Endoscopy 2007; 39(1): 80-83
DOI: 10.1055/s-2006-945045
Innovation forum
© Georg Thieme Verlag KG Stuttgart · New York

Computed virtual chromoendoscopy: a new tool for enhancing tissue surface structures

J.  Pohl1 , A.  May1 , T.  Rabenstein1 , O.  Pech1 , C.  Ell1
  • 1Department of Internal Medicine II, Dr.-Horst-Schmidt-Kliniken, Wiesbaden, Germany
Further Information

Publication History

Publication Date:
25 January 2007 (online)

We conducted a study of a newly developed ”computed virtual chromoendoscopy” (CVC) system that enhances the contrast of the mucosal surface without the use of dyes. The CVC imaging technique is based on narrowing the bandwidth of the conventional endoscopic image arithmetically, using spectral estimation technology. Preliminary clinical tests comparing CVC-enhanced visualization of neoplastic and non-neoplastic lesions with images obtained by conventional endoscopy show that CVC enhances the vascular network as well as the pit pattern. CVC might therefore complement high-resolution endoscopy by facilitating the assessment of the nature and extent of gastrointestinal mucosal lesions.

References

  • 1 Kudo S, Hirota S, Nakajima T. et al . Colorectal tumours and pit pattern.  J Clin Pathol. 1994;  47 880-885
  • 2 Kumagai Y, Inoue H, Nagai K. et al . Magnifying endoscopy, stereoscopic microscopy, and the microvascular architecture of superficial esophageal carcinoma.  Endoscopy. 2002;  34 369-375
  • 3 Yagi K, Nakamura A, Sekine A. Comparison between magnifying endoscopy and histological, culture and urease test findings from the gastric mucosa of the corpus.  Endoscopy. 2002;  34 376-381
  • 4 Fennerty M B. Tissue staining (chromoscopy) of the gastrointestinal tract.  Can J Gastroenterol. 1999;  13 423-429
  • 5 Gono K, Yamaguchi M, Ohyama N. Improvement of image quality of the electroendoscopy by narrowing spectral shapes of observation light.  Proc Int Congress Imaging Sci. 2002;  5 399-400
  • 6 Gono K, Yamazaki K, Doguchi N. et al . Endoscopic observation of tissue by narrow-band illumination.  Opt Rev. 2003;  10 1-5
  • 7 Sano Y, Kobayashi M, Hamamoto Y. et al . New diagnostic method based on color imaging using narrow-band imaging (NBI) system for gastrointestinal tract [abstract].  Gastrointest Endosc. 2001;  53 AB125
  • 8 Gono K, Obi T, Yamaguchi M. et al . Appearance of enhanced tissue features in narrow-band endoscopic imaging.  J Biomed Opt. 2004;  9 568-577
  • 9 Machida H, Sano Y, Hamamoto Y. et al . Narrow-band imaging in the diagnosis of colorectal mucosal lesions: a pilot study.  Endoscopy. 2004;  36 1094-1098
  • 10 Kara M A, Peters F P, Rosmolen W D. et al . High-resolution endoscopy plus chromoendoscopy or narrow-band imaging in Barrett’s esophagus: a prospective randomized crossover study.  Endoscopy. 2005;  37 929-936
  • 11 Yoshida T, Inoue H, Usui S. et al . Narrow-band imaging system with magnifying endoscopy for superficial esophageal lesions.  Gastrointest Endosc. 2004;  59 288-295
  • 12 Hamamoto Y, Endo T, Nosho K. et al . Usefulness of narrow-band imaging endoscopy for diagnosis of Barrett’s esophagus.  J Gastroenterol. 2004;  39 14-20
  • 13 Sharma P, Mathur S, Dixon A. et al . Narrow band imaging endoscopy for the detection of dysplastic and non dysplastic Barrett’s esophagus [abstract].  Gastrointest Endosc. 2004;  59 AB263
  • 14 Dekker E, Ennahachi M, Kara M. et al . Narrow band imaging for improved pit pattern imaging in colonic polyps [abstract].  Gastroenterology. 2004;  126 A625-A626

C. Ell, MD

Department of Internal Medicine II

Dr.-Horst-Schmidt-Kliniken · Ludwig-Erhard-Str. 100 · Wiesbaden 65199 · Germany

Fax: +49-611-432418

Email: ell.hsk-wiesbaden@arcor.de

    >