Texture and color enhancement imaging versus white light imaging for the detection of colorectal adenomas: Systematic review and meta-analysis
Rattachement africain : bg, pk, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Texture and color enhancement imaging (TXI) is a novel optical technology designed to improve visibility during endoscopy by highlighting subtle differences in morphology and color. This systematic review and meta-analysis aimed to determine whether TXI, compared with conventional white light imaging (WLI), can improve important colonoscopy quality indicators, specifically the adenoma detection rate (ADR) and adenomas per colonoscopy (APC). We searched PubMed, EMBASE, and the Cochrane Central for studies comparing TXI to WLI in patients undergoing colonoscopy for any indication. Risk ratios (RRs) and mean differences (MDs) were computed using a random-effects model. We included 1541 patients from three studies, of which two were randomized controlled trials (RCTs). TXI was used in 775 patients (50.3%). Indications for colonoscopy varied, including positive fecal immunochemical test (FIT), surveillance, and diagnostic workup for abdominal symptoms. In the pooled data, TXI significantly increased both ADR (57,8% versus 43.6%; RR 1.32; 95% confidence interval [CI] 1.20-1.46; P < 0.001; I2 = 0%) and APC (MD 0.50; 95% CI 0.37-0.64; P < 0.001; I2 = 0%), compared with WLI. Furthermore, TXI was more effective at detecting nonpolypoid/flat adenomas, proximal/right-sided adenomas, and adenomas ≥ 10 mm in size. Colonoscopies with TXI had shorter withdrawal times. Our meta-analysis demonstrates that TXI significantly improves detection of colorectal adenomas in patients undergoing colonoscopy for various indications. TXI has the potential to improve overall quality of colonoscopy and contribute to colorectal cancer prevention.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Texture and color enhancement imaging versus white light imaging for the detection of colorectal adenomas: Systematic review and meta-analysis
- Date Crossref
- 18/11/2024
- Éditeur
- Georg Thieme Verlag KG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University Hospital St. Ivan Rilski pays non établi dans la noticeÉtablissement de santé
-
Rawalpindi Medical University Gastroenterology pays non établi dans la noticeÉtablissement de santé
-
Military Medical Academy pays non établi dans la noticeÉtablissement de santé
-
University of Illinois Chicago Division of Academic Internal Medicine and Geriatrics pays non établi dans la noticeUniversité ou école supérieure
-
University Hospital St Ivan Rilski Gastroenterology Clinic pays non établi dans la noticeUniversité ou école supérieure
-
HPB Surgery and Transplantology pays non établi dans la noticeInstitution
University Hospital St. Ivan Rilski, Gastroenterology — Rawalpindi Medical University et Military Medical Academy, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.