Dissemin is shutting down on January 1st, 2025

Published in

Wiley, Digestive Endoscopy, 4(35), p. 529-537, 2022

DOI: 10.1111/den.14480

Links

Tools

Export citation

Search in Google Scholar

Detection of colorectal adenomas with texture and color enhancement imaging: Multicenter observational study

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

Full text: Unavailable

Green circle
Preprint: archiving allowed
Orange circle
Postprint: archiving restricted
Red circle
Published version: archiving forbidden
Data provided by SHERPA/RoMEO

Abstract

ObjectivesWe aimed to evaluate the efficacy of texture and color enhancement imaging (TXI), which allows the acquisition of brighter images with enhanced color and surface structure in colorectal polyp detection compared to white light imaging.MethodsPatients who underwent colonoscopy with repeated ascending colon observation using TXI and white light imaging between August 2020 and January 2021 were identified in three institutions. The outcomes included the mean number of adenomas detected per procedure (MAP), adenoma detection rate (ADR), and ascending colonic adenoma miss rate (Ac‐AMR). Logistic regression was used to determine the effects of the variables on the outcomes.ResultsWe included 1043 lesions from 470 patients in the analysis. The MAP, ADR, flat polyp detection rate, and Ac‐AMR in TXI and white light imaging were 1.5% (95% confidence interval 1.3–1.6%) vs. 1.0% (0.9–1.1%), 58.2% (51.7–64.6%) vs. 46.8% (40.2–53.4%), 66.2% (59.8–72.2%) vs. 49.8% (43.2–56.4%), and 17.9% (12.1–25.2%) vs. 28.2% (20.0–37.6%), respectively. TXI, age, withdrawal time, and endoscopy type were identified as significant factors affecting the MAP and the ADR using multivariate regression analysis.ConclusionsOur study indicates that TXI improve the detection of colorectal neoplastic lesions. However, prospective randomized trials are required to confirm these findings.