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中华胃肠内镜电子杂志 ›› 2023, Vol. 10 ›› Issue (03) : 195 -199. doi: 10.3877/cma.j.issn.2095-7157.2023.03.011

综述

联动成像技术在肠道病变中的研究进展
陈静, 逯艳艳, 徐耀东, 马颖才()   
  1. 810007 西宁,青海大学研究生院
    810007 西宁,青海省人民医院消化内科
  • 收稿日期:2023-05-12 出版日期:2023-08-15
  • 通信作者: 马颖才
  • 基金资助:
    青海省卫生健康系统指导性计划课题(2022-wjzdx-11)

Research progress of linked color imaging technology in intestinal diseases

Jing Chen, Yanyan Lu, Yaodong Xu, Yingcai Ma()   

  1. Graduate School of Qinghai University, Xining 810007
    Department of Gastroenterology, Qinghai Provincial People′s Hospital, Xining 810007, China
  • Received:2023-05-12 Published:2023-08-15
  • Corresponding author: Yingcai Ma
引用本文:

陈静, 逯艳艳, 徐耀东, 马颖才. 联动成像技术在肠道病变中的研究进展[J/OL]. 中华胃肠内镜电子杂志, 2023, 10(03): 195-199.

Jing Chen, Yanyan Lu, Yaodong Xu, Yingcai Ma. Research progress of linked color imaging technology in intestinal diseases[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(03): 195-199.

肠道病变的患病人数在逐年上升,随着图像增强内镜技术(IEE)的不断更新,显著改善了图像的亮度和质量,通过优化可视化方法,肠道病变的检出率不断提高。2012年,日本富士能公司正式推出了蓝激光内镜系统LASEREO,富士公司独创的多LED光源整合技术,可实现4种不同的观察模式:白光成像(WLI)、蓝激光成像(BLI)、亮蓝光成像(BLI-bright)和联动成像(LCI)。LCI模式可对色彩进行再度配置,加入红色强调信号后,通过扩张黏膜"发红"附近的颜色,信号处理增加了颜色对比度,是一种特殊的光染色技术。大量研究表明LCI可以显著提升发红和褪色调病变的检出率。LCI的有效性已经得到国内外内镜医师的一致认可。根据LCI在肠道病变中的文献报道,对LCI在这一领域的研究进展做出以下的归纳总结。

The number of patients with intestinal diseases is increasing year by year. With the continuous replacement of image enhanced endoscopy (IEE) technology, the brightness and quality of images have been significantly improved. By optimizing visualization methods, the detection rate of intestinal diseases is expected to increase. In 2012, Fuji Corporation of Japan officially launched the Blue Laser Endoscopy System LASEREO.Fuji Corporation′s innovative multi LED light source integration technology can achieve four different observation modes: white light imaging (WLI), blue laser imaging (BLI), bright blue imaging (BLI-bright), and linked color imaging (LCI). LCI mode can reconfigure colors by adding a red accent signal. By expanding the color near the "redness" of the mucosa, signal processing increases color contrast, making it a special light staining technique.Numerous studies have shown that LCI can significantly improve the detection rate of redness and discoloration lesions.The effectiveness of LCI has been unanimously recognized by endoscopic physicians both domestically and internationally.Based on the current literature reports on the role of LCI in intestinal diseases, the following summary is made on the research progress of LCI in this field.

