Can we accurately diagnose minute gastric cancers (≤5 mm)? Chromoendoscopy (CE) vs magnifying endoscopy with narrow band imaging (M-NBI) View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-07-09

AUTHORS

Shoko Fujiwara, Kenshi Yao, Takashi Nagahama, K. Uchita, Takao Kanemitsu, Kozue Tsurumi, Noritaka Takatsu, Takashi Hisabe, Hiroshi Tanabe, Akinori Iwashita, Toshiyuki Matsui

ABSTRACT

Background Chromoendoscopy (CE) is relatively ineffective at identifying the cancer-specific morphological characteristics of minute gastric cancers less than or equal to 5 mm in diameter, and on its own is insufficient to make an accurate diagnosis. The aim of this study is to assess the diagnostic performance of magnifying endoscopy with narrow band imaging (M-NBI) for minute gastric cancers.MethodsThe minute cancer group comprised consecutive endoscopic submucosal dissection-resected minute gastric cancers histologically measured as no larger than 5 mm in diameter. The non-cancer group comprised consecutive non-cancer lesions no larger than 5 mm in diameter. The two groups were subject to retrospective analysis to evaluate the diagnostic ability (sensitivity, specificity, and diagnostic accuracy) and reproducibility of CE and M-NBI.ResultsThe results for CE versus M-NBI were as follows: sensitivity 43.7 % (95 % CI, 26.5–61.0 %) versus 78.0 % (95 % CI, 64.0–92.0 %); specificity 81.6 % (95 % CI, 72.6–90.6 %) versus 92.9 % (95 % CI, 87.0–98.9 %); and diagnostic accuracy 69.9 % (95 % CI, 61.0–78.6 %) versus 88.3 % (95 % CI, 82.0–94.5 %). The sensitivity and diagnostic accuracy were, therefore, significantly higher for M-NBI than for CE. The inter-observer variability was κ = 0.08 for CE and κ = 0.56 for M-NBI, while the intra-observer variability was κ = 0.38 and κ = 0.65, respectively.ConclusionsM-NBI has greater sensitivity and reproducibility than CE for the diagnosis of minute gastric cancers. More... »

PAGES

590-596

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10120-014-0399-2

DOI

http://dx.doi.org/10.1007/s10120-014-0399-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1030555818

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25005559


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