internet]. 2013 [cited 2015 Jan 14];62(3):395–403. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3563943&tool=pmcentrez&rendertype=abstract

  62. Qiu Z, Liu Z, Duan X, Khondee S, Joshi B, Mandella MJ, et al. Targeted vertical cross-sectional imaging with handheld near-infrared dual axes confocal fluorescence endomicroscope. Biomed Opt Express [Internet]. 2013 [cited 2015 Feb 13];4(2):322–30. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3567718&tool=pmcentrez&rendertype=abstract

  63. Hsiung P-L, Hsiung P-L, Hardy J, Friedland S, Soetikno R, Du CB, et al. Detection of colonic dysplasia in vivo using a targeted heptapeptide and confocal microendoscopy. Nat Med [Internet]. 2008 [cited 2015 Jan 15];14(4):454–8. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3324975&tool=pmcentrez&rendertype=abstract

  64. Foersch S, Kiesslich R, Waldner MJ, Delaney P, Galle PR, Neurath MF, et al. Molecular imaging of VEGF in gastrointestinal cancer in vivo using confocal laser endomicroscopy. Gut [Internet]. 2010 [cited 2015 Feb 14];59(8):1046–55. http://www.ncbi.nlm.nih.gov/pubmed/20639250

    Google Scholar 

  65. Goetz M, Ziebart A, Foersch S, Vieth M, Waldner MJ, Delaney P, et al. In vivo molecular imaging of colorectal cancer with confocal endomicroscopy by targeting epidermal growth factor receptor. Gastroenterology [Internet]. 2010 [cited 2015 Jan 25];138(2):435–46. http://www.ncbi.nlm.nih.gov/pubmed/19852961

    Google Scholar 

  66. Parikh ND, Perl D, Lee MH, Shah B, Young Y, Chang SS, et al. In vivo diagnostic accuracy of high-resolution microendoscopy in differentiating neoplastic from non-neoplastic colorectal polyps: a prospective study. Am J Gastroenterol [Internet]. 2014 [cited 2015 Jan 25];109(1):68–75. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3947255&tool=pmcentrez&rendertype=abstract

  67. Chang SS, Shukla R, Polydorides AD, Vila PM, Lee M, Han H, et al. High resolution microendoscopy for classification of colorectal polyps. Endoscopy [Internet]. 2013 [cited 2015 Feb 14];45(7):553–9. http://www.ncbi.nlm.nih.gov/pubmed/23780842

    Google Scholar 

  68. Kessler WR, Imperiale TF, Klein RW, Wielage RC, Rex DK. A quantitative assessment of the risks and cost savings of forgoing histologic examination of diminutive polyps. Endoscopy [Internet]. 2011 [cited 2015 Feb 10];43(8):683–91. http://www.ncbi.nlm.nih.gov/pubmed/21623556

    Google Scholar 

  69. Neumann H, Günther C, Vieth M, Grauer M, Wittkopf N, Mudter J, et al. Confocal laser endomicroscopy for in vivo diagnosis of Clostridium difficile associated colitis—a pilot study. PLoS One [Internet]. 2013 [cited 2015 Feb 11];8(3):e58753. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3602426&tool=pmcentrez&rendertype=abstract

  70. Desai D, Desai N. Colorectal cancer surveillance in inflammatory bowel disease: a critical analysis. World J Gastrointest Endosc [Internet]. 2014 [cited 2015 Jan 25];6(11):541–8. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4231493&tool=pmcentrez&rendertype=abstract

  71. Subramanian V, Mannath J, Ragunath K, Hawkey CJ. Meta-analysis: the diagnostic yield of chromoendoscopy for detecting dysplasia in patients with colonic inflammatory bowel disease. Aliment Pharmacol Ther [Internet]. 2011 [cited 2015 Jan 25];33(3):304–12. http://www.ncbi.nlm.nih.gov/pubmed/21128987

    Google Scholar 

  72. De Palma GD, Rispo A. Confocal laser endomicroscopy in inflammatory bowel diseases: dream or reality? World J Gastroenterol [Internet]. 2013 [cited 2015 Jan 25];19(34):5593–7. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3769894&tool=pmcentrez&rendertype=abstract

  73. Liu J, Dlugosz A, Neumann H. Beyond white light endoscopy: the role of optical biopsy in inflammatory bowel disease. World J Gastroenterol [Internet]. 2013 [cited 2015 Jan 25];19(43):7544–51. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3837252&tool=pmcentrez&rendertype=abstract

  74. Li C-Q, Xie X-J, Yu T, Gu X-M, Zuo X-L, Zhou C-J, et al. Classification of inflammation activity in ulcerative colitis by confocal laser endomicroscopy. Am J Gastroenterol [Internet]. 2010 [cited 2015 Jan 25];105(6):1391–6. http://www.ncbi.nlm.nih.gov/pubmed/19935787

    Google Scholar 

  75. Neumann H, Vieth M, Atreya R, Grauer M, Siebler J, Bernatik T, et al. Assessment of Crohn’s disease activity by confocal laser endomicroscopy. Inflamm Bowel Dis [Internet]. 2012 [cited 2015 Jan 25];18(12):2261–9. http://www.ncbi.nlm.nih.gov/pubmed/22344873

    Google Scholar 

  76. Atreya R, Neumann H, Neufert C, Waldner MJ, Billmeier U, Zopf Y, et al. In vivo imaging using fluorescent antibodies to tumor necrosis factor predicts therapeutic response in Crohn’s disease. Nat Med [Internet]. 2014 [cited 2014 Nov 20];20(3):313–8. http://dx.doi.org/10.1038/nm.3462

    Google Scholar 

  77. Bessho R, Kanai T, Hosoe N, Kobayashi T, Takayama T, Inoue N, et al. Correlation between endocytoscopy and conventional histopathology in microstructural features of ulcerative colitis. J Gastroenterol [Internet]. 2011 [cited 2015 Feb 11];46(10):1197–202. http://www.ncbi.nlm.nih.gov/pubmed/21805068

    Google Scholar 

  78. Neumann H, Vieth M, Neurath MF, Atreya R. Endocytoscopy allows accurate in vivo differentiation of mucosal inflammatory cells in IBD: a pilot study. Inflamm Bowel Dis [Internet]. 2013 [cited 2015 Jan 25];19(2):356–62. http://www.ncbi.nlm.nih.gov/pubmed/22644957

    Google Scholar 

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Correspondence to Sharmila Anandasabapathy M.D. .

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Perl, D.P., Anandasabapathy, S. (2016). In Vivo Agents and Markers for Endomicroscopy. In: Konda, V., Waxman, I. (eds) Endoscopic Imaging Techniques and Tools. Springer, Cham. https://doi.org/10.1007/978-3-319-30053-5_9

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