Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical Role of Magnifying Endoscopy with Narrow-band Imaging in the Diagnosis of Early Gastric Cancer

조기 위암의 진단에 있어서 확대 내시경을 동반한 협대역 내시경의 역할

  • Soo In Choi (Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine)
  • 최수인 (인제대학교 상계백병원 내과학교실)
  • Received : 2022.10.26
  • Accepted : 2022.11.09
  • Published : 2022.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

Narrow-band imaging (NBI) is the most widely used image-enhanced endoscopic technique. The superficial microanatomy of gastric mucosa can be visualized when used with a magnifying endoscopy with narrow-band imaging (ME-NBI). The diagnostic criteria for early gastric cancer (EGC), using the classification system for microvascular and microsurface pattern of ME-NBI, have been developed, and their usefulness has been proven in the differential diagnosis of small depressed cancer from focal gastritis and in lateral extent delineation of EGC. Some studies reported on the prediction of histologic differentiation and invasion depth of gastric cancer using ME-NBI; however, its application is limited in clinical practice, and further well-designed studies are necessary. Clinicians should understand the ME-NBI classification system and acquire appropriate diagnostic skills through various experiences and training to improve the quality of endoscopy for EGC diagnosis.

Keywords

References

  1. Yao K, Iwashita A, Tanabe H, et al. Novel zoom endoscopy technique for diagnosis of small flat gastric cancer: a prospective, blind study. Clin Gastroenterol Hepatol 2007;5:869-878. https://doi.org/10.1016/j.cgh.2007.02.034 
  2. Shibagaki K, Amano Y, Ishimura N, et al. Diagnostic accuracy of magnification endoscopy with acetic acid enhancement and narrow-band imaging in gastric mucosal neoplasms. Endoscopy 2016;48:16-25. https://doi.org/10.1055/s-0034-1392542 
  3. Nagahama T, Yao K, Maki S, et al. Usefulness of magnifying endoscopy with narrow-band imaging for determining the horizontal extent of early gastric cancer when there is an unclear margin by chromoendoscopy (with video). Gastrointest Endosc 2011;74:1259-1267. https://doi.org/10.1016/j.gie.2011.09.005 
  4. Kobara H, Mori H, Fujihara S, et al. Prediction of invasion depth for submucosal differentiated gastric cancer by magnifying endoscopy with narrow-band imaging. Oncol Rep 2012;28:841-847. https://doi.org/10.3892/or.2012.1889 
  5. Kikuchi D, Iizuka T, Hoteya S, et al. Usefulness of magnifying endoscopy with narrow-band imaging for determining tumor invasion depth in early gastric cancer. Gastroenterol Res Pract 2013;2013:217695. https://doi.org/10.1155/2013/217695 
  6. Gono K, Obi T, Yamaguchi M, et al. Appearance of enhanced tissue features in narrow-band endoscopic imaging. J Biomed Opt 2004;9:568-577. https://doi.org/10.1117/1.1695563 
  7. Gono K. Narrow band imaging: technology basis and research and development history. Clin Endosc 2015;48:476-480. https://doi.org/10.5946/ce.2015.48.6.476 
  8. Muto M, Horimatsu T, Ezoe Y, Morita S, Miyamoto S. Improving visualization techniques by narrow band imaging and magnification endoscopy. J Gastroenterol Hepatol 2009;24:1333-1346. https://doi.org/10.1111/j.1440-1746.2009.05925.x 
  9. Yao K. Clinical application of magnifying endoscopy with narrow-band imaging in the stomach. Clin Endosc 2015;48:481-490. https://doi.org/10.5946/ce.2015.48.6.481 
  10. Gannon B, Browning J, O'Brien P, Rogers P. Mucosal microvascular architecture of the fundus and body of human stomach. Gastroenterology 1984;86(5 Pt 1):866-875. 
  11. Yao K, Oishi T. Microgastroscopic findings of mucosal microvascular architecture as visualized by magnifying endoscopy. Dig Endosc 2001;13(S1):S27-S33. https://doi.org/10.1111/j.1443-1661.2001.00114.x
  12. Yagi K, Nakamura A, Sekine A. Characteristic endoscopic and magnified endoscopic findings in the normal stomach without Helicobacter pylori infection. J Gastroenterol Hepatol 2002;17:39-45. https://doi.org/10.1046/j.1440-1746.2002.02665.x 
  13. Yao K. The endoscopic diagnosis of early gastric cancer. Ann Gastroenterol 2013;26:11-22. 
  14. Yao K, Anagnostopoulos GK, Ragunath K. Magnifying endoscopy for diagnosing and delineating early gastric cancer. Endoscopy 2009;41:462-467. https://doi.org/10.1055/s-0029-1214594 
  15. Yao K, Oishi T, Matsui T, Yao T, Iwashita A. Novel magnified endoscopic findings of microvascular architecture in intramucosal gastric cancer. Gastrointest Endosc 2002;56:279-284. https://doi.org/10.1016/s0016-5107(02)70194-6 
  16. Ezoe Y, Muto M, Uedo N, et al. Magnifying narrowband imaging is more accurate than conventional white-light imaging in diagnosis of gastric mucosal cancer. Gastroenterology 2011;141:2017-2025.e3. https://doi.org/10.1053/j.gastro.2011.08.007 
