窄带成像技术对早期食管癌诊断的研究进展

doi:10.3760/cma.j.issn.1673422X.2015.09.015

摘要/Abstract

摘要： 早期食管癌的诊断对提高食管癌治疗效果和改善患者预后至关重要。窄带成像技术（NBI）作为一种新的食管癌早期诊断技术，使术者能够清晰观察早期食管癌的黏膜及黏膜下血管的改变，已初步显示出了在食管癌早期诊断中良好的应用价值，相比目前常用的普通白光内镜有明显优势。临床上若与Lugol碘染色内镜、放大内镜等诊断方式联合使用，对食管癌的早期诊断价值更大。

Abstract: Early diagnosis of esophageal cancer is essential for improving both the effectiveness of esophageal cancer treatment and the prognosis of patients. As a new technology for esophageal cancer early diagnosis，narrowband imaging (NBI) enables surgeon to clearly observe the mucosa and submucosal blood vessels changes in early esophageal cancer. It has initially shown excellent application value in the early diagnosis.In particular it has obvious advantages to the ordinary white light endoscopy which is currently used in esophageal cancer early diagnosis. If combined with Lugol iodine staining ,magnifying endoscopy and other diagnostic methods in clinical, NBI will have a better value in early diagnosis of esophageal.

宋来, 彭小东, 杨小红, 付茂勇. 窄带成像技术对早期食管癌诊断的研究进展[J]. 国际肿瘤学杂志, 2015, 42(8): 696-.

SONG Lai, PENG Xiao-Dong, YANG Xiao-Hong, FU Mao-Yong. Research progress of narrow band imaging in the diagnosis of early esophageal cancer[J]. Journal of International Oncology, 2015, 42(8): 696-.

参考文献

［1］ Chen W, Zheng R, Zeng H, et al. Annual report on status of cancer in China, 2011［J］. Chin J Cancer Res, 2015, 27(1):212. ［2］ Guan L, Dai Y, Luo R. Translational research in oncology research & development and its impact on early development in China: report of the 5th Annual Meeting of the US Chinese AntiCancer Association (USCACA) at 2013 AACR Annual Meeting［J］. Chin J Cancer， 2013, 32(7):357362. ［3］ Kmietowicz Z. Oesophageal and gastric cancer need to be detected earlier to improve outcomes, audit finds［J］. BMJ, 2014, 349:g7340. ［4］ Qin X, He S, Zhang Y， et al. Diagnosis and staging of superficial esophageal precursor based on preendoscopic resection system comparable to endoscopic resection［J］. BMC Cancer, 2014, 14:774. ［5］ Davydov М, Delektorskaya VV, Kuvshinov YP, et al, Superficial and early cancers of the esophagus［J］. Ann N Y Acad Sci, 2014, 1325:159169. ［6］ Adams MA, Parikh PD, Miller K, et al. Medical professional liability claims related to esophageal cancer screening［J］. JAMA, 2014, 312(13):13481349. ［7］ Arantes V, Albuquerque W, Salles JM, et al. Effectiveness of unsedated transnasal endoscopy with whitelight, flexible spectral imaging color enhancement, and lugol staining for esophageal cancer screening in highrisk patients［J］. J Clin Gastroenterol, 2013, 47(4):314321. ［8］ Kara MA, Peters FP, Fockens P, et al. Endoscopic videoautofluorescence imaging followed by narrow band imaging for detecting early neoplasia in Barrett′s esophagus［J］. Gastrointest Endosc， 2006， 64(2):176185. ［9］ Singh R, Lee SY, Vijay N, et al. Update on narrow band imaging in disorders of the upper gastrointestinal tract［J］. Dig Endosc, 2014, 26(2):144153. ［10］ Cowie A, Noble F, Underwood T. Strategies to improve outcomes in esophageal adenocarcinoma［J］. Expert Rev Anticancer Ther， 2014， 14(6):677687. ［11］ Isomoto H, Yamaguchi N, Minami H, et al. Management of complications associated with endoscopic submucosal dissection/ endoscopic mucosal resection for esophageal cancer［J］. Dig Endosc, 2013, 25 Suppl 1:2938. ［12］ Oyama T. Diagnostic strategies of superficial Barrett′s esophageal cancer for endoscopic submucosal dissection［J］. Dig Endosc， 2013， 25 Suppl 1:712. ［13］ Spechler SJ. Barrett esophagus and risk of esophageal cancer: a clinical review［J］. JAMA, 2013, 310(6):627636. ［14］ Yang S, Wu S, Huang Y, et al. Screening for oesophageal cancer［J］. Cochrane Database Syst Rev， 2012， 12:12. ［15］ Lagergren J, Lagergren P. Recent developments in esophageal adenocarcinoma［J］. CA Cancer J Clin， 2013， 63(4):232248. ［16］ Santi EG, Inoue H, Ikeda H, et al. Microvascular caliber changes in intramucosal and submucosally invasive esophageal cancer［J］. Endoscopy, 2013, 45(7):585588. ［17］黄慧峰，彭玄杰. 窄带成像放大内镜下食管黏膜微血管形态观察的临床价值探析［J］. 医学研究杂志, 2013, 42(12):9194. ［18］杨建荣，刘锦涛. 窄带成像放大内镜下食管黏膜微血管形态观察的临床价值［J］. 胃肠病学和肝病学杂志, 2013, 22(4):327329. ［19］ Wang SF, Yang YS, Yuan J, et al. The value of esophageal intrapapillary capillary loop visualized by magnifying narrowband imaging endoscopy in diagnosing esophageal mucosal pathology［J］. Zhonghua Nei Ke Za Zhi, 2012, 51(4):284288. ［20］ Mochizuki Y, Saito Y, Kobori A, et al. Magnified endoscopy combined with narrow band imaging of minimal superficial esophageal neoplasiaindicators to differentiate intraepithelial neoplasias［J］. J Gastrointest Cancer, 2012, 43(4):599606. ［21］ Yokoyama A, Ichimasa K, Ishiguro T, et al. Is it proper to use nonmagnified narrowband imaging for esophageal neoplasia screening? Japanese singlecenter, prospective study［J］. Dig Endosc, 2012, 24(6):412418. ［22］ Goda K, Tajiri H, Ikegami M, et al. Magnifying endoscopy with narrow band imaging for predicting the invasion depth of superficial esophageal squamous cell carcinoma［J］. Dis Esophagus, 2009, 22(5):453460. ［23］ Uedo N, Fujishiro M, Goda K, et al. Role of narrow band imaging for diagnosis of earlystage esophagogastric cancer: current consensus of experienced endoscopists in AsiaPacific region［J］. Dig Endosc, 2011, 23 Suppl 1:5871. ［24］ Lecleire S, Antonietti M, IwanickiCaron I, et al. Lugol chromoendoscopy versus narrow band imaging for endoscopic screening of esophageal squamouscell carcinoma in patients with a history of cured esophageal cancer: a feasibility study［J］. Dis Esophagus, 2011, 24(6):418422. ［25］ Kuraoka K, Hoshino E, Tsuchida T, et al. Early esophageal cancer can be detected by screening endoscopy assisted with narrowband imaging (NBI)［J］. Hepatogastroenterology, 2009, 56(89):6366. ［26］王用兵, 龙庆林. NBI及碘染色对早期食管癌及其癌前病变的诊断价值［J］. 实用癌症杂志, 2014, 29(3): 287289. ［27］刘昕. 窄带成像技术与碘染色诊断老年早期食管癌的差异［J］. 中国老年学杂志, 2012, 32(13): 27062708.