Open Access

Evaluation of the detection rate of high‑grade gastric intraepithelial neoplasia using linked color imaging and white light imaging

  • Authors:
    • Jun-Hui Lu
    • Hai-Hua Chen
    • Xing Chen
    • Hezhao Zhang
    • Jing Fan
    • Wenbin Zhang
  • View Affiliations

  • Published online on: January 24, 2023     https://doi.org/10.3892/etm.2023.11806
  • Article Number: 107
  • Copyright: © Lu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

As an endoscopic technology for the enhancement of images, linked color imaging (LCI) performs well when used for the early detection and diagnosis of gastrointestinal cancer. However, literature data are lacking for LCI in the detection of high‑grade gastric intraepithelial neoplasia. Therefore, the aim of the present study was to investigate the efficacy of LCI compared with traditional white light imaging (WLI) in the detection of high‑grade gastric intraepithelial neoplasia via the comparison of detection rates between senior and junior endoscopists using both techniques. Overall, 84 lesions from 81 patients with high‑grade gastric intraepithelial neoplasia diagnosed between January 2017 and December 2017 were considered. Following the exclusion of three patients with two lesions, 78 patients who had only one lesion were enrolled. The two types of endoscopy, WLI and LCI, were performed in the same patients under the same conditions. Four senior and four junior endoscopists retrospectively compared the images. The detection rate of high‑grade gastric intraepithelial neoplasia was significantly higher with LCI than with WLI when performed by senior and junior endoscopists. With WLI, the detection rate obtained by senior endoscopists was significantly higher than that obtained by junior endoscopists. However, for LCI, the detection rates for junior and senior endoscopists were comparable. Interobserver agreement was good to satisfactory. These findings indicate that LCI is superior to WLI in the detection and identification of gastric cancer and provides highly accurate diagnostic results from endoscopic examinations, regardless of the experience of the endoscopist. LCI may be used to narrow the gap in the detection rate of high‑grade gastric intraepithelial neoplasia between junior and senior endoscopists.

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March-2023
Volume 25 Issue 3

Print ISSN: 1792-0981
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Spandidos Publications style
Lu J, Chen H, Chen X, Zhang H, Fan J and Zhang W: Evaluation of the detection rate of high‑grade gastric intraepithelial neoplasia using linked color imaging and white light imaging. Exp Ther Med 25: 107, 2023
APA
Lu, J., Chen, H., Chen, X., Zhang, H., Fan, J., & Zhang, W. (2023). Evaluation of the detection rate of high‑grade gastric intraepithelial neoplasia using linked color imaging and white light imaging. Experimental and Therapeutic Medicine, 25, 107. https://doi.org/10.3892/etm.2023.11806
MLA
Lu, J., Chen, H., Chen, X., Zhang, H., Fan, J., Zhang, W."Evaluation of the detection rate of high‑grade gastric intraepithelial neoplasia using linked color imaging and white light imaging". Experimental and Therapeutic Medicine 25.3 (2023): 107.
Chicago
Lu, J., Chen, H., Chen, X., Zhang, H., Fan, J., Zhang, W."Evaluation of the detection rate of high‑grade gastric intraepithelial neoplasia using linked color imaging and white light imaging". Experimental and Therapeutic Medicine 25, no. 3 (2023): 107. https://doi.org/10.3892/etm.2023.11806