Usefulness of confocal laser endomicroscopy to diagnose ulcerative colitis-associated neoplasia

Naoki Ohmiya, Noriyuki Horiguchi, Tomomitsu Tahara, Dai Yoshida, Hyuga Yamada, Mitsuo Nagasaka, Yoshihito Nakagawa, Tomoyuki Shibata, Tetsuya Tsukamoto, Makoto Kuroda

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5 Citations (Scopus)

Abstract

Chromoendoscopy, narrow-band imaging (NBI), and confocal laser endomicroscopy (CLE) have been introduced in ulcerative colitis (UC)-associated neoplasia surveillance. We aimed to determine the ability of CLE to differentiate among UC-associated neoplasia (differentiated type or undifferentiated type), sporadic adenoma, and circumscribed regenerative lesions. Of 665 patients with UC, we carried out probe-based CLE (pCLE) on 12 patients with suspected UC-associated neoplasia in addition to magnifying chromoendoscopy with crystal violet and NBI. We compared pCLE findings with pathological diagnoses. pCLE could differentiate UC-associated differentiated cancer from other pathologies such as solitary adenoma and non-neoplastic circumscribed regenerative lesions on the basis of back-to-back orientation of crypts (P = 0.048), and UC-associated undifferentiated cancer from other pathologies on the basis of dark trabecular architecture (P = 0.015). Sensitivity, specificity, and accuracy of combination of back-to-back orientation of crypts and dark trabecular architecture for carcinoma or dysplasia were 100%, 83%, and 92%, respectively. In vivo microscopic observation with pCLE was helpful to evaluate the suspected UC-associated neoplasia.

Original languageEnglish
Pages (from-to)626-633
Number of pages8
JournalDigestive Endoscopy
Volume29
Issue number5
DOIs
Publication statusPublished - 07-2017

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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    Ohmiya, N., Horiguchi, N., Tahara, T., Yoshida, D., Yamada, H., Nagasaka, M., Nakagawa, Y., Shibata, T., Tsukamoto, T., & Kuroda, M. (2017). Usefulness of confocal laser endomicroscopy to diagnose ulcerative colitis-associated neoplasia. Digestive Endoscopy, 29(5), 626-633. https://doi.org/10.1111/den.12853