| 著者 |
Shimoda, Ryo
Yamaguchi, Daisuke
Hashiguchi, Kazutoshi
Mizukami, Kazuhiro
Aso, Akira
Akutagawa, Takashi
Miyahara, Koichi
Honda, Tetsuro
Hashiguchi, Keiichi
Ohira, Tetsuya
Fukuda, Kensuke
Kabayama, Masayuki
Miyamoto, Hideaki
Gushima, Ryosuke
Sumida, Yorinobu
| en |
Sumida, Yorinobu（Personal）
National Hospital Organization Kyushu Medical Center
|
Search repository
鈴木, 翔
Sasaki, Fumisato
Yamaguchi, Naoyuki
Kinjo, Tetsu
三池, 忠
WEKO
9206
e-Rad_Researcher
10468043
| ja |
三池, 忠
宮崎大学
|
| ja-Kana |
ミイケ, タダシ
|
| en |
Miike, Tadashi
University of Miyazaki
|
Search repository
Ohnita, Ken
Moriyama, Tomohiko
Fujioka, Shin
Shono, Takashi
Shirai, Shimpei
Ohtsu, Kensei
Kiyomi, Fumiaki
| en |
Kiyomi, Fumiaki（Personal）
Clinical Research Support Center Kyushu
|
Search repository
|
|
内容記述 |
Linked color imaging (LCI) was developed to detect gastrointestinal neoplasms. The current study aimed to determine whether the use of LCI, compared with white-light imaging (WLI), can improve the miss rates of colorectal polyp. A multicenter, randomized back-to-back study was conducted in 16 Japanese endoscopy units. Patients were randomized according to examination: tandem colonoscopy with WLI followed by LCI (WLI-LCI group) and with LCI followed by WLI (LCI-WLI group). The detected polyps were evaluated according to location, size, morphology, and histopathological diagnosis. The primary outcome was polyp miss rate per patient (PMR-PP) in total colonoscopy. The secondary outcome was adenoma detection rate (ADR) during the first assessment in each group. The full analysis set comprised 327 participants, and 320 were included in either two groups. The PMR-PPs were 9.3% and 20.6% in the LCI-WLI and WLI-LCI groups, respectively. Regarding location, the PMR-PP of LCI was significantly lower than that of WLI in the transverse and descending colons and rectum. In terms of diminutive adenomas (< 5 mm), the ADR of LCI (38.2%) was significantly higher than that of WLI (29.1%). LCI was superior to WLI in terms of polyp miss rate particularly in the transverse and descending colons and rectum. |
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