Narrow band imaging versus white light for detecting sessile serrated lesion: A prospective randomized multicenter study

Staudenmann, Dominic; Liu, Ken; Varma, Poornima; Wong, May; Rai, Sonam; Tsoutsman, Tatiana; Choi, Kyung Ho; Saxena, Payal; Kaffes, Arthur J.

doi:10.1002/deo2.44

Cited by 5 publications

(5 citation statements)

References 41 publications

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“…The subanalyses in a recent meta‐analysis including six prospective RCTs showed a significant difference in favor of NBI in the odds of detecting at least one nonadenomatous polyp in the proximal colon (OR 1.35, 95% CI 1.05–1.74; P = 0.02), which points toward an increase in SSLDR 19 . However, a recent prospective RCT with a primary endpoint setting of SSLDR showed no additional value of NBI observation over WLI for detection of SSLs (7.5% NBI vs. 8.0% WLI; P = 0.852) 55 . A prospective tandem RCT showed that NBI and WLI yielded a similar detection rate of HPs and SSLs (HP: 18 vs. 19, SSL: 6 vs. 5, not significant) among patients diagnosed with serrated polyposis syndrome (SPS), 56 while another prospective tandem RCT similarly showed no differences in the SSLDR (NBI 47.4% vs. WLI 51.9%, OR 0.84, 95% CI 0.37–1.91) among patients without SPS 57 .…”

Section: Detection Of Colorectal Polyps Using Nbimentioning

confidence: 98%

“…19 However, a recent prospective RCT with a primary endpoint setting of SSLDR showed no additional value of NBI observation over WLI for detection of SSLs (7.5% NBI vs. 8.0% WLI; P = 0.852). 55 A prospective tandem RCT showed that NBI and WLI yielded a similar detection rate of HPs and SSLs (HP: 18 vs. 19, SSL: 6 vs. 5, not significant) among patients diagnosed with serrated polyposis syndrome (SPS), 56 while another prospective tandem RCT similarly showed no differences in the SSLDR (NBI 47.4% vs. WLI 51.9%, OR 0.84, 95% CI 0.37-1.91) among patients without SPS. 57 Although favorable outcomes for NBI in the detection of proximal SLs were reported, the difference was not significant (NBI 204 vs. WLI 158; P = 0.085).…”

Section: Detection Of Sessile Serrated Lesions (Ssls)mentioning

confidence: 99%

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Updates in narrow‐band imaging for colorectal polyps: Narrow‐band imaging generations, detection, diagnosis, and artificial intelligence

Teramoto

Ventosa²,

Ogino

et al. 2023

Digestive Endoscopy

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Narrow‐band imaging (NBI) is an optical digital enhancement method that allows the observation of vascular and surface structures of colorectal lesions. Its usefulness in the detection and diagnosis of colorectal polyps has been demonstrated in several clinical trials and the diagnostic algorithms have been simplified after the establishment of endoscopic classifications such as the Japan NBI Expert Team classification. However, there were issues including lack of brightness in the earlier models, poor visibility under insufficient bowel preparation, and the incompatibility of magnifying endoscopes in certain endoscopic platforms, which had impeded NBI from becoming standardized globally. Nonetheless, NBI continued its evolution and the newest endoscopic platform launched in 2020 offers significantly brighter and detailed images. Enhanced visualization is expected to improve the detection of polyps while universal compatibility across all scopes including magnifying endoscopy will promote the global standardization of magnifying diagnosis. Therefore, knowledge related to magnifying colonoscopy will become essential as magnification becomes standardly equipped in future models, although the advent of computer‐aided diagnosis and detection may greatly assist endoscopists to ensure quality of practice. Given that most endoscopic departments will be using both old and new models, it is important to understand how each generation of endoscopic platforms differ from each other. We reviewed the advances in the endoscopic platforms, artificial intelligence, and evidence related to NBI essential for the next generation of endoscopic practice.

