Novel Developments in Endoscopic Mucosal Imaging

Novel Developments in Endoscopic Mucosal Imaging
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DOI:
10.1053/j.gastro.2018.01.070
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发表时间:
2018-05-01
期刊:
影响因子:
29.4
通讯作者:
Nagengast, Wouter B.
Nagengast, Wouter B.
中科院分区:
医学1区
文献类型:
--
作者:
van der Sommen, Fons;Curvers, Wouter L.;Nagengast, Wouter B.

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内窥镜技术,如高清晰度和光学彩色内窥镜已经对内窥镜实践产生了巨大的影响。由于这些技术可以评估大多数细微的形态学粘膜异常,进一步改善内镜实践在于提高内镜医师的检测效率。一些新的事态发展可能有助于这方面的工作。首先,基于网络的培训工具可以提高内窥镜医师的技能,以增强病变的检测和分类。其次,下一步将采用计算机辅助检测来提高捕获数据的内窥镜质量。这些系统将帮助内窥镜医生解释内窥镜图像中不断增加的视觉信息量,提供实时客观的第二次阅读。此外,分子成像领域的发展为将胃肠道的功能成像数据、可视化生物参数添加到白光形态成像提供了机会。为了成功实施上述技术,真正的多学科方法至关重要。
Endoscopic techniques such as high-definition and optical-chromoendoscopy have had enormous impact on endoscopy practice. Since these techniques allow assessment of most subtle morphological mucosal abnormalities, further improvements in endoscopic practice lay in increasing the detection efficacy of endoscopists. Several new developments could assist in this. First, web based training tools could improve the skills of the endoscopist for enhancing the detection and classification of lesions. Secondly, incorporation of computer aided detection will be the next step to raise endoscopic quality of the captured data. These systems will aid the endoscopist in interpreting the increasing amount of visual information in endoscopic images providing real-time objective second reading. In addition, developments in the field of molecular imaging open opportunities to add functional imaging data, visualizing biological parameters, of the gastrointestinal tract to white-light morphology imaging. For the successful implementation of abovementioned techniques, a true multi-disciplinary approach is of vital importance.