Retrospective Assessment of the Diagnostic Accuracy of the Depth of Invasion by Narrow Band Imaging Magnifying Endoscopy in Patients with Superficial Esophageal Squamous Cell Carcinoma

Overview

Journal J Gastrointest Cancer

Publisher Springer

Specialties Gastroenterology
Oncology

Date 2018 Feb 14

PMID 29435906

Citations 15

Authors

Chikatoshi Katada

Satoshi Tanabe

Takuya Wada

Kenji Ishido

Takafumi Yano

Yasuaki Furue

Yuki Kondo

Natsuko Kawanishi

Sakiko Yamane

Akinori Watanabe

Mizutomo Azuma

Wasaburo Koizumi

Affiliations

Soon will be listed here.

Abstract

Purpose: Treatment strategies for superficial esophageal squamous cell carcinoma (S-ESCC) are determined mainly on the basis of the depth of invasion. We retrospectively studied the accuracy of the depth of tumor invasion, comprehensively assessed using the Japan Esophageal Society (JES) classification.

Methods: The study group comprised 256 patients who underwent narrow band imaging (NBI) magnifying endoscopy, and endoscopic submucosal dissection for S-ESCC. The depth of invasion of S-ESCC was classified into three groups: EP/LPM, MM/SM1, and SM2. The following variables were studied retrospectively: (1) the diagnostic accuracy of non-magnifying white-light endoscopy, (2) the diagnostic accuracy of type B vessels, (3) the diagnostic accuracy of avascular area (AVA), (4) the diagnostic accuracy of the JES classification, and (5) the diagnostic accuracy of comprehensive diagnosis. The depth of invasion was assessed by white-light non-magnifying endoscopy, followed by NBI magnifying endoscopy.

Results: The positive predictive value (PPV) of white-light non-magnifying endoscopy was 86% for EP/LPM, 53% MM/SM1, and 74% for SM2. The PPV of the diagnosis of type B vessels was 93% for EP/LPM, 62% for MM/SM1, and 74% for SM2. The PPV of the AVA diagnosis was 73% for EP/LPM, 89% for MM/SM1, and 100% for SM2. The PPV of diagnosis according to the JES classification was 93% for EP/LPM, 65% for MM/SM1, and 77% for SM2. The PPV of the comprehensive diagnosis was 94% for EP/LPM, 63%, for MM/SM1, and 75% for SM2.

Conclusions: The additional use of NBI magnifying endoscopy can enhance the diagnostic accuracy of the depth of invasion in patients with S-ESCC.

Citing Articles

Accuracy and influencing factors of Type B2 vessels in predicting the invasion depth of superficial esophageal squamous cell carcinoma under narrow-band imaging magnifying endoscopy.

Lin X, Lin X, Liang W, Deng W, Liu W Discov Oncol. 2024; 15(1):335.

PMID: 39107535 PMC: 11303668. DOI: 10.1007/s12672-024-01215-6.

F-fluorodeoxyglucose positron emission tomography/computed tomography parameters are associated with histological outcomes in superficial esophageal squamous cell carcinoma.

Tanaka H, Hashiguchi K, Tabuchi M, Nessipkhan A, Akashi T, Shiota J Sci Rep. 2024; 14(1):17493.

PMID: 39080310 PMC: 11289315. DOI: 10.1038/s41598-024-65066-5.

The Japanese Esophageal Society classification for prediction of superficial esophageal squamous cell neoplasia invasion depth: Validation in a Western population.

Beaufort I, Zuithoff N, Brosens L, Furukawa K, Goto O, Koch A United European Gastroenterol J. 2024; 12(8):1069-1080.

PMID: 39031730 PMC: 11485661. DOI: 10.1002/ueg2.12601.

Analysis of white-light imaging-based features predictive for determination of lesion depths of superficial flat esophageal squamous cell carcinoma: a retrospective multicenter study from China.

Wang B, Feng Y, Song J, Ma J, Liang Y, Li M Eur J Med Res. 2023; 28(1):187.

PMID: 37291613 PMC: 10251637. DOI: 10.1186/s40001-023-01153-z.

A diagnostic test: diagnostic value of gastrointestinal endoscopy narrow-band imaging (NBI) for colorectal laterally spreading tumor (LST) and submucosal invasion.

Zheng L, Huang X, Lu Z, Wu H, Lv D Transl Cancer Res. 2023; 11(12):4389-4396.

PMID: 36644183 PMC: 9834577. DOI: 10.21037/tcr-22-2566.

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