Department of Gastroenterology, Lyell McEwin Hospital, Northern Adelaide Local Health Network, Elizabeth Vale 5031, South Australia, Australia.
Faculty of Health and Medical Sciences, University of Adelaide, Adelaide 5000, South Australia, Australia.
World J Gastroenterol. 2022 Dec 21;28(47):6632-6661. doi: 10.3748/wjg.v28.i47.6632.
An expanding range of advanced mucosal imaging technologies have been developed with the goal of improving the detection and characterization of lesions in the gastrointestinal tract. Many technologies have targeted colorectal neoplasia given the potential for intervention prior to the development of invasive cancer in the setting of widespread surveillance programs. Improvement in adenoma detection reduces miss rates and prevents interval cancer development. Advanced imaging technologies aim to enhance detection without significantly increasing procedural time. Accurate polyp characterisation guides resection techniques for larger polyps, as well as providing the platform for the "resect and discard" and "do not resect" strategies for small and diminutive polyps. This review aims to collate and summarise the evidence regarding these technologies to guide colonoscopic practice in both interventional and non-interventional endoscopists.
一系列先进的黏膜成像技术不断发展，其目标是提高胃肠道病变的检测和特征分析能力。鉴于在广泛的筛查项目中，存在在侵袭性癌症发生之前进行干预的可能性，因此许多技术都将目标对准了结直肠肿瘤。腺瘤检测的改善降低了漏诊率，并防止了间隔期癌症的发生。先进的成像技术旨在在不显著增加操作时间的情况下提高检测的准确性。准确的息肉特征分析指导较大息肉的切除技术，为小息肉和微小息肉提供了“切除和丢弃”和“不切除”策略的平台。本综述旨在收集和总结这些技术的证据，以指导介入和非介入内镜医生的结肠镜检查实践。
