UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060426
Receipt number R000069122
Scientific Title Visual Improvement Study using NBI (Narrow Band Imaging) combined with TXI (Texture and Color Enhancement Imaging)
Date of disclosure of the study information 2026/02/01
Last modified on 2026/01/21 17:21:13

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Retrospective Observational Study Evaluating the Diagnostic Performance of a Novel Endoscopic Mode Combining NBI and TXI for Lesion Identification

Acronym

NBI-TXI study

Scientific Title

Visual Improvement Study using NBI (Narrow Band Imaging) combined with TXI (Texture and Color Enhancement Imaging)

Scientific Title:Acronym

NBI-TXI VISION Study

Region

Japan


Condition

Condition

neoplastic or non-neoplastic lesions

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Narrow Band Imaging (NBI), which utilizes short-wavelength light, provides excellent visualization of superficial mucosal microvasculature and structures and is widely used in gastrointestinal endoscopic diagnosis. However, NBI alone has inherent limitations in image brightness and color contrast, and therefore may not always provide sufficient visibility or discrimination of lesions.
In contrast, Texture and Color Enhancement Imaging (TXI) is a novel image enhancement technology that performs luminance correction and color enhancement. When used in combination with conventional NBI, TXI is expected to further improve lesion visibility and discrimination. This combined approach may be particularly useful for lesions that are difficult to detect, such as flat or early-stage lesions.
The aim of this study was to compare lesion visibility and discrimination between NBI alone and NBI combined with TXI using previously stored gastrointestinal endoscopic images. Through this comparison, we sought to clarify the effectiveness of combining TXI with NBI and to contribute to improved diagnostic performance in clinical endoscopic practice.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

subjective visibility scores (margin clarity and microstructural discriminability)

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Neoplastic or non-neoplastic lesions identified during upper and lower gastrointestinal endoscopic examinations performed at our institution between August and September 2025

Key exclusion criteria

Unclear image quality, difficulty in defining the region of interest (ROI), incomplete clinical records, or withdrawal of consent (opt-out refusal)

Target sample size

30


Research contact person

Name of lead principal investigator

1st name NANOKA
Middle name
Last name CHIYA

Organization

Saitama medical University International Medical Center

Division name

Department of gastroenterology

Zip code

3501298

Address

1397-1, Yamane, Hidaka-City, Saitama-Pref, Japan

TEL

0429844111

Email

nnk1011row@yahoo.co.jp


Public contact

Name of contact person

1st name NANOKA
Middle name
Last name CHIYA

Organization

Saitama medical University International Medical Center

Division name

Department of gastroenterology

Zip code

3501298

Address

1397-1, Yamane, Hidaka-City, Saitama-Pref, Japan

TEL

0429844111

Homepage URL


Email

nnk1011row@yahoo.co.jp


Sponsor or person

Institute

Saitama medical University International Medical Center

Institute

Department

Personal name



Funding Source

Organization

Saitama medical University International Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama medical University International Medical Center

Address

1397-1, Yamane, Hidaka-City, Saitama-Pref, Japan

Tel

0429844111

Email

imc_irb@saitama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 20 Day

Date of IRB


Anticipated trial start date

2025 Year 08 Month 01 Day

Last follow-up date

2025 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center retrospective observational study using archived gastrointestinal endoscopic images.


Management information

Registered date

2026 Year 01 Month 21 Day

Last modified on

2026 Year 01 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069122