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Linked color imaging bests conventional imaging for upper GI cancer detection


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Journal
Annals of Internal Medicine
Reuters Health - 19/10/2020 - Linked color imaging (LCI), an image-enhanced endoscopy technique that enables users to recognize slight differences in mucosal color, was more effective than conventional white light imaging (WLI) in detecting neoplastic lesions in the upper gastrointestinal (GI) tract in a randomized controlled trial in Japan. "The guideline for endoscopic GI screening should be changed," Dr. Mototsugu Kato of National Hospital Organization Hakodate National Hospital in Japan told Reuters Health by email. "LCI reduces (the possibility of) missed neoplastic lesions." As reported in Annals of Internal Medicine, Dr. Kato and colleagues studied 1,502 patients with known previous or current GI tract cancer, considered high-risk populations for upper GI tract tumors. Participants were randomized to WLI followed by LCI (WLI group) or LCI followed by WLI (LCI group). Demographic variables were similar in both groups: about 40% were under age 70; 77% we...


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