Validation of a Simple Classification System for Endoscopic Diagnosis of Small Colorectal Polyps Using Narrow-Band Imaging

Hewett, David G.; Kaltenbach, Tonya; Sano, Yasushi; Tanaka, Shinji; Saunders, Brian P.; Ponchon, Thierry; Soetikno, Roy; Rex, Douglas K.

doi:10.1053/j.gastro.2012.05.006

Cited by 510 publications

(488 citation statements)

References 38 publications

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“…Whether HPs are precursors of SSA/P remains uncertain. Because the prevalence of SSA/P is much higher than TSA, SSA/P is the principal serrated precancerous lesion 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Endoscopic differentiation of SSA/P from HP is challenging 2 . For example, the NICE classification differentiates serrated lesions from conventional adenomas, but makes no attempt to differentiate SSA/P from HP endoscopically 2 .…”

Section: Introductionmentioning

confidence: 99%

“…For example, the NICE classification differentiates serrated lesions from conventional adenomas, but makes no attempt to differentiate SSA/P from HP endoscopically 2 . Recently, the WASP criteria have been validated for endoscopic differentiation of SSA/P from HP, but the success of these criteria in distinguishing HP from SSA/P among diminutive serrated lesions is uncertain 3 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps

Ponugoti

Odze

et al. 2017

Gastrointestinal Endoscopy

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“…Whether HPs are precursors of SSA/P remains uncertain. Because the prevalence of SSA/P is much higher than TSA, SSA/P is the principal serrated precancerous lesion 2 .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps

Ponugoti

Odze

et al. 2017

Gastrointestinal Endoscopy

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“…More recently, an international expert group for the diagnosis of colonic lesions has proposed the NBI International Colorectal Endoscopic (NICE) classification, based upon the evaluation of lesion color, vascularization and surface pattern [6]. This classification is suitable for NBI endoscopic evaluation, with or without use of magnification.…”

Section: Characterization Of Colonic Lesionsmentioning

confidence: 99%

“…The validity of NICE classification system in differentiating hyperplastic versus adenomatous polyps histology by using NBI without magnification has been reported (89% accuracy, 98% sensitivity, 95% NPV) [6]. Therefore, optical diagnosis of colorectal polyps according to NICE criteria has been proposed as a tool to guide therapeutic decisions and surveillance strategies in clinical practice.…”

Section: Characterization Of Colonic Lesionsmentioning

confidence: 99%

The Usefulness Of Narrow Band Imaging Endoscopy For The Real Time Characterization Of Colonic Lesions

Boeriu

Pascarenco

Brusnic

et al. 2016

Acta Medica Marisiensis

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Narrow band imaging represents a promising endoscopic technique which allows real time characterization of colonic lesions by assessment of mucosal and vascular patterns. Due to the ability to make an optical biopsy, NBI could become a useful tool in clinical decisions regarding therapy and surveillance. The aim of this paper is to review the current knowledge on the optical diagnosis of colonic lesions by using NBI endoscopy. We reviewed research articles, reviews and meta-analyses from the PubMed and MEDLINE containing relevant data in this field. The validity of endoscopic criteria for the differentiation of adenoma and hyperplastic polyps, as well as of invasive cancer, has been evaluated in recent studies. Based on the prediction of polyp histology, new potential cost saving strategies have been proposed. Many reports are focused on the accuracy of optical biopsy by using NBI for predicting colonoscopy surveillance intervals and adenomatous histology in diminutive polyps, according to the Preservation and Incorporation of Valuable Endoscopic Innovations statement. Optical diagnosis is still under evaluation, and cannot yet be endorsed in routine practice. The high level of performance achieved by expert endoscopists needs to be replicated in the community utilizing reliable and standardized endoscopic criteria. IntroductionThe development of advanced endoscopic techniques such as narrow band imaging endoscopy, with or without magnification, represents an important step in the improvement of characterization of colonic lesions by predicting underlying histology. This creates the possibility to adopt new strategies regarding therapy and surveillance in clinical practice. The potential benefits of the real time estimation of a polyp's histology during NBI endoscopy, so called "optical biopsy", are related to potentially decreasing total costs of colonoscopy by eliminating unnecessary biopsies and polypectomies. Recent reports have shown promising results in this field, but controversies remain. Concerns center upon a lack of standardization among different classification systems, variable inter-observer agreement, and lagging clinical acceptance.The aim of this paper is to assess the current knowledge on the optical diagnosis of colonic lesions by using NBI endoscopy. We reviewed research articles, reviews and meta-analyses published in the last eight years in the PubMed and MEDLINE databases for the following search terms: narrow band imaging endoscopy, colonic polyps, and colorectal neoplasia.

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Keys to Effective Performance of Resect and Discard NBI

Rex¹

2017

Comprehensive Atlas of High‐Resolution Endoscopy and Narrowband Imaging

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Validation of a Simple Classification System for Endoscopic Diagnosis of Small Colorectal Polyps Using Narrow-Band Imaging

Cited by 510 publications

References 38 publications

Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps

Prevalence of sessile serrated adenoma/polyp in hyperplastic-appearing diminutive rectosigmoid polyps

The Usefulness Of Narrow Band Imaging Endoscopy For The Real Time Characterization Of Colonic Lesions

Keys to Effective Performance of Resect and Discard NBI

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