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使用红色双色成像提高巴雷特食管中栅栏状血管的可视性：日本的一项回顾性横断面研究

Improved visibility of palisade vessels within Barrett's esophagus using red dichromatic imaging: a retrospective cross-sectional study in Japan.

作者信息

Ueda Chise, Tanaka Shinwa, Yoshizaki Tetsuya, Abe Hirofumi, Kinoshita Masato, Sakaguchi Hiroya, Takayama Hiroshi, Hori Hitomi, Ishida Ryosuke, Houki Shinya, Tanabe Hiroshi, Nishikawa Eri, Takao Madoka, Takao Toshitatsu, Morita Yoshinori, Toyonaga Takashi, Kodama Yuzo

机构信息

Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, Japan.

Tanaka Clinic, Hyogo, Japan.

出版信息

Clin Endosc. 2025 Mar;58(2):269-277. doi: 10.5946/ce.2024.122. Epub 2024 Nov 11.

DOI:10.5946/ce.2024.122
PMID:39722141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12001031/
Abstract

BACKGROUND/AIMS: Visualization of palisade vessels (PVs) in Barrett's esophagus is crucial for proper assessment. This study aimed to determine whether red dichromatic imaging (RDI) improves PV visibility compared with white-light imaging (WLI) and narrow-band imaging (NBI).

METHODS

Five expert and trainee endoscopists evaluated the PV visibility in Barrett's esophagus using WLI, NBI, and RDI on 66 images from 22 patients. Visibility was rated on a 4-point scale: 4, excellent; 3, good; 2, fair; and 1, poor. The color difference between the most recognizable PV spots and surrounding areas with undetectable blood vessels was also analyzed.

RESULTS

Mean visibility scores were 2.6±0.7, 2.3±0.6, and 3.4±0.4 for WLI, NBI, and RDI, respectively. The RDI scores were significantly higher than the WLI (p<0.001) and NBI (p<0.001) scores. These differences were recognized by trainees and expert endoscopists. Color differences in PVs were 7.74±4.96 (WLI), 10.43±5.09 (NBI), and 15.1±6.54 (RDI). The difference in RDI was significantly higher than that in WLI (p<0.001) and NBI (p=0.006).

CONCLUSIONS

RDI significantly improved PV visibility compared to WLI and NBI based on objective and subjective measures.

摘要

背景/目的：巴雷特食管中栅栏状血管（PVs）的可视化对于准确评估至关重要。本研究旨在确定与白光成像（WLI）和窄带成像（NBI）相比，红色双色成像（RDI）是否能提高PVs的可视性。

方法

五名专家和实习内镜医师使用WLI、NBI和RDI对来自22名患者的66张图像评估巴雷特食管中PVs的可视性。可视性按4分制评分：4分，优秀；3分，良好；2分，一般；1分，差。还分析了最易识别的PVs斑点与周围无血管区域之间的颜色差异。

结果

WLI、NBI和RDI的平均可视性评分分别为2.6±0.7、2.3±0.6和3.4±0.4。RDI评分显著高于WLI（p<0.001）和NBI（p<0.001）评分。实习医师和专家内镜医师均认识到了这些差异。PVs的颜色差异分别为7.74±4.96（WLI）、10.43±5.09（NBI）和15.1±6.54（RDI）。RDI的差异显著高于WLI（p<0.001）和NBI（p=0.006）。

结论

基于客观和主观测量，与WLI和NBI相比，RDI显著提高了PVs的可视性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/371d8d287578/ce-2024-122f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/24de4dbe7af6/ce-2024-122f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/34d04d6b9969/ce-2024-122f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/bb1eb7120970/ce-2024-122f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/371d8d287578/ce-2024-122f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/24de4dbe7af6/ce-2024-122f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/34d04d6b9969/ce-2024-122f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/bb1eb7120970/ce-2024-122f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/795a/12001031/371d8d287578/ce-2024-122f4.jpg

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本文引用的文献

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Therap Adv Gastroenterol. 2022 Sep 2;15:17562848221118302. doi: 10.1177/17562848221118302. eCollection 2022.
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Kyoto international consensus report on anatomy, pathophysiology and clinical significance of the gastro-oesophageal junction.京都胃食管连接部解剖、病理生理学和临床意义国际共识报告
Gut. 2022 Aug;71(8):1488-1514. doi: 10.1136/gutjnl-2022-327281. Epub 2022 Jun 20.
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Clinical Usefulness of Dual Red Imaging in Gastric Endoscopic Submucosal Dissection: A Pilot Study.
双红成像在胃内镜黏膜下剥离术中的临床应用：一项初步研究。
Clin Endosc. 2020 Jan;53(1):54-59. doi: 10.5946/ce.2019.065. Epub 2019 Sep 3.
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Haemostasis treatment using dual red imaging during endoscopic submucosal dissection: a multicentre, open-label, randomised controlled trial.内镜黏膜下剥离术中使用双红光成像的止血治疗：一项多中心、开放标签、随机对照试验。
BMJ Open Gastroenterol. 2019 Mar 30;6(1):e000275. doi: 10.1136/bmjgast-2019-000275. eCollection 2019.
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