Endoscopic Detection and Analysis of Mucosal Neoplastic Lesions: Enhanced Imaging and Tumor Morphology

  • Frieder Berr
  • Thierry Ponchon
  • Toshio UraokaEmail author


Endoscopic imaging techniques aim for detection of small (even minute) neoplasias and analysis of macroscopic type, microsurface structure, and capillary architecture. Magnifying image-enhanced endoscopy displays surface and capillary architecture of normal and neoplastic mucosa and allows highly accurate endoscopic diagnosis of margins, malignant transformation, and lack of deep submucosal invasion of early mucosal neoplasias, which is fundamental for curative endoscopic resection. This chapter introduces techniques and diagnostic analysis of image-enhanced endoscopy.


Endoscopic techniques, diagnostic Chromoendoscopy Narrow band imaging Image-enhanced endoscopy Mucosal neoplasias, Paris classification Microvessel pattern Microsurface pattern 



The contribution of cases or images by Dr. Hans-Peter Allgaier, Freiburg, Germany; Dr. Gerhard Kleber, Aalen, Germany; Dr. Tsuneo Oyama, Saku Central Hospital, Nagano, Japan; and Dr. Daniel Neureiter, University Institute of Pathology, Salzburg, Austria, is gratefully acknowledged.


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Copyright information

© Springer International Publishing 2019

Authors and Affiliations

  1. 1.Department of Internal Medicine I, Paracelsus Medical UniversitySalzburgAustria
  2. 2.Department of Digestive DiseasesHôpital Eduard HerriotLyonFrance
  3. 3.Department of Gastroenterology and HepatologyGunma University HospitalMaebashiJapan

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