Suppr超能文献

利用纹理和颜色增强成像对胃底腺黏膜谱系胃上皮肿瘤进行可视性评估。

Visibility evaluation of gastric epithelial neoplasm of fundic gland mucosa lineage using texture and color enhancement imaging.

作者信息

Utsunomiya Hisanori, Ueyama Hiroya, Takeda Tsutomu, Nakamura Shunsuke, Uemura Yasuko, Iwano Tomoyo, Yamamoto Momoko, Uchida Ryota, Abe Daiki, Oki Shotaro, Suzuki Nobuyuki, Ikeda Atsushi, Akazawa Yoichi, Ueda Kumiko, Hojo Mariko, Nojiri Shuko, Yao Takashi, Nagahara Akihito

机构信息

Department of Gastroenterology Juntendo University School of Medicine Tokyo Japan.

Medical Technology Innovation Center Juntendo University School of Medicine Tokyo Japan.

出版信息

DEN Open. 2025 Apr 8;5(1):e70110. doi: 10.1002/deo2.70110. eCollection 2025 Apr.

Abstract

OBJECTIVES

Recently, the incidence of Helicobacter pylori-uninfected gastric cancers, such as gastric epithelial neoplasm of fundic-gland mucosa lineage (GEN-FGML), has increased with the widespread use of eradication therapy. Because the detection and endoscopic diagnosis of GEN-FGML are difficult, an effective observation method in screening endoscopy is required. We investigated whether texture and color enhancement imaging (TXI) improved the visibility of GEN-FGML compared with white light imaging (WLI).

METHODS

In this single-center prospective clinical study, 50 GEN-FGML lesions (35 patients) treated at our hospital between October 2020 and June 2023 were analyzed. The endoscopic images of GEN-FGML obtained using WLI, TXI mode 1 (TXI-1), TXI mode 2 (TXI-2), and narrow-band imaging were compared by 10 endoscopists. We analyzed the visibility score and inter-rater reliability (intraclass correlation coefficient and conducted an objective evaluation based on color values and the color difference (Δ) in the CIE LAB color space system.

RESULTS

Histologically, GEN-FGML was classified as gastric adenocarcinoma of fundic-gland type ( = 45) and gastric adenocarcinoma of fundic-gland mucosa type ( = 5). The total visibility score for all endoscopists was significantly higher for TXI than for WLI ( < 0.01); and for TXI-1 than for TXI-2 ( < 0.01). The intraclass correlation coefficients for TXI-1 and TXI-2 were "almost perfect" and "substantial," respectively, for all endoscopists. Δ was significantly higher for TXI than for WLI ( < 0.01).

CONCLUSIONS

TXI improved the visibility of GEN-FGML for all endoscopists compared with WLI when evaluated subjectively and objectively.

摘要

目的

近年来,随着根除治疗的广泛应用,幽门螺杆菌未感染的胃癌发病率有所上升,如胃底腺黏膜谱系的胃上皮性肿瘤(GEN-FGML)。由于GEN-FGML的检测和内镜诊断较为困难,因此在筛查内镜检查中需要一种有效的观察方法。我们研究了纹理和颜色增强成像(TXI)与白光成像(WLI)相比,是否能提高GEN-FGML的可视性。

方法

在这项单中心前瞻性临床研究中,分析了2020年10月至2023年6月期间在我院接受治疗的50例GEN-FGML病变(35例患者)。10位内镜医师对使用WLI、TXI模式1(TXI-1)、TXI模式2(TXI-2)和窄带成像获得的GEN-FGML内镜图像进行了比较。我们分析了可视性评分和评分者间信度(组内相关系数),并基于CIE LAB颜色空间系统中的颜色值和色差(Δ)进行了客观评估。

结果

组织学上,GEN-FGML分为胃底腺型胃腺癌(n = 45)和胃底腺黏膜型胃腺癌(n = 5)。所有内镜医师对TXI的总可视性评分显著高于WLI(P < 0.01);对TXI-1的评分高于TXI-2(P < 0.01)。所有内镜医师对TXI-1和TXI-2的组内相关系数分别为“几乎完美”和“高度一致”。TXI的Δ显著高于WLI(P < 0.01)。

结论

在主观和客观评估中,与WLI相比,TXI提高了所有内镜医师对GEN-FGML的可视性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0061/11977659/be21ba535f38/DEO2-5-e70110-g003.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