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KMID : 0359020110440010044
Korean Journal of Gastrointestinal Endoscopy
2011 Volume.44 No. 1 p.44 ~ p.50
Correlation of Narrow Band Imaging with Magnifying Colonoscopy and Histology in Colorectal Tumors
Yoo Hee-Yong

Lee Moon-Sung
Ko Bong-Min
Kim Hee-Kyung
Ahn Hyung-Su
Han Seung-Hyo
Bae Jun-Yong
Min Seul-Ki
Lee Jong-Chan
Ryu Chang-Beom
Abstract
Background/Aims: Narrow band imaging (NBI) is a new technique that uses optical filters for imaging of mucosal morphology. The aim of this study was to correlate findings of NBI with magnifying colonoscopy and histology for prediction of neoplastic colorectal lesion.

Methods: Between September 2005 and December 2007, 107 colon polyps from 68 patients were detected by conventional colonoscopy and subsequently evaluated by NBI with magnifying colonoscopy and analyzed for a pit pattern and a capillary pattern. More analysis was done regarding thickness and irregularity of capillary features.

Results: Pit pattern with NBI magnification to discriminate between neoplastic and non-neoplastic lesions had a sensitivity of 88.9% and a specificity of 87.5%; capillary pattern yielded test performance characteristics of 91.9% and 87.5%. In respect of capillary thickness, invisible capillaries were found significantly more often in hyperplastic lesions. All thick capillaries were found in neoplastic polyps, and found significantly more often in carcinomas with submucosal massive invasion (sm-m) (p<0.01). In respect of capillary irregularity, invisible capillaries were found significantly more often in hyperplasic lesions, and severely irregular capillaries were found significantly more often in sm-m lesions (p<0.01).

Conclusions: Observation of capillary thickness and irregularity by NBI magnification is useful for correlating histological grade with carcinoma, especially with depth of submucosal invasion.
KEYWORD
Correlation of Narrow Band Imaging with Magnifying Colonoscopy and Histology in Colorectal Tumors
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학술진흥재단(KCI) KoreaMed 대한의학회 회원