Suppr超能文献

在联动成像中早期胃癌与疑似癌的非癌黏膜之间的颜色差异。

Differences in color between early gastric cancer and cancer-suspected non-cancerous mucosa on linked color imaging.

作者信息

Kanzaki Hiromitsu, Kawahara Yoshiro, Satomi Takuya, Okanoue Shotaro, Hamada Kenta, Kono Yoshiyasu, Iwamuro Masaya, Kawano Seiji, Okada Hiroyuki

机构信息

Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.

Department of Practical Gastrointestinal Endoscopy, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

出版信息

Endosc Int Open. 2023 Jan 19;11(1):E90-E96. doi: 10.1055/a-1989-6643. eCollection 2023 Jan.

Abstract

Linked color imaging (LCI) can enhance the original color of each area and may useful to detect tumorous lesions during esophagogastroduodenoscopy. However, LCI may also enhance cancer-suspected non-cancerous regional color change. We conducted a retrospective image analysis to investigate the color characteristics of early gastric cancer (EGC) and cancer-suspected non-cancerous mucosa (CSM) in LCI. LCI images of both EGC and CSM were retrospectively collected from the database of the institution. Fifteen endoscopists individually judged each image as EGC or CSM. The color difference between the inside and outside of the lesions was measured by CIE-Lab analysis in both groups and compared. A total of 245 LCI images of EGC (169) and CSM (76) were extracted and randomly lined for image collection. The test by the endoscopists showed accuracy, sensitivity, and specificity of 64.0 %, 63.7 %, and 64.0 %, respectively. Although the color difference between EGC and CSM was almost the same (12.5 vs. 12.9, not significant), each parameter of ΔL (bright: -0.3 vs. -2.7,  < 0.001), Δa (Reddish: 7.2 vs. 9.6,  = 0.004), and Δb (Yellowish: 6.4 vs. 3.8,  < 0.001) was significantly different in the groups. The color feature of both positive ΔL and Δb to EGC showed accuracy, sensitivity, and specificity of 54.7 %, 39.6 %, 88.2%, respectively. The total color difference was almost the same between EGC and CSM; however, their color tones were different on linked color imaging. Although the color characteristics of EGC had high specificity, they also had low sensitivity.

摘要

联动成像(LCI)可增强各区域的原始颜色,可能有助于在食管胃十二指肠镜检查中检测肿瘤性病变。然而,LCI也可能增强疑似癌症的非癌区域的颜色变化。我们进行了一项回顾性图像分析,以研究LCI中早期胃癌(EGC)和疑似癌症的非癌黏膜(CSM)的颜色特征。从该机构的数据库中回顾性收集EGC和CSM的LCI图像。15名内镜医师分别将每张图像判断为EGC或CSM。两组均通过CIE-Lab分析测量病变内外的颜色差异并进行比较。共提取了245张EGC(169张)和CSM(76张)的LCI图像,并随机排列以进行图像采集。内镜医师的检测显示准确率、敏感性和特异性分别为64.0%、63.7%和64.0%。虽然EGC和CSM之间的颜色差异几乎相同(12.5对12.9,无显著性差异),但两组中ΔL(明亮度:-0.3对-2.7,P<0.001)、Δa(红色度:7.2对9.6,P=0.004)和Δb(黄色度:6.4对3.8,P<0.001)的各个参数存在显著差异。对于EGC,正ΔL和Δb的颜色特征显示准确率、敏感性和特异性分别为54.7%、39.6%、88.2%。EGC和CSM之间的总颜色差异几乎相同;然而,在联动成像中它们的色调不同。虽然EGC的颜色特征具有高特异性,但也具有低敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654c/9851807/5ad10c63d644/10-1055-a-1989-6643-i2707ei1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验