AI Article Synopsis
- Multimodality imaging significantly enhances endoscopic surveillance, aiding in the detection of neoplastic lesions like dysplasia and intramucosal cancer, which standard endoscopy may miss.
- The techniques are categorized into primary detection and targeted imaging, allowing for detailed visualization and histological evaluation of suspicious areas.
- This Review discusses various advanced imaging methods including virtual chromoendoscopy, narrow-band imaging, and optical coherence tomography, focusing on their role in the early detection of pre-malignant lesions in the gastrointestinal tract.
Article Abstract
Multimodality imaging is an essential aspect of endoscopic surveillance for the detection of neoplastic lesions, such as dysplasia or intramucosal cancer, because it improves the efficacy of endoscopic surveillance and therapeutic procedures in the gastrointestinal tract. This approach reveals mucosal abnormalities that cannot be detected by standard endoscopy. Currently, these imaging techniques are divided into those for primary detection and those for targeted imaging and characterization, the latter being used to visualize areas of interest in detail and permit histological evaluation. This Review outlines the use of virtual chromoendoscopy, narrow-band imaging, autofluorescence imaging, optical coherence tomography, confocal endomicroscopy and volumetric laser endomicroscopy as new imaging techniques for diagnostic investigation of the gastrointestinal tract. Insights into use of multimodal endoscopic imaging for early disease detection, in particular for pre-malignant lesions, in the oesophagus, stomach and colon are described.
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| http://dx.doi.org/10.1038/nrgastro.2017.46 | DOI Listing |
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