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Correlation between magnifying narrow band imaging and histopathology in gastric protruding/or polypoid lesions: a pilot feasibility trial.
- Source :
-
BMC gastroenterology [BMC Gastroenterol] 2012 Feb 22; Vol. 12, pp. 17. Date of Electronic Publication: 2012 Feb 22. - Publication Year :
- 2012
-
Abstract
- Background: Several study showed usefulness of microscopic capillaries, seen by magnifying narrow band imaging (NBI) endoscopy for predicting histopathology among superficial depressed or flat elevated gastric neoplasia (GN). Here we assessed the diagnostic efficacy of magnifying NBI for predicting histopathology among gastric protruding/or polypoid lesions.<br />Methods: Using endoscopic pictures of magnifying NBI from 95 protruding/or polypoid lesions (19 fundic gland polyps: FGP, 47 hyperplastic polyps: HP, and 29 GN), fine mucosal patterns were classified into four categories: small round, prolonged, villous or ridge, and unclear patterns, and micro vascular patterns were classified into five categories: honey comb, dense vascular, fine net work, core vascular, and unclear patterns.<br />Results: Most suggestive micro vascular patterns for predicting FGP, and HP were honeycomb (sensitivity 94.7%, specificity 97.4%), and dense vascular patterns (sensitivity 93.6%, specificity 91.6%), respectively. Fine net work, core vascular, and unclear patterns presented higher specificity (97%, 100%, and 100%) for predicting GN, and diagnostic efficacy of combined of those patterns was favorable (sensitivity 86.2%, specificity 97.0%).<br />Conclusion: Micro vascular patterns by using magnifying NBI provides meaningful information for predicting the histopathology of gastric protruding/or polypoid lesions.
- Subjects :
- Adult
Aged
Diagnosis, Differential
Feasibility Studies
Female
Gastric Mucosa blood supply
Humans
Male
Middle Aged
Pilot Projects
Polyps classification
Polyps pathology
Predictive Value of Tests
Sensitivity and Specificity
Stomach Diseases classification
Stomach Diseases pathology
Stomach Neoplasms classification
Stomach Neoplasms pathology
Capillaries pathology
Diagnostic Imaging methods
Endoscopy methods
Gastric Mucosa pathology
Polyps diagnosis
Stomach Diseases diagnosis
Stomach Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1471-230X
- Volume :
- 12
- Database :
- MEDLINE
- Journal :
- BMC gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 22356674
- Full Text :
- https://doi.org/10.1186/1471-230X-12-17