胃と腸51巻7号

2016年06月発行

今月の主題 新しい小腸・大腸画像診断─現状と将来展望

ノート

─新しい小腸・大腸画像診断のトピックス─顕微内視鏡（CLM，EC）

著者： 工藤進英¹ 深見裕一¹ 三澤将史¹ 林靖子¹ 豊嶋直也¹ 森悠一¹ 小形典之¹ 工藤豊樹¹ 久行友和¹ 若村邦彦¹ 林武雅¹ 宮地英行¹ 片桐敦¹ 工藤孝毅¹ 馬場俊之¹ 石田文生¹

所属機関： ¹昭和大学横浜市北部病院消化器センター

ページ範囲：P.937 - P.942

文献概要

要旨●消化管診断学の分野では，内視鏡機器の開発や発達に伴い，腺口形態（pit pattern）や微細血管の観察が可能になった．内視鏡像の解像度はさらに向上し，腫瘍・非腫瘍の鑑別診断や癌の深達度診断の精度が一層高くなり，診断学や治療技術は飛躍的に向上した．一方，超拡大内視鏡（EC）や共焦点内視鏡（CLE）は生検せずにreal timeで病理診断を行うという発想をもとに誕生した次世代の内視鏡である．ECやCLEは標的粘膜にスコープ先端を接触させることで，生きた細胞の生体内診断が顕微鏡レベルまで可能である．今後も検討を重ねることで，生物の本質に迫った診断を行うことが期待される．

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