蓝激光成像技术与智能分光比色技术对早期胃癌诊断价值的研究

Diagnostic value of blue laser imaging and flexible spectral imaging color enhancement for early gastric cancer

摘要:

摘要：目的??评价蓝激光成像技术（BLI）与智能分光比色技术（FICE）对早期胃癌的诊断价值。方法?收集2017年12月-2018年2月于青岛大学附属烟台毓璜顶医院消化内科行普通白光内镜下疑似胃早癌及癌前病变的病例。每个病例均行BLI与FICE检查，依据观察微血管结构（V）与表面微细结构（S）（VS标准）评估内镜图像而做出镜下诊断，以病理为金标准，采用χ2检验评价对比BLI及FICE与病理诊断的一致性，从而评估两者对早期胃癌及癌前病变的诊断价值。结果?共纳入72名患者，最终确定癌性病变9例，其中BLI镜下诊断与病理符合率为98.61%（71/72），FICE为90.28%（65/72），两组差异有统计学意义（χ2=4.17，P?<0.05）。结论?相比FICE，BLI与病理结果有较好的一致性，BLI能够更准确地评估早期胃癌及癌前病变，对于镜下准确诊断有一定的临床意义。

Abstract:

Abstract: Objective?To evaluate the diagnostic value of blue laser imaging (BLI) and flexible spectral imaging color enhancement (FICE) for early gastric cancer.?Methods?The clinical data of patients who suspected gastric cancer and precancerous lesions under plain white light endoscopy were collected from December 2017 to February 2018. BLI and FICE were performed in each patient. Endoscopic images were evaluated according to the VS criteria. Microscopic examination was performed using pathology as the gold standard. Chi-square test was used to evaluate the consistency of BLI and FICE with pathological diagnosis, then evaluate the diagnostic value on early gastric cancer and precancerous lesions.?Results?72 patients were included. Nine cases of cancerous lesions were finally identified. The coincidence rate of BLI microscopy and pathology was 98.61% (71/72), and the FICE was 90.28% (65/72). The difference was statistically significant (χ2?=?4.17, P?