Unique ID issued by UMIN | UMIN000007709 |
---|---|
Receipt number | R000009063 |
Scientific Title | Study of the usefulness of surface pattern observed by magnifying narrow-band imaging(NBI) in early colorectal cacner:Pilot study |
Date of disclosure of the study information | 2012/04/10 |
Last modified on | 2014/08/24 20:07:38 |
Study of the usefulness of surface pattern observed by magnifying narrow-band imaging(NBI) in early colorectal cacner:Pilot study
Surface pattern of early colorectal cancer
Study of the usefulness of surface pattern observed by magnifying narrow-band imaging(NBI) in early colorectal cacner:Pilot study
Surface pattern of early colorectal cancer
Japan |
Colorectal cancer
Gastroenterology |
Malignancy
NO
To investigate if surface pattern by magnifying NBI can be used to predict invasion depth in colorectal cancer.
Efficacy
Exploratory
Pragmatic
Not applicable
(1)Diagnostic specifity
(2)Diagnostic sensitivity
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Maneuver |
Magnified endoscopy with NBI
20 | years-old | <= |
Not applicable |
Male and Female
(1)Early coloretal cancer(intramucosal cancer or submucosal invasive cancer)
(2)Lesions observed by magnifying NBI
(3)Over 20 years old
(4)Written informed consent
(1)Advanced colorectal cancer(T2 or more)
(2)Low or high grade adenoma
(3)Poor condition to obtain appropriate endoscopic images
350
1st name | |
Middle name | |
Last name | Masashi Misawa |
Showa University, Northern Yokohama Hospital
Digestive Disease Center
35-1, Chigasaki-chuo, Tsuduki,Yokohama, Kanagawa, Japan
045-949-7265
1st name | |
Middle name | |
Last name | Masashi Misawa |
Showa University, Northern Yokohama Hospital
Digestive Disease Center
35-1, Chigasaki-chuo, Tsuduki,Yokohama, Kanagawa, Japan
misawaanny@ybb.ne.jp
Showa University, Northern Yokohama Hospital
None
Self funding
NO
2012 | Year | 04 | Month | 10 | Day |
Published
http://www.ncbi.nlm.nih.gov/pubmed/23673484
Narrow-band imaging (NBI) of surface microvessels of colorectal lesions is useful for differentiating neoplasms from non-neoplasms and for predicting histopathological diagnosis. Furthermore, NBI of surface microstructure, or 'surface pattern', is valuable for predicting histopathology in colorectal cancer. The aim of the present study was to investigate whether surface patterns could be used to predict invasion depth in colorectal cancer, and to compare the accuracy of surface pattern diagnosis in each macroscopic type. Between January 2010 and March 2011, a series of 357 consecutive patients with 378 early colorectal cancers were observed by magnifying NBI and the surface pattern was prospectively evaluated. Surface pattern was classified into 3 types: type I, microstructure was clearly recognised with uniform arrangement and form; type II, microstructure was obscured with heterogeneous arrangement and form; and type III, microstructure was invisible. We also classified the macroscopic type into 3 categories: depressed, protruded and flat elevated. Assuming that type III was an index of massively invasive lesions in the submucosal layer (SMm), the sensitivity, specificity and accuracy were 56.9, 91.7 and 85.7%, respectively. The sensitivity, specificity and accuracy of type III for the diagnosis of SMm in each macroscopic type were: depressed, 88.9, 40.0 and 63.2%, respectively; protruded: 34.8, 96.4 and 90.0%, respectively; and flat elevated, 54.2, 92.7 and 85.0%, respectively. These results suggest that the diagnostic accuracy of surface pattern was insufficient and particularly poor for depressed-type lesions.
Completed
2009 | Year | 12 | Month | 20 | Day |
2010 | Year | 01 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
This study was registered on UMIN-CTR after finished.
2012 | Year | 04 | Month | 09 | Day |
2014 | Year | 08 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009063