icon fsr

文献詳細

雑誌文献

臨床外科66巻6号

2011年06月発行

Expertに学ぶ画像診断・4

画像強調観察:NBI(下部)―大腸腫瘍に対するNBI拡大内視鏡観察のポイント

著者: 田中信治1 高田さやか1 中山奈那1 中土井鋼一2 寺崎元美2 金尾浩幸1 岡志郎1 茶山一彰2

所属機関: 1広島大学病院内視鏡診療科 2広島大学病院消化器・代謝内科

ページ範囲:P.814 - P.822

文献概要

はじめに

 画像強調内視鏡観察(image-enhanced endoscopy:IEE)の1つであるnarrow band imaging(NBI)は2010年春の保険診療報酬改訂において,拡大内視鏡観察と併用することで200点の診療報酬加算が認可され,現在,広く日常臨床の場へ普及しつつある.本稿では,大腸腫瘍に対するNBI拡大観察のポイントと実際のコツについて解説する.

参考文献

1)Muto M, Minashi K, Yano T, et al:Early detection of superficial squamous cell carcinoma in the head and neck region and esophagus by narrow band imaging:a multicenter randomized controlled trial. J Clin Oncol 28:1566-1572, 2010
2)East JE, Suzuki N, Saunders BP:Comparison of magnified pit pattern interpretation with narrow band imaging versus chromoendoscopy for diminutive colonic polyps:a pilot study. Gastrointest Endosc 66:310-316, 2007
3)East JE, Suzuki N, Stavrinnidis M, et al:Narrow band imaging for colonoscopic surveillance in hereditary non-polyposis colorectal cancer. Gut 57:65-70, 2008
4)Uraoka T, Saito Y, Matuda T, et al:Detectability of colorectal neoplastic lesions using a narrow-band imaging system:a pilot study. J Gastroenterol Hepatol 23:1810-1815, 2008
5)Inoue T, Murano M, Murano N, et al:Comparative study of conventional colonoscopy and pan-colonic narrow-band imaging system in the detection of neoplastic colonic polyps:a randomized, controlled trial. J Gastroenterol 43:45-50, 2008
6)Rastogi A, Bansai A, Wani S, et al:Narrow-band imaging colonoscopy―a pilot feasibility study for the detection of polyps and correlation of surface patterns with polyp histologic diagnosis. Gastrointest Endosc 67:280-286, 2008
7)Sikka S, Ringold DA, Jonnalagadda S, et al:Comparison of white light and narrow band high definition images in predicting colon polyp histology, using standard colonoscopes without optical magnification. Endoscopy 40:818-822, 2008
8)Rex DK, Helbig CC:High yields of small and flat adenomas with high-definition colonoscopes using either white light or narrow band imaging. Gastoroenterology 133:42-47, 2007
9)Adler A, Pohl H, Papanikolaou SP, et al:A prospective randomized study on narrow-band imaging versus conventional colonoscopy for adenoma detection:does NBI induce a learning effect? Gut 57:59-64, 2008
10)Kaltenbach T, Friedland S, Soetikno R:A randomised tandem colonoscopy trial of narrow band imaging versus white light examination to compare neoplasia miss rates. Gut 57:1406-1412, 2008
11)Hüneburg R, Lammert F, Rabe C, et al:Chromocolonoscopy detects more adenomas than white light colonoscopy or narrow band imaging colonoscopy in hereditary nonpolyposis colorectal cancer screening. Endoscopy 41:316-322, 2009
12)Konerding MA, Fait E, Gaumann A:3D microvascular architecture of pre-cancerous lesions and invasive carcinomas of the colon. Br J Cancer 84:1354-1362, 2001
13)Hirata M, Tanaka S, Oka S, et al:Evaluation of microvessels in colorectal tumors by narrow band imaging magnification. Gastrointest Endosc 66:945-952, 2007
14)Machida H, Sano Y, Hamamoto Y, et al:Narrow-band imaging in the diagnosis of colorectal mucosal lesions:a pilot study. Endoscopy 36:1094-1098, 2004
15)佐野 寧:画像強調観察 光デジタル法(Optical Digital Method) NBI.臨消内科 24:47-52,2009
16)Tanaka S, Oka S, Hirata M, et al:Pit pattern diagnosis for colorectal neoplasia using narrow band imaging magnification. Dig Endosc 18:S52-56, 2006
17)Tanaka S, Sano Y:Aim to unify the narrow band imaging(NBI)magnifying classification for colon tumors:current status in Japan from a summary of the consensus symposium in the 79th annual meeting of the Japan Gastroenterological Endoscopy Society. Dig Endosc 2011(in press)
18)大庭さやか,田中信治,松本亜希,他:早期大腸癌の精密画像診断 画像強調・拡大観察 NBI.胃と腸 45:829-840,2010
19)Kanao H, Tanaka S, Oka S, et al:Narrow-band imaging magnification predicts the histology and invasion depth of colorectal tumors. Gastrointest Endosc 69:631-636, 2009
20)Oba S, Tanaka S, Oka S, et al:Characterization of colorectal tumors using narrow-band imaging magnification:combined diagnosis with both pit pattern and microvessel features. Scand J Gastroenterol 45:1084-1092, 2010
21)Oba S. Tanaka S. Sano Y, et al:Current status of narrow-band imaging magnifying colonoscopy for colorectal neoplasia in Japan. Digestion 83:167-172, 2011
22)Hewett DG, Rex DK, Ponchon T, et al:Interobserver variation in endoscopic prediction of colorectal polyp histology using simplified narrow band imaging criteria without magnification. Gastrointest Endosc 71:AB199-200, 2010

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

雑誌購入ページに移動
icon up

本サービスは医療関係者に向けた情報提供を目的としております。
一般の方に対する情報提供を目的としたものではない事をご了承ください。
また,本サービスのご利用にあたっては,利用規約およびプライバシーポリシーへの同意が必要です。

※本サービスを使わずにご契約中の電子商品をご利用したい場合はこちら