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Section: Detection Of Colorectal Polyps Using Nbimentioning

confidence: 98%

Section: Detection Of Sessile Serrated Lesions (Ssls)mentioning

confidence: 99%

Updates in narrow‐band imaging for colorectal polyps: Narrow‐band imaging generations, detection, diagnosis, and artificial intelligence

Teramoto

Ventosa²,

Ogino

et al. 2023

Digestive Endoscopy

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“…Numerous studies compare white light and NBI in detecting polyps. Based on prior research, the detection rate of SSL is estimated to be around 7.5% with NBI and varies between 6.8% and 8.0% with white light endoscopy, although no statistically significant difference has been observed ( 15 – 18 ). NBI is believed to be more effective for visual diagnosis rather than polyp detection.…”

Section: Serrated Polypsmentioning

confidence: 99%

The histologic features, molecular features, detection and management of serrated polyps: a review

Wang,

Xu,

et al. 2024

Front. Oncol.

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The serrated pathway to colorectal cancers (CRCs) is a significant pathway encompassing five distinct types of lesions, namely hyperplastic polyps (HPs), sessile serrated lesions (SSLs), sessile serrated lesions with dysplasia (SSL-Ds), traditional serrated adenomas (TSAs), and serrated adenoma unclassified. In contrast to the conventional adenoma–carcinoma pathway, the serrated pathway primarily involves two mechanisms: BRAF/KRAS mutations and CpG island methylator phenotype (CIMP). HPs are the most prevalent non-malignant lesions, while SSLs play a crucial role as precursors to CRCs, On the other hand, traditional serrated adenomas (TSAs) are the least frequently encountered subtype, also serving as precursors to CRCs. It is crucial to differentiate these lesions based on their unique morphological characteristics observed in histology and colonoscopy, as the identification and management of these serrated lesions significantly impact colorectal cancer screening programs. The management of these lesions necessitates the crucial steps of removing premalignant lesions and implementing regular surveillance. This article provides a comprehensive summary of the epidemiology, histologic features, molecular features, and detection methods for various serrated polyps, along with recommendations for their management and surveillance.

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“…A multicenter RCT reported that the differences between NBI and HD-WLE were not remarkable in detection rates of SSL (7.5% NBI vs. 8.0% HD-WLE, p =0.852), ADR (41.0% NBI vs. 37.5% HD-WLE, p =0.531), and PDR (61.0% NBI vs. 54.0% HD-WLE, p =0.157). 29 Another study investigated residual SSA detection using NBI after endoscopic resection. All lesions were randomized into the NBI and WLE groups to detect remnant tissue on the resected margin.…”

Section: Narrow-band Imagingmentioning

confidence: 99%

Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials

Nagai¹,

Suzuki²,

Minato³

et al. 2023

Clin Endosc

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Colonoscopy plays an important role in reducing the incidence and mortality of colorectal cancer by detecting adenomas and other precancerous lesions. Image-enhanced endoscopy (IEE) increases lesion visibility by enhancing the microstructure, blood vessels, and mucosal surface color, resulting in the detection of colorectal lesions. In recent years, various IEE techniques have been used in clinical practice, each with its unique characteristics. Numerous studies have reported the effectiveness of IEE in the detection of colorectal lesions. IEEs can be divided into two broad categories according to the nature of the image: images constructed using narrowband wavelength light, such as narrowband imaging and blue laser imaging/blue light imaging, or color images based on white light, such as linked color imaging, texture and color enhancement imaging, and i-scan. Conversely, artificial intelligence (AI) systems, such as computer-aided diagnosis systems, have recently been developed to assist endoscopists in detecting colorectal lesions during colonoscopy. To better understand the features of each IEE, this review presents the effectiveness of each type of IEE and their combination with AI for colorectal lesion detection by referencing the latest research data.

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Narrow band imaging versus white light for detecting sessile serrated lesion: A prospective randomized multicenter study

Cited by 5 publications

References 41 publications

Updates in narrow‐band imaging for colorectal polyps: Narrow‐band imaging generations, detection, diagnosis, and artificial intelligence

Updates in narrow‐band imaging for colorectal polyps: Narrow‐band imaging generations, detection, diagnosis, and artificial intelligence

The histologic features, molecular features, detection and management of serrated polyps: a review

Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials

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