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Estimating colorectal polyp size with a virtual scale endoscope and visual estimation during colonoscopy: Prospective, preliminary comparison of accuracy

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2022年11月
DOI:
10.1111/den.14351
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
Ryo Shimoda, Takashi Akutagawa, Michito Tomonaga, Tatsuro Murano, Kensuke Shinmura, Masato Yoshioka, Yuichi Teramura, Fumiaki Kiyomi, Hiroaki Ikematsu
題名:
Estimating colorectal polyp size with a virtual scale endoscope and visual estimation during colonoscopy: Prospective, preliminary comparison of accuracy
発表情報:
Dig Endosc 巻: 34 号: 7 ページ: 1471-1477
キーワード:
colonic polyp; colonoscopy; endoscope; preliminary data; prospective study
概要:
The virtual scale endoscope (VSE) is a new endoscope that helps estimate the size of neoplasms in the gastrointestinal tract. We compared the accuracy of polyp size estimation by VSE with that of visual estimation. A dual center prospective study was conducted in two Japanese academic endoscopy units. Ten endoscopists (five trainees and five experts) estimated the size of 20 simulated polyps in four colon phantoms during colonoscopy by two methods: conventional visual estimation and estimation by VSE. The primary endpoint was the relative accuracy in relation to true polyp size according to visual estimation and VSE estimation during colonoscopy. The secondary endpoint was the required time (the time needed to measure in each procedure). The mean values of the primary end-point were 62.5% for visual estimation and 84.0% for VSE estimation; hence the result differed significantly (95% confidence interval 18.3-24.7; P < 0.001). The mean of required times was significantly longer for estimation by VSE (6.4 min) than that by visual estimation (2.9 min; P < 0.001). The accuracy of colorectal polyp size estimation was superior with VSE than with visual estimation during colonoscopy. In the future, VSE should be evaluated in actual clinical settings, including the time required for size estimation.
抄録:

英語フィールド

Author:
Ryo Shimoda, Takashi Akutagawa, Michito Tomonaga, Tatsuro Murano, Kensuke Shinmura, Masato Yoshioka, Yuichi Teramura, Fumiaki Kiyomi, Hiroaki Ikematsu
Title:
Estimating colorectal polyp size with a virtual scale endoscope and visual estimation during colonoscopy: Prospective, preliminary comparison of accuracy
Announcement information:
Dig Endosc Vol: 34 Issue: 7 Page: 1471-1477
Keyword:
colonic polyp; colonoscopy; endoscope; preliminary data; prospective study
An abstract:
The virtual scale endoscope (VSE) is a new endoscope that helps estimate the size of neoplasms in the gastrointestinal tract. We compared the accuracy of polyp size estimation by VSE with that of visual estimation. A dual center prospective study was conducted in two Japanese academic endoscopy units. Ten endoscopists (five trainees and five experts) estimated the size of 20 simulated polyps in four colon phantoms during colonoscopy by two methods: conventional visual estimation and estimation by VSE. The primary endpoint was the relative accuracy in relation to true polyp size according to visual estimation and VSE estimation during colonoscopy. The secondary endpoint was the required time (the time needed to measure in each procedure). The mean values of the primary end-point were 62.5% for visual estimation and 84.0% for VSE estimation; hence the result differed significantly (95% confidence interval 18.3-24.7; P < 0.001). The mean of required times was significantly longer for estimation by VSE (6.4 min) than that by visual estimation (2.9 min; P < 0.001). The accuracy of colorectal polyp size estimation was superior with VSE than with visual estimation during colonoscopy. In the future, VSE should be evaluated in actual clinical settings, including the time required for size estimation.


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