Autofluorescence videoendoscopy system using the SAFE-3000 for assessing superficial gastric neoplasia

Hiroyuki Imaeda, Naoki Hosoe, Kazuhiro Kashiwagi, Yosuke Ida, Yoshimasa Saito, Hidekazu Suzuki, Koichi Aiura, Haruhiko Ogata, Koichiro Kumai, Toshifumi Hibi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Autofluorescence (AF) videoendoscopy has an advantage over ordinary videoendoscopy in the diagnosis of gastric neoplasias, and the aim of the present study was to evaluate the effectiveness of using the SAFE-3000 videoendoscopy system to diagnose superficial gastric neoplasias. Methods: Ordinary videoendoscopy, AF videoendoscopy, and chromoendoscopy (CE) were used to diagnose the tumor existence and extent in 14 patients with gastric adenoma, 40 patients with intestinal-type early gastric cancer (EGC) (10 protruded, and 30 depressed), and nine patients with diffuse-type EGC. The diagnostic accuracies of the three kinds of images were evaluated by comparison with the results of histopathological assessment of resected specimens. Results: For gastric adenomas the diagnostic accuracy between the AF images and white light (WL) images did not differ significantly, and for protruded intestinal-type EGCs and diffuse-type EGCs the diagnostic accuracy did not differ significantly between any of the types of images. For depressed intestinal-type EGCs, the diagnostic accuracy of AF images tended to be higher than that of the WL images (P < 0.05) and it was not significantly different from that of the CE images. The detection rate of pink or orange color in AF images was significantly higher for protruded intestinal-type EGCs than gastric adenomas (P = 0.005), depressed intestinal-type EGCs (P < 0.001), and diffuse-type EGCs (P = 0.027). Conclusions: Autofluorescence videoendoscopy using the SAFE-3000 system for gastric neoplasias might be useful for diagnosing depressed intestinal-type early gastric cancers. The detection of orange or pink color in AF images may be efficacious in discriminating protruded intestinal-type early gastric cancers from gastric adenomas.

Original languageEnglish
Pages (from-to)706-711
Number of pages6
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume25
Issue number4
DOIs
Publication statusPublished - 2010 Apr

Keywords

  • Autofluorescence videoendoscopy
  • Gastric neoplasia
  • SAFE-3000

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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