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推进上消化道癌症检测:一项探索电阻抗光谱在内镜检查中潜力的单中心试点研究。

Advancing Upper Gastrointestinal Cancer Detection: A Single-Center Pilot Study Exploring the Potential of Electrical Impedance Spectroscopy in Endoscopic Procedures.

作者信息

Dowlatabad Hadi Mokhtari, Mahdavi Reihane, Miri Seyed Rouhollah, Fattahi Mohammad Reza, Ataee Hossein, Yousefpour Narges, Manoochehri Navid, Taslimi Reza, Abdolahad Mohammad

机构信息

Nano Bioelectronics Devices Lab (NBEL), Cancer Electronics Research Group, School of Electrical and Computer Engineering, Faculty of Engineering, University of Tehran, P.O. Box, Tehran, 14399-57131, Iran.

UT&TUMS Cancer Electronics Research Center, University of Tehran, P.O. Box: 14395/515, Tehran, Iran.

出版信息

Dig Dis Sci. 2025 Apr 5. doi: 10.1007/s10620-025-08983-3.

DOI:10.1007/s10620-025-08983-3
PMID:40186830
Abstract

PURPOSE

Early detection of GI cancer mass is of utmost importance due to the risks of misdiagnoses that occur through standard endoscopic evaluation.

METHODS

In this research, a real-time intra-endoscopic electrical diagnostic probe has been introduced to discriminate high-risk excision-required lesions utilizing a modified endoscopic biopsy forceps as a non-invasive method.

RESULTS

By testing on 52 patients who had undergone endoscopic biopsy with a total of 18 high-risk lesions, the invented device named Electrical Endoscopic Mass Characterizer (EEMC), showed %94.7 sensitivity, %93.9 specificity, and %94.2 accuracy (p < 0.01) based on histopathological evaluations of removed specimens as the gold standard.

CONCLUSIONS

EEMC can be utilized as a precise complementary device during endoscopic evaluation for improving the accuracy of early-stage GI cancer detection with no interruptions in the routine procedure.

摘要

目的

由于标准内镜评估存在误诊风险,早期发现胃肠道(GI)癌肿块至关重要。

方法

在本研究中,引入了一种实时内镜电诊断探头,以利用改良的内镜活检钳作为非侵入性方法来鉴别需要切除的高风险病变。

结果

通过对52例接受内镜活检的患者进行测试,共有18个高风险病变,以切除标本的组织病理学评估作为金标准,名为内镜电肿块特征仪(EEMC)的发明装置显示出94.7%的灵敏度、93.9%的特异性和94.2%的准确率(p < 0.01)。

结论

EEMC可在内镜评估期间用作精确的辅助设备,以提高早期胃肠道癌检测的准确性,且不干扰常规程序。

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本文引用的文献

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J Clin Med. 2024 Sep 29;13(19):5823. doi: 10.3390/jcm13195823.
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Quality indicators in esophagogastroduodenoscopy.食管胃十二指肠镜检查的质量指标
Clin Endosc. 2022 May;55(3):319-331. doi: 10.5946/ce.2022.094. Epub 2022 May 16.
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Intraradiological pathology-calibrated electrical impedance spectroscopy in the evaluation of excision-required breast lesions.在评估需要切除的乳腺病变时,进行放射科内病理校准的电阻抗光谱分析。
Med Phys. 2022 Apr;49(4):2746-2760. doi: 10.1002/mp.15481. Epub 2022 Feb 14.
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Intraoperative pathologically-calibrated diagnosis of lymph nodes involved by breast cancer cells based on electrical impedance spectroscopy; a prospective diagnostic human model study.基于电阻抗谱的术中病理校准诊断乳腺癌细胞累及的淋巴结:一项前瞻性诊断人体模型研究。
Int J Surg. 2021 Dec;96:106166. doi: 10.1016/j.ijsu.2021.106166. Epub 2021 Nov 9.
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Prevalence and risk factors of upper gastrointestinal cancers missed during endoscopy: a nationwide registry-based study.上消化道内镜检查漏诊的癌症的患病率和危险因素:一项基于全国登记的研究。
Endoscopy. 2022 Jul;54(7):653-660. doi: 10.1055/a-1675-4136. Epub 2021 Dec 16.
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Virtual Biopsy by Electrical Impedance Spectroscopy in Barrett's Carcinoma.食管腺癌的电阻抗谱虚拟活检。
J Gastrointest Cancer. 2022 Dec;53(4):948-957. doi: 10.1007/s12029-021-00703-0. Epub 2021 Sep 24.
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Global Burden of 5 Major Types of Gastrointestinal Cancer.全球 5 大常见胃肠道癌症负担
Gastroenterology. 2020 Jul;159(1):335-349.e15. doi: 10.1053/j.gastro.2020.02.068. Epub 2020 Apr 2.
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Recent advances in gastric cancer early diagnosis.胃癌早期诊断的最新进展。
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Biopsies in Gastrointestinal Endoscopy: When and How.胃肠内镜检查中的活检:时机与方法
GE Port J Gastroenterol. 2015 Sep 1;23(1):19-27. doi: 10.1016/j.jpge.2015.07.004. eCollection 2016 Jan-Feb.
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Upper gastrointestinal cancer in its early stages is predominantly asymptomatic.早期上消化道癌主要没有症状。
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