Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007 |
Resumo: | Narrow-band imaging is an advanced imaging system that applies optic digital methods to enhance endoscopic images and improves visualization of the mucosal surface architecture and microvascular pattern. Narrow-band imaging use has been suggested to be an important adjunctive tool to white-light endoscopy to improve the detection of lesions in the digestive tract. Importantly, it also allows the distinction between benign and malignant lesions, targeting biopsies, prediction of the risk of invasive cancer, delimitation of resection margins, and identification of residual neoplasia in a scar. Thus, in expert hands it is a useful tool that enables the physician to decide on the best treatment (endoscopic or surgical) and management. Current evidence suggests that it should be used routinely for patients at increased risk for digestive neoplastic lesions and could become the standard of care in the near future, at least in referral centers. However, adequate training programs to promote the implementation of narrow-band imaging in daily clinical practice are needed. In this review, we summarize the current scientific evidence on the clinical usefulness of narrow-band imaging in the diagnosis and characterization of digestive tract lesions/cancers and describe the available classification systems. |
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Narrow-Band Imaging: Clinical Application in Gastrointestinal EndoscopyNarrow-band imagingChromoendoscopyEndoscopic classificationsSquamous cell carcinomaBarrett esophagusGastric intestinal metaplasiaEarly gastric cancerColonic polypsNarrow-band imaging is an advanced imaging system that applies optic digital methods to enhance endoscopic images and improves visualization of the mucosal surface architecture and microvascular pattern. Narrow-band imaging use has been suggested to be an important adjunctive tool to white-light endoscopy to improve the detection of lesions in the digestive tract. Importantly, it also allows the distinction between benign and malignant lesions, targeting biopsies, prediction of the risk of invasive cancer, delimitation of resection margins, and identification of residual neoplasia in a scar. Thus, in expert hands it is a useful tool that enables the physician to decide on the best treatment (endoscopic or surgical) and management. Current evidence suggests that it should be used routinely for patients at increased risk for digestive neoplastic lesions and could become the standard of care in the near future, at least in referral centers. However, adequate training programs to promote the implementation of narrow-band imaging in daily clinical practice are needed. In this review, we summarize the current scientific evidence on the clinical usefulness of narrow-band imaging in the diagnosis and characterization of digestive tract lesions/cancers and describe the available classification systems.Sociedade Portuguesa de Gastrenterologia2019-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007GE-Portuguese Journal of Gastroenterology v.26 n.1 2019reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007Barbeiro,SandraLibânio,DiogoCastro,RuiDinis-Ribeiro,MárioPimentel-Nunes,Pedroinfo:eu-repo/semantics/openAccess2024-02-06T17:33:55Zoai:scielo:S2341-45452019000100007Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:06.117411Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
title |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
spellingShingle |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy Barbeiro,Sandra Narrow-band imaging Chromoendoscopy Endoscopic classifications Squamous cell carcinoma Barrett esophagus Gastric intestinal metaplasia Early gastric cancer Colonic polyps |
title_short |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
title_full |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
title_fullStr |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
title_full_unstemmed |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
title_sort |
Narrow-Band Imaging: Clinical Application in Gastrointestinal Endoscopy |
author |
Barbeiro,Sandra |
author_facet |
Barbeiro,Sandra Libânio,Diogo Castro,Rui Dinis-Ribeiro,Mário Pimentel-Nunes,Pedro |
author_role |
author |
author2 |
Libânio,Diogo Castro,Rui Dinis-Ribeiro,Mário Pimentel-Nunes,Pedro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barbeiro,Sandra Libânio,Diogo Castro,Rui Dinis-Ribeiro,Mário Pimentel-Nunes,Pedro |
dc.subject.por.fl_str_mv |
Narrow-band imaging Chromoendoscopy Endoscopic classifications Squamous cell carcinoma Barrett esophagus Gastric intestinal metaplasia Early gastric cancer Colonic polyps |
topic |
Narrow-band imaging Chromoendoscopy Endoscopic classifications Squamous cell carcinoma Barrett esophagus Gastric intestinal metaplasia Early gastric cancer Colonic polyps |
description |
Narrow-band imaging is an advanced imaging system that applies optic digital methods to enhance endoscopic images and improves visualization of the mucosal surface architecture and microvascular pattern. Narrow-band imaging use has been suggested to be an important adjunctive tool to white-light endoscopy to improve the detection of lesions in the digestive tract. Importantly, it also allows the distinction between benign and malignant lesions, targeting biopsies, prediction of the risk of invasive cancer, delimitation of resection margins, and identification of residual neoplasia in a scar. Thus, in expert hands it is a useful tool that enables the physician to decide on the best treatment (endoscopic or surgical) and management. Current evidence suggests that it should be used routinely for patients at increased risk for digestive neoplastic lesions and could become the standard of care in the near future, at least in referral centers. However, adequate training programs to promote the implementation of narrow-band imaging in daily clinical practice are needed. In this review, we summarize the current scientific evidence on the clinical usefulness of narrow-band imaging in the diagnosis and characterization of digestive tract lesions/cancers and describe the available classification systems. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000100007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.26 n.1 2019 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799137413562368000 |