Correlation of narrow band imaging vascular patterns with immunohistological microvessel density in vocal fold lesions

Rzepakowska, Anna; Žůrek, Michal; Grzybowski, Jakub; Pihowicz, Paweł; Górnicka, Barbara; Osuch‐Wójcikiewicz, Ewa; Niemczyk, Kazimierz

doi:10.1016/j.bjorl.2019.07.009

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…The comparability of the present work to previous studies in the field is low, as most of them used different endoscopic modalities, did not solely focus on vascular pattern changes, and applied other classification systems to categorize them [2,4,26]. The ELS classification system was proved reliable in recent studies on laryngeal lesions using image-enhancing techniques without CE [8,18,21]. Puxeddu et al used CE, mainly in combination with SPIES in different modi (Clara + Chroma to Spectra A and B), for the endoscopic diagnoses of laryngeal and hypopharyngeal lesions.…”

Section: Key Findings Of the Present Study In Relation To Previous Rementioning

confidence: 72%

“…As a result, nonspecific termini such as erythroplakia should be replaced through more precise descriptions of mucosal and vascular patterns [6], leading to increases in the accuracy and reproducibility of endoscopic diagnostics in preoperative and intraoperative settings [3,[16][17][18]. NBI, designed to enhance the visibility of superficial vessels, is established as the primary image-enhancing modality for the evaluation of vascular changes of the vocal folds [7,11,[19][20][21][22]. CE, introduced to laryngology through Andrea et al in the 1990s, has been combined with image-enhancing modalities such as autofluorescence as early as 2003 [9,23].…”

Section: Endoscopic Evaluation Of Vascular Patterns Of the Vocal Foldsmentioning

confidence: 99%

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Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy

Davaris

Lux

Esmaeili

et al. 2020

Cancers

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The endoscopic detection of perpendicular vascular changes (PVC) of the vocal folds has been associated with vocal fold cancer, dysplastic lesions, and papillomatosis, according to a classification proposed by the European Laryngological Society (ELS). The combination of contact endoscopy with narrow-band imaging (NBI-CE) allows intraoperatively a highly contrasted, real-time visualization of vascular changes of the vocal folds. Aim of the present study was to determine the association of PVC to specific histological diagnoses, the level of interobserver agreement in the detection of PVC, and their diagnostic effectiveness in diagnosing laryngeal malignancy. The evaluation of our data confirmed the association of PVC to vocal fold cancer, dysplastic lesions, and papillomatosis. The level of agreement between the observers in the identification of PVC was moderate for the less-experienced observers and almost perfect for the experienced observers. The identification of PVC during NBI-CE proved to be a valuable indicator for diagnosing malignant and premalignant lesions.

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Section: Key Findings Of the Present Study In Relation To Previous Rementioning

confidence: 72%

Section: Endoscopic Evaluation Of Vascular Patterns Of the Vocal Foldsmentioning

confidence: 99%

Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy

Davaris

Lux

Esmaeili

et al. 2020

Cancers

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“…Longitudinal pattern in these lesions may reflect the small extend of neo-angiogenesis in low-grade dysplasia. 8 Also, the umbrella effect of keratosis in leukoplakic lesions could limit the visualisation of vascular changes. 9 Among the falsepositive cases, one case with benign granular cell tumour and two cases with granulation tissue were associated with the perpendicular pattern.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of laryngeal vascular changes with image1 s enhancement system in reference to the European laryngological society guideline

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Büyükatalay

et al. 2021

Clinical Otolaryngology

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Objectives: To assess the feasibility of using Image1 S™ endoscopic enhancement system for discrimination of the vascular patterns in laryngeal lesions.Design: Forty patients presenting with benign, dysplastic and malignant laryngeal lesions were examined with Image1 S system. The vascular patterns were classified by a group of authors according to the European Laryngological Society (ELS) guideline, as perpendicular or longitudinal, in all lesions. The relationship between the vascular patterns and the pathological results was statistically analysed. Endoscopic images of the lesions were evaluated through an online survey by a group of otolaryngologists with different levels of clinical expertise and asked them to choose a diagnosis and a vascular pattern. The vascular pattern evaluations of the participants were compared to the authors' evaluations to determine the interobserver reliability. The final diagnostic judgements of the participants were compared with the definitive histopathological diagnoses.Setting: Tertiary university hospital.Participants: Forty patients with laryngeal lesions and thirty otolaryngologists with different clinical experience levels. Main outcome measures:The study evaluates the usefulness of the Image1 S system for the detecting the vascular patterns associated with benign, dysplastic, and malignant lesions and measures the level of accuracy and inter observer agreement in detecting the final histopathology.

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“…Since this review by Forster et al [ 111 ], the increase in MVD has been documented by an astonishing plethora of studies [ 99 , 100 , 102 , 106 , 112 , 113 , 114 , 115 , 116 , 117 ].…”

Section: The Endotheliummentioning

confidence: 99%

Precancerous Lesions of the Head and Neck Region and Their Stromal Aberrations: Piecemeal Data

Harris

Andl

2023

Cancers

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Head and neck squamous cell carcinomas (HNSCCs) develop through a series of precancerous stages from a pool of potentially malignant disorders (PMDs). Although we understand the genetic changes that lead to HNSCC, our understanding of the role of the stroma in the progression from precancer to cancer is limited. The stroma is the primary battleground between the forces that prevent and promote cancer growth. Targeting the stroma has yielded promising cancer therapies. However, the stroma at the precancerous stage of HNSCCs is poorly defined, and we may miss opportunities for chemopreventive interventions. PMDs already exhibit many features of the HNSCC stroma, such as inflammation, neovascularization, and immune suppression. Still, they do not induce cancer-associated fibroblasts or destroy the basal lamina, the stroma’s initial structure. Our review aims to summarize the current understanding of the transition from precancer to cancer stroma and how this knowledge can reveal opportunities and limitations for diagnostic, prognostic, and therapeutic decisions to benefit patients. We will discuss what may be needed to fulfill the promise of the precancerous stroma as a target to prevent progression to cancer.

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Correlation of narrow band imaging vascular patterns with immunohistological microvessel density in vocal fold lesions

Cited by 7 publications

References 26 publications

Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy

Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy

Evaluation of laryngeal vascular changes with image1 s enhancement system in reference to the European laryngological society guideline

Precancerous Lesions of the Head and Neck Region and Their Stromal Aberrations: Piecemeal Data

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