Bombay Hospital Voice and Swallowing Centre, Bombay Hospital and Medical Research Centre, Mumbai, India.
J Laryngol Otol. 2024 Feb;138(2):203-207. doi: 10.1017/S0022215123001159. Epub 2023 Jun 19.
This study used the European Laryngeal Society (2016) and Ni (2011 and 2019) classifications for narrow-band imaging and correlated the findings with histopathology.
Retrospective analysis was conducted by retrieving data of patients who underwent micro-laryngoscopy for suspicious glottic lesions. The narrow-band imaging findings were classified using both classification systems. Retrieved histopathology report findings were correlated with narrow-band imaging data.
Using the European Laryngeal Society and Ni classifications, 37 (69.8 per cent) and 35 (66 per cent) patients, respectively, were suspected to have malignant lesions. Upon histopathology, 37 (69.8 per cent) lesions were malignant. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy using the European Laryngeal Society classification were 91.9 per cent, 81.3 per cent, 91.9 per cent, 81.3 per cent and 88.7 per cent, and using the Ni classification were 91.9 per cent, 93.8 per cent, 97.1 per cent, 83.3 per cent and 92.5 per cent, respectively.
The Ni classification had better specificity and accuracy. The European Laryngeal Society classification is simple to use and may serve as a useful screening tool. For optimum results, both European Laryngeal Society and Ni classifications may be used together, in that order.
本研究采用欧洲喉科学会（2016 年）和倪（2011 年和 2019 年）的窄带成像分类法，并将其结果与组织病理学相关联。
通过检索因疑似声门病变而行显微喉镜检查的患者数据，进行回顾性分析。使用两种分类系统对窄带成像结果进行分类。将获取的组织病理学报告结果与窄带成像数据相关联。
使用欧洲喉科学会和倪分类法，分别有 37 例（69.8%）和 35 例（66%）患者被怀疑患有恶性病变。经组织病理学检查，37 例（69.8%）病变为恶性。使用欧洲喉科学会分类法的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为 91.9%、81.3%、91.9%、81.3%和 88.7%，使用倪分类法的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为 91.9%、93.8%、97.1%、83.3%和 92.5%。
倪分类法具有更好的特异性和准确性。欧洲喉科学会分类法使用简单，可作为有用的筛查工具。为了获得最佳结果，可能需要依次使用欧洲喉科学会和倪分类法。
