White Paper AGA

Advanced Imaging in Barrett's Esophagus

Prateek Sharma, Joel Brill, Marcia Canto, Daniel DeMarco, M (Brian) Fennerty, Neil Gupta, Loren Laine, David Lieberman, Charles Lightdale, Elizabeth Montgomery, Robert Odze, Jeffrey Tokar, Michael Kochman

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2209-2218
Number of pages10
JournalClinical Gastroenterology and Hepatology
Volume13
Issue number13
DOIs
StatePublished - Dec 1 2015

Fingerprint

Barrett Esophagus
Technology
Biomedical Enhancement
Narrow Band Imaging
Image Enhancement
Education
Optical Coherence Tomography
Standard of Care
Polyps
Endoscopy
Colon
Lasers
Color
Biopsy
Light

Keywords

  • Barrett's Esophagus
  • Confocal Laser Endomicroscopy
  • Endoscopic Image Enhancement
  • Flexible Spectral Imaging Color Enhancement
  • I-Scan
  • Narrow-Band Imaging

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Sharma, P., Brill, J., Canto, M., DeMarco, D., Fennerty, M. B., Gupta, N., ... Kochman, M. (2015). White Paper AGA: Advanced Imaging in Barrett's Esophagus. Clinical Gastroenterology and Hepatology, 13(13), 2209-2218. https://doi.org/10.1016/j.cgh.2015.09.017

White Paper AGA : Advanced Imaging in Barrett's Esophagus. / Sharma, Prateek; Brill, Joel; Canto, Marcia; DeMarco, Daniel; Fennerty, M (Brian); Gupta, Neil; Laine, Loren; Lieberman, David; Lightdale, Charles; Montgomery, Elizabeth; Odze, Robert; Tokar, Jeffrey; Kochman, Michael.

In: Clinical Gastroenterology and Hepatology, Vol. 13, No. 13, 01.12.2015, p. 2209-2218.

Research output: Contribution to journalArticle

Sharma, P, Brill, J, Canto, M, DeMarco, D, Fennerty, MB, Gupta, N, Laine, L, Lieberman, D, Lightdale, C, Montgomery, E, Odze, R, Tokar, J & Kochman, M 2015, 'White Paper AGA: Advanced Imaging in Barrett's Esophagus', Clinical Gastroenterology and Hepatology, vol. 13, no. 13, pp. 2209-2218. https://doi.org/10.1016/j.cgh.2015.09.017
Sharma, Prateek ; Brill, Joel ; Canto, Marcia ; DeMarco, Daniel ; Fennerty, M (Brian) ; Gupta, Neil ; Laine, Loren ; Lieberman, David ; Lightdale, Charles ; Montgomery, Elizabeth ; Odze, Robert ; Tokar, Jeffrey ; Kochman, Michael. / White Paper AGA : Advanced Imaging in Barrett's Esophagus. In: Clinical Gastroenterology and Hepatology. 2015 ; Vol. 13, No. 13. pp. 2209-2218.
@article{479498bcb8e142dfb2587c0caff7e49c,
title = "White Paper AGA: Advanced Imaging in Barrett's Esophagus",
abstract = "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.",
keywords = "Barrett's Esophagus, Confocal Laser Endomicroscopy, Endoscopic Image Enhancement, Flexible Spectral Imaging Color Enhancement, I-Scan, Narrow-Band Imaging",
author = "Prateek Sharma and Joel Brill and Marcia Canto and Daniel DeMarco and Fennerty, {M (Brian)} and Neil Gupta and Loren Laine and David Lieberman and Charles Lightdale and Elizabeth Montgomery and Robert Odze and Jeffrey Tokar and Michael Kochman",
year = "2015",
month = "12",
day = "1",
doi = "10.1016/j.cgh.2015.09.017",
language = "English (US)",
volume = "13",
pages = "2209--2218",
journal = "Clinical Gastroenterology and Hepatology",
issn = "1542-3565",
publisher = "W.B. Saunders Ltd",
number = "13",

}

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, M (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

PY - 2015/12/1

Y1 - 2015/12/1

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

UR - http://www.scopus.com/inward/record.url?scp=84947438632&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947438632&partnerID=8YFLogxK

U2 - 10.1016/j.cgh.2015.09.017

DO - 10.1016/j.cgh.2015.09.017

M3 - Article

VL - 13

SP - 2209

EP - 2218

JO - Clinical Gastroenterology and Hepatology

JF - Clinical Gastroenterology and Hepatology

SN - 1542-3565

IS - 13

ER -