  17. Yamada S, Doyama H, Yao K, et al. An efficient diagnostic strategy for small, depressed early gastric cancer with magnifying narrow-band imaging: a post-hoc analysis of a prospective randomized controlled trial. Gastrointest Endosc 2014;79:55-63. https://doi.org/10.1016/j.gie.2013.07.008 
  18. Yao K, Doyama H, Gotoda T, et al. Diagnostic performance and limitations of magnifying narrow-band imaging in screening endoscopy of early gastric cancer: a prospective multicenter feasibility study. Gastric Cancer 2014;17:669-679. https://doi.org/10.1007/s10120-013-0332-0 
  19. Nagahama T, Yao K, Uedo N, et al. Delineation of the extent of early gastric cancer by magnifying narrow-band imaging and chromoendoscopy: a multicenter randomized controlled trial. Endoscopy 2018;50:566-576. https://doi.org/10.1055/s-0044-100790 
  20. Yao K, Iwashita A, Nambu M, et al. Nature of white opaque substance in gastric epithelial neoplasia as visualized by magnifying endoscopy with narrow-band imaging. Dig Endosc 2012;24:419-425. https://doi.org/10.1111/j.1443-1661.2012.01314.x 
  21. Yao K, Iwashita A, Tanabe H, et al. White opaque substance within superficial elevated gastric neoplasia as visualized by magnification endoscopy with narrow-band imaging: a new optical sign for differentiating between adenoma and carcinoma. Gastrointest Endosc 2008;68:574-580. https://doi.org/10.1016/j.gie.2008.04.011 
  22. Kanemitsu T, Yao K, Nagahama T, et al. The vessels within epithelial circle (VEC) pattern as visualized by magnifying endoscopy with narrow-band imaging (ME-NBI) is a useful marker for the diagnosis of papillary adenocarcinoma: a case-controlled study. Gastric Cancer 2014;17:469-477. https://doi.org/10.1007/s10120-013-0295-1 
  23. Doyama H, Yoshida N, Tsuyama S, et al. The "white globe appearance" (WGA): a novel marker for a correct diagnosis of early gastric cancer by magnifying endoscopy with narrow-band imaging (M-NBI). Endosc Int Open 2015;3:E120-E124. https://doi.org/10.1055/s-0034-1391026 
  24. Watanabe Y, Shimizu M, Itoh T, Nagashima K. Intraglandular necrotic debris in gastric biopsy and surgical specimens. Ann Diagn Pathol 2001;5:141-147. https://doi.org/10.1053/adpa.2001.25405 
  25. Yoshida N, Doyama H, Nakanishi H, et al. White globe appearance is a novel specific endoscopic marker for gastric cancer: a prospective study. Dig Endosc 2016;28:59-66. https://doi.org/10.1111/den.12519 
  26. Omura H, Yoshida N, Hayashi T, et al. Interobserver agreement in detection of "white globe appearance" and the ability of educational lectures to improve the diagnosis of gastric lesions. Gastric Cancer 2017;20:620-628. https://doi.org/10.1007/s10120-016-0676-3 
  27. Kanesaka T, Uedo N, Yao K, et al. Multiple convex demarcation line for prediction of benign depressed gastric lesions in magnifying narrow-band imaging. Endosc Int Open 2018;6:E145-E155. https://doi.org/10.1055/s-0043-121267 
  28. Kanesaka T, Sekikawa A, Tsumura T, et al. Dense-type crypt opening seen on magnifying endoscopy with narrow-band imaging is a feature of gastric adenoma. Dig Endosc 2014;26:57-62. https://doi.org/10.1111/den.12076 
  29. Nakayoshi T, Tajiri H, Matsuda K, Kaise M, Ikegami M, Sasaki H. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy 2004;36:1080-1084. https://doi.org/10.1055/s-2004-825961 
  30. Kanesaka T, Sekikawa A, Tsumura T, et al. Absent microsurface pattern is characteristic of early gastric cancer of undifferentiated type: magnifying endoscopy with narrow-band imaging. Gastrointest Endosc 2014;80:1194-1198.e1. https://doi.org/10.1016/j.gie.2014.08.021 
  31. Asada-Hirayama I, Kodashima S, Sakaguchi Y, et al. Magnifying endoscopy with narrow-band imaging is more accurate for determination of horizontal extent of early gastric cancers than chromoendoscopy. Endosc Int Open 2016;4:E690-E698. https://doi.org/10.1055/s-0042-107068 
  32. Kiyotoki S, Nishikawa J, Satake M, et al. Usefulness of magnifying endoscopy with narrow-band imaging for determining gastric tumor margin. J Gastroenterol Hepatol 2010;25:1636-1641. https://doi.org/10.1111/j.1440-1746.2010.06379.x 
  33. Yao K, Yao T, Iwashita A. Determining the horizontal extent of early gastric carcinoma: two modern techniques based on differences in the mucosal microvascular architecture and density between carcinomatous and non-carcinomatous mucosa. Dig Endosc 2002;14(S1):S83-S87. https://doi.org/10.1046/j.1443-1661.14.s1.16.x 
  34. Yao K, Nagahama T, Matsui T, Iwashita A. Detection and characterization of early gastric cancer for curative endoscopic submucosal dissection. Dig Endosc 2013;25 Suppl 1:44-54. https://doi.org/10.1111/den.12004 
  35. Yagi K, Nakamura A, Sekine A, Umezu H. Magnifying endoscopy with narrow band imaging for early differentiated gastric adenocarcinoma. Dig Endosc 2008;20:115-122. https://doi.org/10.1111/j.1443-1661.2008.00788.x