Advanced imaging in colonoscopy and its impact on quality

Prateek Sharma, Neil Gupta, Ernst J. Kuipers, Alessandro Repici, Michael Wallace

Research output: Contribution to journalArticle

Abstract

Detecting and resecting colonic polyps during endoscopy has been shown to reduce CRC. At the same time, endoscopy has faced substantial technical improvements and continues to undergo major changes. Detection of colorectal neoplasias is facilitated by using high-definition endoscopy, and characterization of lesions is more accurate by using virtual CE. High-definition endoscopy has found widespread use, whereas virtual CE is still more often used in tertiary centers and for high-risk patient groups. Endomicroscopy has opened the door for in vivo histology and functional as well as molecular imaging. Thorough training of the endoscopists is necessary, and redefined reimbursement codes may help make these techniques available in the clinical arena for high-risk patients who are most probable to benefit from the more advanced diagnostic endoscopy techniques. Over recent years, there has also been an increasing push by healthcare payors and providers to improve the quality of healthcare services. The ultimate goal of monitoring quality measures is to improve the overall health of the population and, for colon cancer screening, to reduce the incidence and mortality of colon cancer. However, the development of an appropriate quality measure and ensuring the accuracy of the data on which we base our efforts are among the first challenges that we must meet (Table 1). The continued technologic advancements in colonoscopy and endoscopic imaging may result in improvements in the quality of colonoscopy and should lead to a decrease in the incidence and mortality from colon cancer.

Original languageEnglish
Pages (from-to)28-36
Number of pages9
JournalGastrointestinal Endoscopy
Volume79
Issue number1
DOIs
Publication statusPublished - Jan 2014

Keywords

  • adenoma detection rate
  • ADR
  • American Society for Gastrointestinal Endoscopy
  • ASGE
  • CAC
  • cap-assisted colonoscopy
  • CE
  • chromoendoscopy
  • CLE
  • colorectal cancer
  • confocal laser endomicroscopy
  • CRC
  • HDWL
  • high-definition white light
  • IBD
  • inflammatory bowel disease
  • narrow-band imaging
  • NBI
  • SDWL
  • standard-definition white light
  • TER
  • third eye retroscope

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

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