2012
DOI: 10.1002/jbio.201200114
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Diffuse reflectance spectroscopy in Barrett’s Esophagus: developing a large field‐of‐view screening method discriminating dysplasia from metaplasia

Abstract: We evaluated diffuse reflectance spectroscopy implemented as a small field‐of‐view technique for discrimination of dysplasia from metaplasia in Barrett’s esophagus as an adjuvant to autofluorescence endoscopy. Using linear discriminant analysis on 2579 spectra measured in 54 patients identified an optimum a 4‐wavelength classifier (at 485, 513, 598 and 629 nm). Sensitivity and specificity for a test data set were 0.67 and 0.85, respectively. Spectroscopic results show that this technique could be implemented i… Show more

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Cited by 29 publications
(24 citation statements)
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“…These optical properties establish the principles of diffuse reflectance spectroscopy . This method can be implemented for tissue diagnostics such as discrimination of dysplasia from metaplasia in Barrett's esophagus as an adjuvant to autofluorescence endoscopy . Sensitivity and specificity for a test data set of 0.67% and 0.85%, respectively, showed that this technique could be implemented in wide‐field imaging mode to improve the accuracy of existing endoscopy techniques for finding early pre‐malignant lesions.…”
Section: Tissue Diagnosticsmentioning
confidence: 99%
“…These optical properties establish the principles of diffuse reflectance spectroscopy . This method can be implemented for tissue diagnostics such as discrimination of dysplasia from metaplasia in Barrett's esophagus as an adjuvant to autofluorescence endoscopy . Sensitivity and specificity for a test data set of 0.67% and 0.85%, respectively, showed that this technique could be implemented in wide‐field imaging mode to improve the accuracy of existing endoscopy techniques for finding early pre‐malignant lesions.…”
Section: Tissue Diagnosticsmentioning
confidence: 99%
“…(73) In vivo and ex vivo studies have shown the potential of spectroscopic information compared with neoplastic with nonneoplastic tissue in BO. (74)(75)(76) Optical coherence tomography Optical coherence tomography (OCT) can provide cross sectional images of tissue structure on the micron scale in situ and in real time by measuring back scattered or back reflected light. (77) Interferometry is the technique used in OCT that measures the path length of reflected light and processes the information for image generation.…”
Section: Other Techniques: Spectroscopy Optical Coherence Tomographymentioning
confidence: 99%
“…Endoscopic spectroscopy could certainly be used to monitor the metabolic status of the gut via fluorescence measurements (for example, of the relative fluorescence intensities or the fluorescence lifetimes of the enzymatic cofactors NADH and FAD) [78][79][80] . In addition, a variety of reflectance-based modalities (including diffuse reflectance spectroscopy 81,82 and elastic scattering spectroscopy 83 ) could enable assessment of the tissue oxygen saturation and the haemoglobin concentration.…”
Section: Microbiota Changesmentioning
confidence: 99%