Gastroenterology Department, Hospital da Senhora da Oliveira, Guimarães, Portugal; Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga/Guimarães, Portugal; ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal.
Gastroenterology Department, Hospital da Senhora da Oliveira, Guimarães, Portugal; Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga/Guimarães, Portugal; ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal.
Dig Liver Dis. 2019 Dec;51(12):1661-1664. doi: 10.1016/j.dld.2019.06.008. Epub 2019 Jul 4.
Small bowel capsule endoscopy (SBCE) is the reference standard tool for diagnosing small bowel bleeding (SBB). The "TOP 100", which performs an automatic selection of the 100 images that mostly likely contain abnormalities, emerged as a new functionality of the RAPID Reader® software in 2017.
To compare the concordance of findings between the standard reading (SR) and the use of TOP 100 in suspected SBB.
Retrospective study, including consecutive patients submitted to SBCE for suspected SBB. Two experienced readers performed SR and reported the most important findings. Another experienced reader, who was blinded to the SR results, reviewed all the SBCE videos using TOP 100 and reported the most important findings. The relevant findings were defined as the presence of high bleeding potential lesions (P2).
97 patients were included. The TOP 100 detected 81/97(83.5%) of the P2 lesions, in particular 64/67(95.5%) of the angioectasias and 17/30(56.7%) of the ulcers. The TOP 100 identified all sites of active bleeding (n = 9).
The TOP 100 identified all sites of active bleeding, as well as the vast majority of significant lesions (83.5%); in particular, it detected over 95% of the angioectasias. Although SR remains the reference standard in the SBCE review, these findings demonstrate that TOP 100 allows for a quick preview reading constituting an important asset in the identification of lesions that may require priority full review and intervention planning.
小肠胶囊内镜（SBCE）是诊断小肠出血（SBB）的参考标准工具。2017 年，RAPID 阅读器®软件推出了一项新功能“TOP 100”，可自动选择最有可能包含异常的 100 张图像。
比较标准阅读（SR）和在疑似 SBB 中使用 TOP 100 发现结果的一致性。
回顾性研究，纳入连续接受 SBCE 检查疑似 SBB 的患者。两名有经验的读者进行 SR 并报告最重要的发现。另一名经验丰富的读者在不知道 SR 结果的情况下使用 TOP 100 查看所有 SBCE 视频并报告最重要的发现。相关发现定义为存在高出血风险病变（P2）。
共纳入 97 例患者。TOP 100 检测到 81/97（83.5%）的 P2 病变，特别是 64/67（95.5%）的血管扩张和 17/30（56.7%）的溃疡。TOP 100 识别了所有活动出血部位（n=9）。
TOP 100 识别了所有活动出血部位，以及绝大多数重要病变（83.5%）；特别是，它检测到超过 95%的血管扩张。虽然 SR 仍然是 SBCE 审查的参考标准，但这些发现表明 TOP 100 允许快速预览阅读，这是识别可能需要优先全面审查和干预计划的病变的重要资产。
