| Theme | Technological Innovation of Digestive Endoscopy -- Toward the Next Generation of Endoscopic Medicine | |
|---|---|---|
| Title | Usefulness of Endocytoscopy in the Colorectum. Does Computer — aided Diagnosis Using Endocytoscopy Represent the Future of Endoscopy ? | |
| Publish Date | 2016/09 | |
| Author | Shin‒ei Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Yuichi Mori | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Kunihiko Wakamura | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Masashi Misawa | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Toyoki Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| [ Summary ] | Magnifying chromoendoscopy enables objective diagnosis by focusing on the pit structure of the superficial layer of the colonic mucosa, and achieves accurate pathological prediction of a target lesion. Recent, development of a novel ultra‒magnifying endoscope (endocytoscope, EC, a prototype from Olympus) is expected to have a significant impact ; the EC has magnification power of approximately 500 × and can visualize cell nuclei, enabling true optical biopsy. The EC provides accuracy of over 90 % for identification of adenomas and massively invasive submucosal cancers in the colorectum. On the other hand, reproducibility of endoscopic diagnosis remains a key issue for clinical practice. In order to reduce the variability of diagnosis and enable non‒expert endoscopists to achieve as accurate a diagnosis as experts, we developed a novel computer‒aided diagnostic system for EC. In this article, we reviewed the research history of computer‒aided diagnostic systems for endoscopy, and then briefly discussed relevant work. |
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