Pristine submucosal visibility using Texture and Color Enhancement Imaging during saline-immersion rectal endoscopic submucosal dissection

Lemmers, Arnaud; Bucalau, Ana-Maria; Verset, Laurine; Devière, Jacques

doi:10.1055/a-1524-1298

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…TXI was launched as a new optical IEE modality in 2020 with the expectation that it would provide a better detection rate of gastrointestinal diseases than WLI by selectively enhancing brightness in dark areas of an endoscopic image and subtle tissue differences [ 15 , 16 , 17 , 18 , 31 , 32 ]. Ishikawa et al [ 17 ] reported that the color difference surrounding gastric atrophic borders and gastric cancer borders was significantly greater in TXI than in WLI (atrophy: 14.2 ± 8.0 vs. 8.7 ± 4.2, p < 0.01; gastric cancer: 18.7 ± 16.0 vs. 8.0 ± 4.2, p < 0.01).…”

Section: Discussionmentioning

confidence: 99%

Third-Generation High-Vision Ultrathin Endoscopy Using Texture and Color Enhancement Imaging and Narrow-Band Imaging to Evaluate Barrett’s Esophagus

et al. 2022

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It remains unclear whether texture- and color-enhancement imaging (TXI) and narrow-band imaging (NBI) provide an advantage over white-light imaging (WLI) in Barrett’s esophagus. We compared endoscopic findings and color differences between WLI and image-enhanced endoscopy (IEE) using a third-generation ultrathin endoscope. We retrospectively enrolled 40 patients who evaluated Barrett’s esophagus using WLI, TXI, and NBI. Color differences determined using the International Commission on Illumination 1976 (L∗, a∗, b∗) color space among Barrett’s epithelium, esophageal, and gastric mucosa were compared among the endoscopic findings. As the secondary outcome, we assessed the subjective visibility score among three kinds of endoscopic findings. The prevalence of Barrett’s esophagus and gastroesophageal reflux disease (GERD) in WLI was 82.5% and 47.5%, respectively, and similar among WLI, TXI, and NBI. Color differences between Barrett’s epithelium and esophageal or gastric mucosa on NBI were significantly greater than on WLI (all p < 0.05). However, the color difference between Barrett’s epithelium and esophageal mucosa was significantly greater on NBI than TXI (p < 0.001), and the visibility score of Barrett’s epithelium detection was significantly greater on TXI than NBI (p = 0.022), and WLI (p = 0.016). High-vision, third-generation ultrathin endoscopy using NBI and TXI is useful for evaluating Barrett’s epithelium and GERD compared with WLI alone.

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Section: Discussionmentioning

confidence: 99%

Third-Generation High-Vision Ultrathin Endoscopy Using Texture and Color Enhancement Imaging and Narrow-Band Imaging to Evaluate Barrett’s Esophagus

et al. 2022

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“…The efficacy of image-enhanced endoscopy (IEE) has been widely reported in the management of gastrointestinal tract lesions 1 2 3 ; however, the efficacy of IEE has not been well discussed in the pancreatobiliary field. Recently, a novel IEE tool called texture and color enhancement imaging (TXI; Olympus, Tokyo, Japan) was launched.…”

Section: Figmentioning

confidence: 99%

The application of texture and color enhancement imaging in transpapillary biliary cannulation

et al. 2022

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“…According to recent publications, it has been suggested that TXI may likely contribute to the increased detection rate of early gastric cancer[ 4 ]. Moreover, a significant synergistic value of TXI and near-focus mode was discovered during endoscopic submucosal dissection performed in saline-immersion by improving the visibility of submucosal spaces[ 5 ]. In a study by Nishizawa et al [ 6 ], WLI, TXI, NBI, and chromoendoscopy were performed on twenty-nine patients with serrated polyps.…”

Section: To the Editormentioning

confidence: 99%

Texture and color enhancement imaging for detecting colorectal adenomas: Good, but not good enough

Wang¹,

Sun²,

Lowe³

et al. 2022

WJGE

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Pristine submucosal visibility using Texture and Color Enhancement Imaging during saline-immersion rectal endoscopic submucosal dissection

Cited by 5 publications

References 3 publications

Third-Generation High-Vision Ultrathin Endoscopy Using Texture and Color Enhancement Imaging and Narrow-Band Imaging to Evaluate Barrett’s Esophagus

Third-Generation High-Vision Ultrathin Endoscopy Using Texture and Color Enhancement Imaging and Narrow-Band Imaging to Evaluate Barrett’s Esophagus

The application of texture and color enhancement imaging in transpapillary biliary cannulation

Texture and color enhancement imaging for detecting colorectal adenomas: Good, but not good enough

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