[1]
谢聪颖,刘岩.联动成像内镜的原理及临床应用现状[J].中华消化内镜杂志2017, 34(8): 600-602.
[2]
国家消化道早癌防治中心联盟,联动成像技术临床应用专家组.消化内镜联动成像技术临床应用建议[J].中华消化内镜杂志201936(3): 153-159.
[3]
Osawa HMiura YTakezawa T,et al.Linked Color Imaging and Blue Laser Imaging for Upper Gastrointestinal Screening[J].Clin Endosc201851(6): 513-526.
[4]
Sun XDong TBi Y,et al.Linked color imaging application for improving the endoscopic diagnosis accuracy: a pilot study[J].Sci Rep20166: 33473.
[5]
Sun XLiu YMin M,et al.Linked color imaging technique assisted endoscopic diagnosis and interventions[J].J Cancer Res Ther201713(4): 735.
[6]
Yamamoto HShinozaki SHayashi Y,et al.Advanced Treatment and Imaging in Colonoscopy:The Pocket-Creation Method for Complete Resection and Linked Color Imaging for Better Detection of Early Neoplastic Lesions by Colonoscopy[J].Clin Endosc201952(2):107-113.
[7]
Wang JYe CWu K,et al.The Effect of Linked Color Imaging for Adenoma Detection.A Meta-analysis of Randomized Controlled Studies [J].J Gastrointestin Liver Dis202231(1): 67-73.
[8]
Dos Santos CEOMalaman DArciniegas Sanmartin ID,et al.Effect of Linked-color Imaging on the Detection of Adenomas in Screening Colonoscopies[J].J Clin Gastroenterol202256(4): e268-e272.
[9]
Yoshida NHisabe TIkematsu H,et al.Comparison Between Linked Color Imaging and Blue Laser Imaging for Improving the Visibility of Flat Colorectal Polyps:A Multicenter Pilot Study[J].Dig Dis Sci202065(7): 2054-2062.
[10]
Miyaguchi KTakabayashi KSaito D,et al.Linked color imaging versus white light imaging colonoscopy for colorectal adenoma detection: A randomized controlled trial[J].J Gastroenterol Hepatol202136(10): 2778-2784.
[11]
Hasegawa IYamamura TSuzuki H,et al.Detection of Colorectal Neoplasms Using Linked Color Imaging:A Prospective, Randomized, Tandem Colonoscopy Trial[J].Clin Gastroenterol Hepatol202119(8): 1708-1716.e1704.
[12]
Shinozaki SKobayashi YHayashi Y,et al.Colon polyp detection using linked color imaging compared to white light imaging: Systematic review and meta-analysis[J].Dig Endosc202032(6): 874-881.
[13]
Paggi SMogavero GAmato A,et al.Linked color imaging reduces the miss rate of neoplastic lesions in the right colon: a randomized tandem colonoscopy study[J].Endoscopy201850(4): 396-402.
[14]
Paggi SRadaelli FSenore C,et al.Linked-color imaging versus white-light colonoscopy in an organized colorectal cancer screening program[J]. Gastrointest Endosc202092(3):723-730.
[15]
Tanaka YInoue TKakimoto K,et al.Evaluation of the impact of linked color imaging for improving the visibility of colonic polyp[J].Oncol Lett, 201918(5): 5555-5560.
[16]
Sakamoto TTomizawa YCho H,et al.Additional value of linked color imaging in colonoscopy:a retrospective study[J].Endosc Int Open2019, 7(11):E1448-1454.
[17]
Oliveira Dos Santos CEMalaman DPereira-Lima JC,et al.Impact of linked-color imaging on colorectal adenoma detection[J].Gastrointest Endosc201990(5): 826-834.
[18]
Min MDeng PZhang W,et al.Comparison of linked color imaging and white-light colonoscopy for detection of colorectal polyps:a multicenter, randomized,crossover trial[J].Gastrointest Endosc201786(4):724-730.
[19]
Lovász BDSzalai MOczella L,et al.Improved adenoma detection with linked color imaging technology compared to white-light colonoscopy[J]. Scand J Gastroenterol202055(7): 877-883.
[20]
Aniwan SVanduangden KKerr SJ,et al.Linked color imaging, mucosal exposure device, their combination,and standard colonoscopy for adenoma detection: a randomized trial[J].Gastrointest Endosc2021, 94(5): 969-977.
[21]
Yoshida NDohi OInoue K,et al.The efficacy of tumor characterization and tumor detectability of linked color imaging and blue laser imaging with an LED endoscope compared to a LASER endoscope[J].Int J Colorectal Dis202035(5): 815-825.
[22]
Yoshida NNaito YMurakami T,et al.Linked color imaging improves the visibility of colorectal polyps: a video study[J].Endosc Int Open2017, 5(6): E518-525.
[23]
Yoshida NNaito Y, asuda R,et al.Linked color imaging improves the visibility of various featured colorectal polyps in an endoscopist′s visibility and color difference value[J].Int J Colorectal Dis201732(9): 1253-1260.
[24]
Li JChen KWei Y,et al.Colorectal sessile serrated lesion detection using linked-color imaging versus narrow-band imaging:a parallel randomized controlled trial[J].Endoscopy202355(6): 546-554.
[25]
Suzuki THara TKitagawa Y,et al.Linked-color imaging improves endoscopic visibility of colorectal nongranular flat lesions[J].Gastrointest Endosc201786(4): 692-697.
[26]
