caa a22 4500 445795727 CHVBK 20180317145124.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10620-011-1831-7 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1831-7 Flexible Spectral Imaging Color Enhancement (FICE) Is Useful to Discriminate Among Non-neoplastic Lesion, Adenoma, and Cancer of Stomach [Elektronische Daten] [Sung Jung, Kyu Lim, Jun Lim, Jung Jeon, Hyun Shin, Se Kim, Eun Lee, Jae Park, Jae Cha, Kwang Joo, Joung Lee] Background: Studies regarding the discrimination of non-neoplastic lesion, adenoma, and cancer of the stomach using magnifying endoscopy with flexible spectral imaging color enhancement system (FIME) in each different channel of that system have not yet been reported. Aims: To ascertain the usefulness of FIME discriminating among the three kinds of gastric lesions. Methods: When finding a lesion to be a possible neoplasm using conventional endoscopy, the examiner discriminated among the three kinds of gastric lesions by observing the pit pattern on the lesion using magnifying endoscopy with white light (WLME) and then recorded the image. The procedure was repeated three more times with FIME with channel 0, 2, and 4. The four recorded images per lesion were then given to four raters for discriminating among the three kinds of gastric lesions. Results: The proportion of agreement and the degree of agreement between endoscopic and pathological diagnosis (AEP) by WLME were 0.85 and 0.76, respectively, and those by FIME were 0.91 and 0.86, respectively. All AEPs from discriminations with FIME was higher than that with WLME. AEPs from the discriminations with FIME with channel 4 were higher than those with FIME with channel 0 or 2. The degree of interobserver agreement among the results of the four raters was 0.42 for WLME and 0.50-0.59 for FIME with each of the three different channels. Conclusions: FICE is useful in discriminating among non-neoplastic lesions, adenoma, and cancer of the stomach, and channel 4 of the FICE is better than channel 0 and 2 for the discriminations. Springer Science+Business Media, LLC, 2011 Flexible spectral imaging color enhancement nationallicence Magnifying endoscopy nationallicence Gastric adenoma nationallicence Gastric cancer nationallicence Jung Sung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Lim Kyu Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Lim Jun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Jeon Jung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Shin Hyun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Kim Se Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Gyeong-gi-Do, Korea aut Lee Eun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Park Jae Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Cha Jae Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Joo Kwang Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Lee Joung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2879-2886 0163-2116 56:10<2879 2011 56 10620 https://doi.org/10.1007/s10620-011-1831-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1831-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jung Sung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Lim Kyu Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Lim Jun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Jeon Jung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Shin Hyun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Kim Se Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Gyeong-gi-Do, Korea aut NATIONALLICENCE 700 1- Lee Eun Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Park Jae Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Cha Jae Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Joo Kwang Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 700 1- Lee Joung Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, 149 Sangil-dong, 134-727, Gangdong-gu, Seoul, South Korea aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2879-2886 0163-2116 56:10<2879 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer