caa a22 4500 445889217 CHVBK 20180317145610.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00535-010-0312-7 doi (NATIONALLICENCE)springer-10.1007/s00535-010-0312-7 Evaluation of RAPID® 5 Access software for examination of capsule endoscopies and reading of the capsule by an endoscopy nurse [Elektronische Daten] [Akiko Shiotani, Keisuke Honda, Makiko Kawakami, Takahisa Murao, Hiroshi Matsumoto, Ken-ichi Tarumi, Hiroaki Kusunoki, Jiro Hata, Ken Haruma] Background: Since capsule endoscopy (CE) is time consuming, one possible cost-effective strategy could be the use of an expert endoscopic assistant and available software to select images. Aims were to examine the clinical utility of RAPID® 5 Access software and find the optimum setting mode for reading. We also evaluated whether a nurse could preview the CE video and detect significant lesions accurately. Methods: The capsule images in 14 volunteers with known mucosal injury induced by low dose aspirin and in 30 patients who were known to have a variety of significant lesions were selected. Using three setting modes of RAPID® 5 Access software, the detection rate and reading time for CE images by two well-trained physicians and one expert nurse were compared. Results: There was no significant difference in detection rate among the three readers. The detection rate using Quickview RAPID® 5 Access was significantly higher than that using RAPID® Reader version 4.1. Comparison among the three modes of RAPID® 5 Access showed that auto mode as well as displaying a single image at 12 fps was superior in the detection rate of denuded redness, while its reading time was longer compared to the other modes. Some significant lesions were not detected by using Quickview and Quadview modes. Conclusions: RAPID® 5 Access improves diagnostic yield, reducing reading time; however, it is still unacceptable because of the diagnostic miss rate and may be useful as an ancillary reading tool. Developing further improved software and training expert assistants for reading capsule images are necessary. Springer, 2010 RAPID® 5 Access nationallicence Detection rate nationallicence Quickview nationallicence Shiotani Akiko Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut Honda Keisuke Department of Comprehensive Medicine, Kawasaki Medical School, Okayama, Japan aut Kawakami Makiko Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan aut Murao Takahisa Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut Matsumoto Hiroshi Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut Tarumi Ken-ichi Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut Kusunoki Hiroaki Department of Comprehensive Medicine, Kawasaki Medical School, Okayama, Japan aut Hata Jiro Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan aut Haruma Ken Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut Journal of Gastroenterology Springer Japan 46/2(2011-02-01), 138-142 0944-1174 46:2<138 2011 46 535 https://doi.org/10.1007/s00535-010-0312-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00535-010-0312-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shiotani Akiko Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut NATIONALLICENCE 700 1- Honda Keisuke Department of Comprehensive Medicine, Kawasaki Medical School, Okayama, Japan aut NATIONALLICENCE 700 1- Kawakami Makiko Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan aut NATIONALLICENCE 700 1- Murao Takahisa Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut NATIONALLICENCE 700 1- Matsumoto Hiroshi Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut NATIONALLICENCE 700 1- Tarumi Ken-ichi Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut NATIONALLICENCE 700 1- Kusunoki Hiroaki Department of Comprehensive Medicine, Kawasaki Medical School, Okayama, Japan aut NATIONALLICENCE 700 1- Hata Jiro Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan aut NATIONALLICENCE 700 1- Haruma Ken Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, 701-0192, Kurashiki, Okayama, Japan aut NATIONALLICENCE 773 0- Journal of Gastroenterology Springer Japan 46/2(2011-02-01), 138-142 0944-1174 46:2<138 2011 46 535 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer