Development and validation of the international Blue Light Imaging for Barrett's Neoplasia Classification

Subramaniam, Sharmila; Kandiah, Kesavan; Schoon, Erik J.; Aepli, Patrick; Hayee, Bu; Pischel, Andreas; Stefanović, Milan; Alkandari, Asma; Coron, Emmanuel; Omae, Masami; Baldaque‐Silva, Francisco; Maselli, Roberta; Bisschops, Raf; Sharma, Prateek; Repici, Alessandro; Bhandari, Pradeep

doi:10.1016/j.gie.2019.09.035

Cited by 19 publications

(12 citation statements)

References 23 publications

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“…The validated classification system known as PREDICT (Portsmouth acetic acid classification), for the diagnosis of Barrett's neoplasia using acetic acid chromoendoscopy, demonstrates improvements in the sensitivity and NPV from 79 % and 80 % to 98 % and 97 %, respectively (P < 0.001) [36]. Regarding BLI, Bhandari's group validated, in an image-based study, the BLINC classification (BLI New Classification) for the characterization of neoplastic and non-neoplastic BE, based on color, pits, and vessels [35]. When BLINC was used by 10 expert endoscopists, the overall sensitivity, specificity, and accuracy of neoplasia identification were 96 %, 94.4 %, and 95.2 %, respectively.…”

Section: B Training/learning Steps For Optical Diagnosismentioning

confidence: 99%

Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2020

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Main RecommendationsThis manuscript represents an official Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) aiming to guide general gastroenterologists to develop and maintain skills in optical diagnosis during endoscopy. In general, this requires additional training beyond the core curriculum currently provided in each country. In this context, ESGE have developed a European core curriculum for optical diagnosis practice across Europe for high quality optical diagnosis training. 1 ESGE suggests that every endoscopist should have achieved general competence in upper and/or lower gastrointestinal (UGI/LGI) endoscopy before commencing training in optical diagnosis of the UGI/LGI tract, meaning personal experience of at least 300 UGI and/or 300 LGI endoscopies and meeting the ESGE quality measures for UGI/LGI endoscopy. ESGE suggests that every endoscopist should be able and competent to perform UGI/LGI endoscopy with high definition white light combined with virtual and/or dye-based chromoendoscopy before commencing training in optical diagnosis. 2 ESGE suggests competency in optical diagnosis can be learned by attending a validated optical diagnosis training course based on a validated classification, and self-learning with a minimum number of lesions. If no validated training course is available, optical diagnosis can only be learned by attending a non-validated onsite training course and self-learning with a minimum number of lesions. 3 ESGE suggests endoscopists are competent in optical diagnosis after meeting the pre-adoption and learning criteria, and meeting competence thresholds by assessing a minimum number of lesions prospectively during real-time endoscopy. ESGE suggests ongoing in vivo practice by endoscopists to maintain competence in optical diagnosis. If a competent endoscopist does not perform in vivo optical diagnosis on a regular basis, ESGE suggests repeating the learning and competence phases to maintain competence.Key areas of interest were optical diagnosis training in Barrett’s esophagus, esophageal squamous cell carcinoma, early gastric cancer, diminutive colorectal lesions, early colorectal cancer, and neoplasia in inflammatory bowel disease. Condition-specific recommendations are provided in the main document.

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Section: B Training/learning Steps For Optical Diagnosismentioning

confidence: 99%

Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2020

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“…82 A new classification system using BLI (BLINC) was proposed for the optimal diagnosis of BE's neoplasia, and BLINC classification has the potential to improve the optical diagnosis of BE's neoplasia with a high degree of sensitivity (96%) and interobserver agreement (κ > 0.8). 83…”

Section: B Barrett's Esophagus and Associated Dysplasia And Adenocarcinomamentioning

confidence: 99%

Current Status of Image-Enhanced Endoscopy for Early Identification of Esophageal Neoplasms

Kim

Hong

2021

Clin Endosc

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The early detection of esophageal neoplasms, including esophageal dysplasia and early esophageal cancer, is highly important for the accurate treatment of the disease. However, esophageal dysplasia and early esophageal cancer are usually subtle and can be easily missed. In addition to the early detection, proper pretreatment evaluation of the depth of invasion of esophageal cancer is very important for curative treatment. The progression of non-invasive diagnosis via image-enhanced endoscopy techniques has been shown to aid the early detection and estimate the depth of invasion of early esophageal cancer and, as a result, may provide additional opportunities for curative treatment. Here, we review the advancement of image-enhanced endoscopy-related technologies and their role in the early identification of esophageal neoplasms.

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“…A BLI Barrett's Neoplasia Classification (BLINC) has recently been developed by a large international group of BE imaging experts. 22 The BLINC classification calls for characterization of three parameters, rated as neoplastic or non-neoplastic: color, pits, and vessels. Overall accuracy for experts was 95.2% with 96% sensitivity and 94.4% specificity, which was even further enhanced for the 88% of predictions that were high-confidence.…”

Section: Barrett's Esophagus and Esophageal Adenocarcinomamentioning

confidence: 99%

Narrowed-spectrum Technologies in Endoscopic Imaging of The Upper Gastrointestinal Tract

Kamboj

Kahn

Leggett

2021

Techniques and Innovations in Gastrointestinal Endoscopy

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Development and validation of the international Blue Light Imaging for Barrett's Neoplasia Classification

Cited by 19 publications

References 23 publications

Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Current Status of Image-Enhanced Endoscopy for Early Identification of Esophageal Neoplasms

Narrowed-spectrum Technologies in Endoscopic Imaging of The Upper Gastrointestinal Tract

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