2017
DOI: 10.1016/j.gie.2016.10.011
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The “valley sign” in small and diminutive adenomas: prevalence, interobserver agreement, and validation as an adenoma marker

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Cited by 18 publications
(9 citation statements)
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“…First, the innovative approach of combining surface and pit/ vascular descriptors in the same BASIC classification resulted in a clear benefit in terms of accuracy. When restricting our analysis to surface descriptors, such benefit was mainly related to an irregular appearance of the surface of the adenomas, indirectly confirming the predictive strength of the previously described "valley sign" [13]. We preferred the term "irregular" to "valley sign" in order that we can incorporate additional findings from other categories, such as sessile serrated polyps, in the next validations of BASIC.…”
Section: Discussionsupporting
confidence: 69%
See 1 more Smart Citation
“…First, the innovative approach of combining surface and pit/ vascular descriptors in the same BASIC classification resulted in a clear benefit in terms of accuracy. When restricting our analysis to surface descriptors, such benefit was mainly related to an irregular appearance of the surface of the adenomas, indirectly confirming the predictive strength of the previously described "valley sign" [13]. We preferred the term "irregular" to "valley sign" in order that we can incorporate additional findings from other categories, such as sessile serrated polyps, in the next validations of BASIC.…”
Section: Discussionsupporting
confidence: 69%
“…Recently, specific features of the polyp surface have also been shown to predict polyp histology. The valley signa slight pseudodepression on the edge of the polyphas been shown to be highly specific for the diagnosis of adenoma [13], while a cloudy or irregular appearance and indistinct borders have been associated with sessile serrated polyp histology [14].…”
mentioning
confidence: 99%
“…The strengths of our study include the large number of lesions, the prospective identification of consecutive lesions, the standardized method for assuring polyp size, and the blinded assessment of the endoscopy photographs by two outside experts. In addition, we provide the actual photographs of lesions interpreted as normal tissue and as hyperplastic polyps in order to demonstrate that the lesions had classic Type II features of the NICE classification [9], and were correctly predicted endoscopically to be adenomas.…”
Section: Discussionmentioning
confidence: 99%
“…We then tested the model’s accuracy on a consecutive sample of diminutive (≤5 mm) colorectal polyps that were video recorded in NBI and resected by DKR for histological analysis. DKR recorded the test videos for prospective use in another trial 27. All videos were fully deidentified.…”
Section: Methodsmentioning
confidence: 99%