Evaluation Of Laryngeal Vascular Changes With Image1 S Enhancement System In Reference To The European Laryngological Society Guideline
| Autor: | Mustafa Kürşat Gökcan, Sibel Yıldırım, Zahide Çiler Büyükatalay, Gürsel Dursun, Muhammet Fatih Gökmen, Tarık Babür Küçük |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male S system medicine.medical_specialty Lesion Clinical expertise Narrow Band Imaging Young Adult White light Humans Medicine Medical diagnosis Laryngeal Neoplasms Pathological Aged High contrast business.industry Endoscopy Guideline Middle Aged Image Enhancement University hospital medicine.disease Otorhinolaryngology Dysplasia Female Histopathology Radiology medicine.symptom business |
| DOI: | 10.22541/au.161064921.19730284/v1 |
| Popis: | OBJECTIVES To assess the feasibility of using Image1 S™ endoscopic enhancement system for discrimination of the vascular patterns in laryngeal lesions. DESIGN Forty patients presenting with benign, dysplastic and malignant laryngeal lesions were examined with Image1 S system. The vascular patterns were classified by a group of authors according to the European Laryngological Society (ELS) guideline, as perpendicular or longitudinal, in all lesions. The relationship between the vascular patterns and the pathological results was statistically analysed. Endoscopic images of the lesions were evaluated through an online survey by a group of otolaryngologists with different levels of clinical expertise and asked them to choose a diagnosis and a vascular pattern. The vascular pattern evaluations of the participants were compared to the authors' evaluations to determine the interobserver reliability. The final diagnostic judgements of the participants were compared with the definitive histopathological diagnoses. SETTING Tertiary university hospital. PARTICIPANTS Forty patients with laryngeal lesions and thirty otolaryngologists with different clinical experience levels. MAIN OUTCOME MEASURES The study evaluates the usefulness of the Image1 S system for the detecting the vascular patterns associated with benign, dysplastic, and malignant lesions and measures the level of accuracy and inter observer agreement in detecting the final histopathology. RESULTS Histopathological examination diagnosed 12 patients as benign, 12 dysplastic and 16 malignant. Using Image1 S, the vascular patterns were longitudinal in 11 lesions, perpendicular in 28 lesions and undetectable in 1 lesion. With white light, longitudinal pattern was observed in 14 lesions, perpendicular in 21 lesions and undetectable in 5 lesions. The correlation between the vascularisation pattern and the pathological diagnosis was found to be significant (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|