Progress of gastrointestinal endoscopy linked color imaging in colorectal cancer screening
靳爽 1汪嵘 1王姝雅 杨璐
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作者信息
1. 山西医科大学第五临床医学院 山西省人民医院消化内科，太原 030012
折叠
摘要
结肠镜是结直肠癌的重要诊断手段，传统的白光内镜检查漏诊率较高，联动成像（LCI）作为一种图像增强内镜，能够有效提高早期结直肠癌的检出率。LCI能够提高腺瘤的检出率，有助于无蒂锯齿状病变、溃疡性结肠炎和林奇综合征病变的检出和病情评估。此外，LCI联合染色及人工智能可以预测结直肠病变的组织病理类型和浸润深度，指导治疗方案的选择。文章综述了LCI的特点及用于结直肠癌筛查中的现状及进展。 Colonoscopy is an important diagnostic tool for colorectal cancer. Traditional white light endoscopy has a high underdiagnosis rate, and linked color imaging (LCI) as a kind of image-enhanced endoscopy can effectively improve the detection of early colorectal cancer. LCI can improve the detection of adenoma, and it contributes to the detection and evaluation of sessile serrated lesions, ulcerative colitis and Lynch syndrome lesions. In addition, LCI combined with staining and artificial intelligence can predict the histopathologic type and invasion depth of colorectal lesions, and guide the selection of treatment. This paper reviews the characteristics of LCI and progress of its application in colorectal cancer screening.
Abstract
Colonoscopy is an important diagnostic tool for colorectal cancer. Traditional white light endoscopy has a high underdiagnosis rate, and linked color imaging (LCI) as a kind of image-enhanced endoscopy can effectively improve the detection of early colorectal cancer. LCI can improve the detection of adenoma, and it contributes to the detection and evaluation of sessile serrated lesions, ulcerative colitis and Lynch syndrome lesions. In addition, LCI combined with staining and artificial intelligence can predict the histopathologic type and invasion depth of colorectal lesions, and guide the selection of treatment. This paper reviews the characteristics of LCI and progress of its application in colorectal cancer screening.
关键词
结直肠肿瘤/图像增强/内窥镜/联动成像模式
Key words
Colorectal neoplasms/Image-enhancement/Endoscopes/Linked color imaging
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