Narrow band imaging is a new technique in visualization of recurrent respiratory papillomatosis

Gi, Robin E. A. Tjon Pian; Halmos, György B.; Hemel, Bettien M. van; Heuvel, Edwin R. van den; Laan, Bernard F. A. M. van der; Plaat, Boudewijn E. C.; Dikkers, Frederik G.

doi:10.1002/lary.23344

Cited by 48 publications

(37 citation statements)

References 8 publications

(16 reference statements)

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“…The usefulness of NBI in the detection of recurrent respiratory papillomatosis was described by Tjon Pian Gi et al [13]. According to our results, the observation of not only the changes in the behavior of IPCL but also the structure of the epithelium surface, where, in most of the cases of papillomatosis, regular multiple papillae with vessels along the central axis of each papilla can be found, is the most important feature for distinguishing between papillomas and SCCs.…”

Section: Discussionsupporting

confidence: 73%

“…Neoangiogenesis followed by corresponding IPCL changes may occur not only in cancers but also in inflammation, wound healing, and so on [12]. NBI was proven to be a useful method for the diagnosis of recurrent respiratory papillomatosis [13]. Nevertheless, IPCL changes that are observable in papillomatosis can often mimic changes in the tumor and thus their recognition may be difficult [9].…”

Section: Introductionmentioning

confidence: 99%

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The Role of NBI HDTV Magnifying Endoscopy in the Prehistologic Diagnosis of Laryngeal Papillomatosis and Spinocellular Cancer

Lukeš

Zábrodský

Lukešová

et al. 2014

BioMed Research International

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Narrow band imaging (NBI) HDTV (high definition television) magnifying endoscopy is considered to be superior for the accurate display of the microvascular patterns of superficial mucosal lesions. Observation of changes in intraepithelial papillary capillary loops (IPCL) can help distinguish benign from malignant lesions as part of an “optical biopsy.” However, IPCL changes in papillomas may be mistaken for spinocellular cancer (SCC). The aim of the study was to determine whether observing microvascular changes alone is sufficient for discriminating between laryngeal SCC and papillomatosis. An additional aim was to identify associated characteristics that could clarify the diagnosis. The study included 109 patients with a suspected laryngeal tumor or papilloma. HDTV NBI magnifying endoscopy was performed during direct laryngoscopy. It was possible to visualize IPCL changes in 82 out of 109 patients (75.2%). In 71 (86.6%) patients, the diagnosis was correctly determined. In 4 (4.9%) cases, the diagnosis of SCC was expressed on the basis of finding pathologic IPCL, but histology did not demonstrate malignancy. To achieve a correct diagnosis using HDTV NBI magnifying endoscopy, it is important not only to observe changes in the shape of IPCL but also to note possible papillary structures with central-axis capillaries typical of papillomatosis.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

The Role of NBI HDTV Magnifying Endoscopy in the Prehistologic Diagnosis of Laryngeal Papillomatosis and Spinocellular Cancer

Lukeš

Zábrodský

Lukešová

et al. 2014

BioMed Research International

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“…protuberant or ulcerative lesions covered with necrotic tissue, or leukoplakia of unknown type); or (3) benign (types I to IV) (135). In the literature, there exist only a few publications on the exclusive use of NBI in laryngology (135)(136)(137)(138)(139)(140)(141)(142). However, several studies assessed the value of NBI in the head and neck also including the larynx (132,137,(143)(144)(145)(146)(147)(148).…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Mannelli

Cecconi

Gallo

2016

Critical Reviews in Oncology/Hematology

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Abstract.Background: Multi-step cancerogenesis guides laryngeal cancer onset and it includes a wide variety of pre-cancerous lesions that are macroscopically challenging to identify and distinguish from initial cancerous foci. Since the treatment of laryngeal cancer and its precursor lesions has a great impact on important laryngeal basic functions, early detection and preoperative assessment are important for a curative and function-preserving therapy. Nowadays, despite the high number of more advanced diagnostic techniques and methods, unfortunately, it is not uncommon for different clinicians to use different nomenclature or to identify different stage for the same laryngeal lesion. From these observations, it is obvious that an instrument offering the possibility to detect precancerous lesions, early cancerous lesions, and satellite foci or second primaries would be the key to improving management and outcome in laryngeal patients. Object. Different modalities of diagnostic techniques of laryngeal lesions exist. Rather than difference between benign and obvious malignant diseases, more difficult is to detect the presence of precancerous epithelial alterations. Not all tests achieve the same diagnostic accuracy, hence this meta-analysis of literature aimed to synthesize the validity of each single diagnostic technique in identifying and staging laryngeal disease. Methods: A systematic review of literature was led searching for articles mentioning the following terms including their various combinations to maximize the yield: larynx, laryngeal precancerous lesions, laryngeal cancer, white light (WL) endoscopy, stroboscopy, contact endoscopy (CE), autofluorescence (AF), ultrasound (US), narrow band imaging (NBI), computed axial tomography (CAT), magnetic resonance imaging (MRI), positron emission tomography (PET), CAT/PET. Then, a quantitative analysis was carried on for paper published after 2005 onward, reporting a minumun series of 10 patients each study, declaring sensitivity and specificity of each diagnostic system. Results: The search identified 7215 publications, of which 3616 published after 2005, with a final results of a total of 214 articles stratified and included by our selection criteria. 42 out of 214 articles were selected for quantitative synthesis. 25 out of 41 studies had a quality score of ≥ 6 (good), 16 presented a score between 4 and 5 (fair). While objections can be raised about the pooling of different diagnostic procedures under the same group and the high level of heterogeneity in the meta-analyses, the inclusion of over 4400 laryngeal lesions makes the results fairly robust. Conclusions: A comprehensive overview of the most recent advances in laryngeal imaging technology combined with all of the information needed to interpret findings and successfully manage patients with voice disorders can be found herein. With these data, clinicians can riskstratify patients and select proper examination modalities in order to provide appropriate care. Moreover, study limitations, together with p...

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“…In addition to aiding in the diagnosis and treatment of laryngeal malignancies, NBI has also been shown to be a useful adjunct in the management of recurrent respiratory papillomatosis. 88,89 COMPUTED TOMOGRAPHY, MRI, PET, AND ULTRASOUND Accurate determination of the disease stage is essential to delineating treatment options and choosing the best therapeutic strategy for the patient. Diagnostic imaging modalities are helpful in the clinical staging of glottic malignancies and can determine if there is involvement of deep structures, such as the anterior commissure, thyroid cartilage, or paraglottic space, and identify any suspicious nodal enlargement.…”

Section: Narrow Band Imagingmentioning

confidence: 99%

Role of Advanced Laryngeal Imaging in Glottic Cancer

Tibbetts¹,

Tan²

2015

Otolaryngologic Clinics of North America

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Narrow band imaging is a new technique in visualization of recurrent respiratory papillomatosis

Abstract: NBI is an additional diagnostic tool in increasing the sensitivity of visualizing papillomata during microlaryngoscopy.

Cited by 48 publications

References 8 publications

The Role of NBI HDTV Magnifying Endoscopy in the Prehistologic Diagnosis of Laryngeal Papillomatosis and Spinocellular Cancer

The Role of NBI HDTV Magnifying Endoscopy in the Prehistologic Diagnosis of Laryngeal Papillomatosis and Spinocellular Cancer

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Role of Advanced Laryngeal Imaging in Glottic Cancer

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