TY - JOUR
T1 - White Paper AGA
T2 - Advanced Imaging in Barrett's Esophagus
AU - Sharma, Prateek
AU - Brill, Joel
AU - Canto, Marcia
AU - DeMarco, Daniel
AU - Fennerty, Brian
AU - Gupta, Neil
AU - Laine, Loren
AU - Lieberman, David
AU - Lightdale, Charles
AU - Montgomery, Elizabeth
AU - Odze, Robert
AU - Tokar, Jeffrey
AU - Kochman, Michael
N1 - Publisher Copyright:
© 2015 AGA Institute.
PY - 2015/12
Y1 - 2015/12
N2 - Enhanced imaging technologies such as narrow band imaging, flexible spectral imaging color enhancement, i-Scan, confocal laser endomicroscopy, and optical coherence tomography are readily available for use by endoscopists in routine clinical practice. In November 2014, the American Gastroenterological Association's Center for GI Innovation and Technology conducted a 2-day workshop to discuss endoscopic image enhancement technologies, focusing on their role in 2 specific clinical conditions (colon polyps and Barrett's esophagus) and on issues relating to training and implementation of these technologies (white papers). Although the majority of the studies that use enhanced imaging technologies have been positive, these techniques ideally need to be validated in larger cohorts and in community centers. As it stands today, detailed endoscopic examination with high-definition white-light endoscopy and random 4-quadrant biopsy remains the standard of care. However, the workshop panelists agreed that in the hands of endoscopists who have met the preservation and incorporation of valuable endoscopic innovation thresholds (diagnostic accuracy) with enhanced imaging techniques (specific technologies), use of the technique in Barrett's esophagus patients is appropriate.
AB - Enhanced imaging technologies such as narrow band imaging, flexible spectral imaging color enhancement, i-Scan, confocal laser endomicroscopy, and optical coherence tomography are readily available for use by endoscopists in routine clinical practice. In November 2014, the American Gastroenterological Association's Center for GI Innovation and Technology conducted a 2-day workshop to discuss endoscopic image enhancement technologies, focusing on their role in 2 specific clinical conditions (colon polyps and Barrett's esophagus) and on issues relating to training and implementation of these technologies (white papers). Although the majority of the studies that use enhanced imaging technologies have been positive, these techniques ideally need to be validated in larger cohorts and in community centers. As it stands today, detailed endoscopic examination with high-definition white-light endoscopy and random 4-quadrant biopsy remains the standard of care. However, the workshop panelists agreed that in the hands of endoscopists who have met the preservation and incorporation of valuable endoscopic innovation thresholds (diagnostic accuracy) with enhanced imaging techniques (specific technologies), use of the technique in Barrett's esophagus patients is appropriate.
KW - Barrett's Esophagus
KW - Confocal Laser Endomicroscopy
KW - Endoscopic Image Enhancement
KW - Flexible Spectral Imaging Color Enhancement
KW - I-Scan
KW - Narrow-Band Imaging
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U2 - 10.1016/j.cgh.2015.09.017
DO - 10.1016/j.cgh.2015.09.017
M3 - Article
C2 - 26462567
AN - SCOPUS:84947438632
SN - 1542-3565
VL - 13
SP - 2209
EP - 2218
JO - Clinical Gastroenterology and Hepatology
JF - Clinical Gastroenterology and Hepatology
IS - 13
ER -