Li JZhang DWei Y,et al.Colorectal Sessile Serrated Lesion Detection Using Linked Color Imaging:A Multicenter, Parallel Randomized Controlled Trial[J].Clin Gastroenterol Hepatol202321(2):328-336.e322.
[27]
Suzuki SAniwan SChiu HM,et al.Linked-Color Imaging Detects More Colorectal Adenoma and Serrated Lesions:An International Randomized Controlled Trial[J].Clin Gastroenterol Hepatol202321(6):1493-1502. e1494.
[28]
Murakami TKamba ENomura K,et al.Linked color imaging improves visibility of colorectal serrated lesion by high color contrast to surrounding mucosa[J].Dig Endosc202234(7):1422-1432.
[29]
Lv XH, Lu Q, Yang JL. Linked Color Imaging for the Detection of Colorectal Sessile Serrated Lesions [J]. Clin Gastroenterol Hepatol, 2023, 21(3): 852.
[30]
Yoshida NInada YYasuda R,et al.Additional Thirty Seconds Observation with Linked Color Imaging Improves Detection of Missed Polyps in the Right-Sided Colon[J].Gastroenterol Res Pract20182018: 5059834.
[31]
Fujimoto DMuguruma NOkamoto K,et al.Linked color imaging enhances endoscopic detection of sessile serrated adenoma/polyps[J]. Endosc Int Open20186(3): E322-334.
[32]
Okada MSakamoto HTakezawa T,et al.Laterally Spreading Tumor of the Rectum Delineated with Linked Color Imaging Technology[J].Clin Endosc201649(2): 207-208.
[33]
Min MSu SHe W,et al.Computer-aided diagnosis of colorectal polyps using linked color imaging colonoscopy to predict histology[J].Sci Rep, 2019, 9(1): 2881.
[34]
Wu CHChen THHsu CM,et al.Linked-color imaging combined with the NICE classification system for optical diagnosis of colon polyps:new image-enhanced endoscopic technology for pathological prediction[J]. Ther Clin Risk Manag201713: 1317-1321.
[35]
Min MNing SBHu DM,et al.Development and validation of the linked color imaging classification for endoscopic prediction of colorectal polyp histology[J].J Dig Dis202223(5-6): 310-317.
[36]
Suzuki THara TKitagawa Y,et al.Magnified endoscopic observation of early colorectal cancer by linked color imaging with crystal violet staining (with video)[J].Gastrointest Endosc201684(4): 726-729.
[37]
中华医学会消化内镜学分会.中国结直肠息肉冷切专家共识(2023年,杭州)[J/CD].中华胃肠内镜电子杂志2023, 10(2): 73-82.
[38]
Suzuki TKitagawa YNankinzan R,et al.Usefulness of cold polypectomy under linked color imaging[J].Endosc Int Open20208(1): E87-91.
[39]
Goda YMori HKobara H,et al.Therapeutic application of linked color imaging for colorectal endoscopic mucosal resection[J].Endoscopy2018, 50(1): E8-9.
[40]
Kanmura SHamamoto HTanaka A,et al.Diagnostic utility of linked color imaging in the evaluation of colonic mucosal inflammation in ulcerative colitis: a pilot study[J].Endosc Int Open20197(8): E937-943.
[41]
Takagi TUchiyama KKajiwara-Kubota M,et al.The efficacy of linked color imaging for the endoscopic diagnosis of mucosal healing in quiescent ulcerative colitis[J].J Gastroenterol Hepatol202136(9): 2448-2454.
[42]
Matsumoto KOka STanaka S,et al.Clinical usefulness of linked color imaging for evaluation of endoscopic activity and prediction of relapse in ulcerative colitis[J].Int J Colorectal Dis202136(5): 1053-1061.
[43]
Kanmura STanaka AYutsudou K,et al.Significance of Linked Color Imaging for Predicting the Risk of Clinical Relapse in Ulcerative Colitis [J]. Gastroenterol Res Pract, 2020, 2020: 3108690.
[44]
van den Broek FJ, Stokkers PC, Reitsma JB, et al. Random biopsies taken during colonoscopic surveillance of patients with longstanding ulcerative colitis:low yield and absence of clinical consequences[J].Am J Gastroenterol2014109(5): 715-722.
[45]
Hisamatsu TOhno AChiba T.Linked color imaging identified ulcerative colitis-associated colorectal cancer:A case report[J].Dig Endosc2018, 30(2):267.
[46]
Kanmura STanaka AKomaki Y,et al.A case of screening colonoscopy using linked-color imaging to detect ulcerative colitis-associated colorectal cancer[J].Dig Liver Dis201951(7): 1061.
[47]
Dong HRen YJiang B.Linked color imaging improves visibility of ectatic vessels in radiation proctitis during argon plasma coagulation[J].Dig Endosc2020, 32(3): e45-e46.
[48]
Bond ASmith PJ.British Society of Gastroenterology:diagnosis and management of acute lower gastrointestinal bleeding[J].Frontline Gastroenterol201910(4): 417-420.
[49]
Tamari HAoyama TFukumoto A,et al.Application of linked color imaging for detecting a previously bleeding colonic diverticulum[J]. VideoGIE20183(10): 319-321.
[50]
Matsumoto YKoyama FMorita K,et al.A case of Cronkhite-Canada syndrome with repeated linked color imaging observation of the subepithelial capillary network in the colon[J].Clin J Gastroenterol2022, 15(5):934-940.
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