Confocal laser endomicroscopy for gastric neoplasm.

World J Gastrointest Endosc

General Medicine, College of Medicine and Sagore Dutta Hospital, Kolkata 700058, India.

Published: September 2024

AI Article Synopsis

  • Confocal laser endomicroscopy (CLE) offers real-time, high-resolution imaging of the stomach lining and is more effective than traditional methods like chromoendoscopy for diagnosing atrophic gastritis and predicting intraepithelial neoplasia.
  • It has a higher diagnostic accuracy for superficial gastric cancer than standard white-light endoscopy and can improve outcomes by requiring fewer biopsies.
  • Technological advancements and AI in histopathological analysis may help overcome CLE's limitations, making it a valuable tool for early gastric cancer screening while minimizing risks of complications from multiple biopsies.

Article Abstract

Confocal laser endomicroscopy (CLE) is a novel endoscopic modality that provides real-time histological information high-resolution magnified view of the mucosa. CLE has a higher sensitivity, specificity, and diagnostic accuracy in detecting atrophic gastritis as compared to chromoendoscopy and narrow-band imaging. It can even predict low-grade and high-grade intraepithelial neoplasia by analyzing gastric pit patterns. CLE may have some advantages over the standard biopsy protocol, such as higher diagnostic yield and fewer biopsy requirements. Its diagnostic accuracy in detecting superficial gastric cancer is higher than that of white-light endoscopy. Inherent limitations, such as a narrow field of vision, can be surpassed by technological advancements and integration with other detection methods. Artificial intelligence holds promise in automated analysis of histopathological images. Thus, CLE can be helpful in screening for early gastric cancer and may help reduce the risk of complications from repeated biopsies, such as mucosal damage, bleeding, and infection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11438582PMC
http://dx.doi.org/10.4253/wjge.v16.i9.540DOI Listing

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