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联合彩色成像和蓝光成像在浅表性结直肠肿瘤筛查、诊断及治疗中的临床应用

Clinical Applications of Linked Color Imaging and Blue Laser/Light Imaging in the Screening, Diagnosis, and Treatment of Superficial Colorectal Tumors.

作者信息

Sakamoto Taku, Cho Hourin, Saito Yutaka

机构信息

Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.

出版信息

Clin Endosc. 2021 Jul;54(4):488-493. doi: 10.5946/ce.2021.157. Epub 2021 Jul 14.


DOI:10.5946/ce.2021.157
PMID:34261208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8357597/
Abstract

Considering its contribution to reducing colorectal cancer morbidity and mortality, the most important task of colonoscopy is to find all existing polyps. Moreover, the accurate detection of existing polyps determines the risk of colorectal cancer morbidity and is an important factor in deciding the appropriate surveillance program for patients. Image-enhanced endoscopy is an easy-to-use modality with improved lesion detection. Linked color imaging (LCI) and blue laser/light imaging (BLI) are useful modalities for improving colonoscopy quality. Each mode has unique optical features; therefore, their intended use differs. LCI contributes to improved polyp detection due to its brightness and high color contrast between the lesion and normal mucosa, while BLI contributes to the characterization of detected polyps by evaluating the vessel and surface patterns of detected lesions. The proper use of these observation modes allows for more efficient endoscopic diagnosis. Moreover, recent developments in artificial intelligence will soon change the clinical practice of colonoscopy and this system will provide an efficient education modality for novice endoscopists.

摘要

考虑到结肠镜检查对降低结直肠癌发病率和死亡率的贡献,其最重要的任务是发现所有现存的息肉。此外,准确检测现存息肉可确定结直肠癌发病风险,并且是决定患者适当监测方案的重要因素。图像增强内镜检查是一种易于使用且能改善病变检测的方式。联动成像(LCI)和蓝光激光/光成像(BLI)是提高结肠镜检查质量的有用方式。每种模式都有独特的光学特征;因此,它们的预期用途有所不同。LCI因其亮度以及病变与正常黏膜之间的高颜色对比度而有助于改善息肉检测,而BLI则通过评估检测到的病变的血管和表面模式来有助于对检测到的息肉进行特征描述。正确使用这些观察模式可实现更高效的内镜诊断。此外,人工智能的最新进展将很快改变结肠镜检查的临床实践,并且该系统将为新手内镜医师提供一种高效的教育方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/33a2cf8ad28a/ce-2021-157f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/303452133a33/ce-2021-157f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/93aa1e76fcae/ce-2021-157f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/a0bad2993142/ce-2021-157f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/33a2cf8ad28a/ce-2021-157f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/303452133a33/ce-2021-157f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/93aa1e76fcae/ce-2021-157f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/a0bad2993142/ce-2021-157f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc8/8357597/33a2cf8ad28a/ce-2021-157f4.jpg

相似文献

[1]
Clinical Applications of Linked Color Imaging and Blue Laser/Light Imaging in the Screening, Diagnosis, and Treatment of Superficial Colorectal Tumors.

Clin Endosc. 2021-7

[2]
Comparison of LED and LASER Colonoscopy About Linked Color Imaging and Blue Laser/Light Imaging of Colorectal Tumors in a Multinational Study.

Dig Dis Sci. 2023-10

[3]
Comparison Between Linked Color Imaging and Blue Laser Imaging for Improving the Visibility of Flat Colorectal Polyps: A Multicenter Pilot Study.

Dig Dis Sci. 2019-11-14

[4]
Evaluation of blue laser endoscopy for detecting colorectal non-pedunculated adenoma.

Arab J Gastroenterol. 2021-6

[5]
Linked-color imaging improves endoscopic visibility of colorectal nongranular flat lesions.

Gastrointest Endosc. 2017-2-11

[6]
Evaluation of the impact of linked color imaging for improving the visibility of colonic polyp.

Oncol Lett. 2019-11

[7]
Blue Laser Imaging, Blue Light Imaging, and Linked Color Imaging for the Detection and Characterization of Colorectal Tumors.

Gut Liver. 2019-3-15

[8]
Linked color imaging enhances endoscopic detection of sessile serrated adenoma/polyps.

Endosc Int Open. 2018-3

[9]
Colon polyp detection using linked color imaging compared to white light imaging: Systematic review and meta-analysis.

Dig Endosc. 2020-9

[10]
Objective evaluation of the visibility of colorectal lesions using eye tracking.

Dig Endosc. 2019-4-8

引用本文的文献

[1]
Texture and Color Enhanced Imaging in the Diagnosis of Colonic Neoplasia: A Systematic Review and Analysis.

JGH Open. 2025-8-17

[2]
Improvement of Colonoscopic Image Quality Using a New LED Endoscopic System with Specialized Noise Reduction.

Diagnostics (Basel). 2025-6-19

[3]
Classification of image-enhanced endoscopy in colon tumors.

Clin Endosc. 2025-5

[4]
Linked-color imaging with or without artificial intelligence for adenoma detection: a randomized trial.

Endoscopy. 2024-5

[5]
The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Infection: A Systematic Review and Meta-Analysis.

Gut Liver. 2024-5-15

[6]
Comparison of LED and LASER Colonoscopy About Linked Color Imaging and Blue Laser/Light Imaging of Colorectal Tumors in a Multinational Study.

Dig Dis Sci. 2023-10

[7]
Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials.

Clin Endosc. 2023-9

[8]
Role of linked color imaging for upper gastrointestinal disease: present and future.

Clin Endosc. 2023-9

[9]
Linked color imaging improves the diagnostic accuracy of eosinophilic esophagitis.

DEN Open. 2022-7-25

本文引用的文献

[1]
External validation of blue light imaging (BLI) criteria for the optical characterization of colorectal polyps by endoscopy experts.

J Gastroenterol Hepatol. 2021-10

[2]
Linked colour imaging versus white-light colonoscopy for the detection of flat colorectal lesions: A randomized controlled trial.

Colorectal Dis. 2021-6

[3]
Performance of a new integrated computer-assisted system (CADe/CADx) for detection and characterization of colorectal neoplasia.

Endoscopy. 2022-2

[4]
Clinical Validation of BASIC Classification for the Resect and Discard Strategy for Diminutive Colorectal Polyps.

Clin Gastroenterol Hepatol. 2020-9

[5]
Colon polyp detection using linked color imaging compared to white light imaging: Systematic review and meta-analysis.

Dig Endosc. 2020-9

[6]
Additional value of linked color imaging in colonoscopy: a retrospective study.

Endosc Int Open. 2019-11

[7]
A prospective randomized study of colonoscopy using blue laser imaging and white light imaging in detection and differentiation of colonic polyps.

Endosc Int Open. 2019-10

[8]
Efficacy of linked colour imaging in magnifying chromoendoscopy with crystal violet staining: a pilot study.

Int J Colorectal Dis. 2019-6-5

[9]
Optical diagnosis of colorectal polyps with Blue Light Imaging using a new international classification.

United European Gastroenterol J. 2019-1-6

[10]
Blue Laser Imaging, Blue Light Imaging, and Linked Color Imaging for the Detection and Characterization of Colorectal Tumors.

Gut Liver. 2019-3-15

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