Narrow band imaging improves observer reliability in evaluation of upper aerodigestive tract lesions

2016 ◽  
Vol 126 (10) ◽  
pp. 2276-2281 ◽  
Author(s):  
Manon A. Zwakenberg ◽  
Frederik G. Dikkers ◽  
Jan Wedman ◽  
Gyorgy B. Halmos ◽  
Bernard F. A. M. van der Laan ◽  
...  
Keyword(s):  
Narrow Band ◽  
Narrow Band Imaging ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Observer Reliability

scholarly journals The Role of Narrow Band Imaging in the Detection of Recurrent Laryngeal and Hypopharyngeal Cancer after Curative Radiotherapy

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Michal Zabrodsky ◽  
Petr Lukes ◽  
Eva Lukesova ◽  
Jan Boucek ◽  
Jan Plzak
Keyword(s):  
Early Detection ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Hypopharyngeal Cancer ◽  
Aerodigestive Tract ◽  
Ambulatory Setting ◽  
Upper Aerodigestive Tract ◽  
Curative Intent ◽  
Curative Radiotherapy ◽  
Previously Treated

Narrow band imaging is considered a significant improvement in the possibility of detecting early mucosal lesion of the upper aerodigestive tract. Early detection of mucosal neoplastic lesions is of utmost importance for patients survival. There is evidence that, especially in patients previously treated by means of curative radiotherapy or chemoradiotherapy, the early detection rate of recurrent disease is quite low. The aim of this study was to prove whether the videoendoscopy coupled with NBI might help detect recurrent or secondary tumors of the upper aerodigestive tract. 66 patients previously treated by means of RT or CRT with curative intent were enrolled in the study. All patients underwent transnasal flexible videoendoscopy with NBI mode under local anesthesia. When a suspicious lesion was identified in an ambulatory setting, its nature was proved histologically. Many of these changes were not identifiable by means of conventional white light (WL) endoscopy. The accuracy, sensitivity, specificity, and positive and negative predictive value of the method are very high (88%, 92%, 76%, 96%, and 91%, resp.). Results demonstrate that outpatient transnasal endoscopy with NBI is an excellent method for the follow-up of patients with carcinomas of the larynx and the hypopharynx primarily treated with radiotherapy.

scholarly journals Narrow-band imaging versus Lugol chromoendoscopy for esophageal squamous cell cancer screening in normal endoscopic practice: randomized controlled trial

Endoscopy ◽  
2020 ◽  
Author(s):  
Mélissa Gruner ◽  
Angélique Denis ◽  
Claude Masliah ◽  
Morgane Amil ◽  
Elodie Metivier-Cesbron ◽  
...  
Keyword(s):  
General Practice ◽  
Squamous Cell ◽  
White Light ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Controlled Trial ◽  
Cell Cancer ◽  
Tertiary Care ◽  
Upper Aerodigestive Tract ◽  
Diagnostic Characteristics

Abstract Background Narrow-band imaging (NBI) is as sensitive as Lugol chromoendoscopy to detect esophageal squamous cell carcinoma (SCC) but its specificity, which appears higher than that of Lugol chromoendoscopy in expert centers, remains to be established in general practice. This study aimed to prove the superiority of NBI specificity over Lugol chromoendoscopy in the detection of esophageal SCC and high grade dysplasia (HGD) in current general practice (including tertiary care centers, local hospitals, and private clinics). Methods This prospective randomized multicenter trial included consecutive patients with previous or current SCC of the upper aerodigestive tract who were scheduled for gastroscopy. Patients were randomly allocated to either the Lugol or NBI group. In the Lugol group, examination with white light and Lugol chromoendoscopy were successively performed. In the NBI group, NBI examination was performed after white-light endoscopy. We compared the diagnostic characteristics of NBI and Lugol chromoendoscopy in a per-patient analysis. Results 334 patients with history of SCC were included and analyzed (intention-to-treat) from 15 French institutions between March 2011 and December 2015. In per-patient analysis, sensitivity, specificity, positive and negative likelihood values were 100 %, 66.0 %, 21.2 %, and 100 %, respectively, for Lugol chromoendoscopy vs. 100 %, 79.9 %, 37.5 %, and 100 %, respectively, for NBI. Specificity was greater with NBI than with Lugol (P = 0.002). Conclusions As previously demonstrated in expert centers, NBI was more specific than Lugol in current gastroenterology practice for the detection of early SCC, but combined approaches with both NBI and Lugol could improve the detection of squamous neoplasia.

Carcinogenesis in the Upper Aerodigestive Tract

1980 ◽  
Vol 13 (3) ◽  
pp. 403-412 ◽  
Author(s):  
Charles W. Vaughan ◽  
Freddy Homburger ◽  
Stanley M. Shapshay ◽  
Enrique Soto ◽  
Peter Bernfeld
Keyword(s):  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract

NARROW BAND IMAGING COMO MÉTODO ALTERNATIVO PARA LA DETECCIÓN Y CARACTERIZACIÓN DE LOS FOCOS DE CRIPTAS ABERRANTES

Endoscopy ◽  
2011 ◽  
Vol 43 (12) ◽  
Author(s):  
M López-Cerón ◽  
M Jimeno ◽  
C Rodríguez de Miguel ◽  
M Zabalza ◽  
V Alonso-Espinaco ◽  
...  
Keyword(s):  
Narrow Band ◽  
Narrow Band Imaging
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