Year 2020 / Volume 112 / Number 8
Review
Comparison of the diagnostic efficacy of blue laser imaging with narrow band imaging for gastric cancer and precancerous lesions: a meta-analysis

649-658

DOI: 10.17235/reed.2020.6591/2019

Jingyuan Zhou, Huijie Wu, Chenglong Fan, Songda Chen, Aiqun Liu,

Abstract
Background and aims: novel endoscopic techniques including narrowband imaging (NBI) and blue laser imaging (BLI) have led to the improved detection of early stage gastric cancer and precancerous lesions. However, these techniques are not generally thought to be equivalent at present and BLI is generally considered as superior to NBI. Therefore, this comprehensive meta-analysis aimed to definitively compare the diagnostic efficacy of NBI and BLI for the diagnosis of gastric cancer and precancerous lesions. Methods: relevant articles were identified via searches of the PubMed, Web of Science, Embase and Cochrane Library databases from their inception until October 2019. In total, 28 relevant studies were identified and incorporated into the meta-analysis. RevMan5.3 was used to assess the relative diagnostic efficacy of these two imaging modalities in these studies. The threshold was assessed using Meta-DiSc 1.4 and STATA 14.0 for bivariate regression modeling of pooled studies. Results: the pooled sensitivity of BLI for gastric cancer was 0.89 (0.80, 0.95) and the specificity was 0.92 (0.76, 0.98). The pooled sensitivity of NBI for gastric cancer was 0.83 (0.75, 0.89) and the specificity was 0.95 (0.91, 0.97). The pooled sensitivity of BLI for precancerous lesions was 0.81 (0.71, 0.87) and the specificity was 0.90 (0.80, 0.96). The pooled sensitivity of NBI for precancerous lesions was 0.80 (0.75, 0.85) and the specificity was 0.88 (0.77, 0.94). Conclusions: this study showed that both BLI and NBI have a very high diagnostic efficacy for the detection of gastric cancer and precancerous lesions, the sensitivity and specificity of these two approaches were similar.
Share Button
New comment
Comments
No comments for this article
References
1. Bray F, Ferlay J, Soerjomataram I, et al: Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68: 394-424,
2. Kim K, Chang Y, Ahn J, et al: Body Mass Index and Risk of Intestinal Metaplasia: A Cohort Study. Cancer Epidemiol Biomarkers Prev 2019; 28: 789-797,
3. Yoon H and Kim N: Diagnosis and management of high risk group for gastric cancer. Gut Liver 2015; 9: 5-17,
4. Zhang Q, Wang F, Chen ZY, et al: Comparison of the diagnostic efficacy of white light endoscopy and magnifying endoscopy with narrow band imaging for early gastric cancer: a meta-analysis. Gastric Cancer 2016; 19: 543-552,
5. Osawa H and Yamamoto H: Present and future status of flexible spectral imaging color enhancement and blue laser imaging technology. Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2014; 26 Suppl 1: 105-115,
6. Ruan L, Chen GY, Liu Z, et al: The combination of procalcitonin and C-reactive protein or presepsin alone improves the accuracy of diagnosis of neonatal sepsis: a meta-analysis and systematic review. Critical care (London, England) 2018; 22: 316,
7. Chen H, Wu X, Liu Y, et al: Blue laser imaging with acetic acid enhancement improved the detection rate of gastric intestinal metaplasia. Lasers Med Sci 2019; 34: 555-559,
8. Dohi O, Yagi N, Naito Y, et al: Blue laser imaging-bright improves the real-time detection rate of early gastric cancer: a randomized controlled study. Gastrointest Endosc 2019; 89: 47-57,
9. Chen H, Liu Y, Lu Y, et al: Ability of blue laser imaging with magnifying endoscopy for the diagnosis of gastric intestinal metaplasia. Lasers Med Sci 2018; 33: 1757-1762,
10. Kitagawa Y, Hara T, Ikebe D, et al: Magnified endoscopic observation of small depressed gastric lesions using linked color imaging with indigo carmine dye. Endoscopy 2018; 50: 142-147,
11. Dohi O, Yagi N, Majima A, et al: Diagnostic ability of magnifying endoscopy with blue laser imaging for early gastric cancer: a prospective study. Gastric Cancer 2017; 20: 297-303,
12. Sobrino-Cossio S, Abdo Francis JM, Emura F, et al: Efficacy of narrow-band imaging for detecting intestinal metaplasia in adult patients with symptoms of dyspepsia. Rev Gastroenterol Mex 2018; 83: 245-252,
13. Sha J, Wang P, Zhu B, et al: Acetic Acid Enhanced Narrow Band Imaging for the Diagnosis of Gastric Intestinal Metaplasia. PLoS One 2017; 12: e0170957,
14. Pimentel-Nunes P, Libanio D, Lage J, et al: A multicenter prospective study of the real-time use of narrow-band imaging in the diagnosis of premalignant gastric conditions and lesions. Endoscopy 2016; 48: 723-730,
15. Gong S, Xue HB, Ge ZZ, et al: Value of Magnifying Endoscopy With Narrow-Band Imaging and Confocal Laser Endomicroscopy in Detecting Gastric Cancerous Lesions. Medicine (Baltimore) 2015; 94: e1930,
16. Yu H, Yang AM, Lu XH, et al: Magnifying narrow-band imaging endoscopy is superior in diagnosis of early gastric cancer. World J Gastroenterol 2015; 21: 9156-9162,
17. Zhang QW, Zhou Y, Zhang JJ, et al: Role of targeted biopsy under magnifying endoscopy with narrow band imaging may be not necessary: a prospective diagnostic accuracy study. Eur J Gastroenterol Hepatol 2017; 29: 414-422,
18. Liu T, Zheng H, Gong W, et al: The accuracy of confocal laser endomicroscopy, narrow band imaging, and chromoendoscopy for the detection of atrophic gastritis. Journal of clinical gastroenterology 2015; 49: 379-386,
19. Fujiwara S, Yao K, Nagahama T, et al: Can we accurately diagnose minute gastric cancers (/=5 mm)? Chromoendoscopy (CE) vs magnifying endoscopy with narrow band imaging (M-NBI). Gastric Cancer 2015; 18: 590-596,
20. Yao K, Doyama H, Gotoda T, et al: Diagnostic performance and limitations of magnifying narrow-band imaging in screening endoscopy of early gastric cancer: a prospective multicenter feasibility study. Gastric Cancer 2014; 17: 669-679
21. Savarino E, Corbo M, Dulbecco P, et al: Narrow-band imaging with magnifying endoscopy is accurate for detecting gastric intestinal metaplasia. World J Gastroenterol 2013; 19: 2668-2675,
22. Lim LG, Yeoh KG, Srivastava S, et al: Comparison of probe-based confocal endomicroscopy with virtual chromoendoscopy and white-light endoscopy for diagnosis of gastric intestinal metaplasia. Surg Endosc 2013; 27: 4649-4655,
23. Tao G, Xing-Hua L, Ai-Ming Y, et al: Enhanced magnifying endoscopy for differential diagnosis of superficial gastric lesions identified with white-light endoscopy. Gastric Cancer 2014; 17: 122-129,
24. Li HY, Dai J, Xue HB, et al: Application of magnifying endoscopy with narrow-band imaging in diagnosing gastric lesions: a prospective study. Gastrointest Endosc 2012; 76: 1124-1132,
25. Maki S, Yao K, Nagahama T, et al: Magnifying endoscopy with narrow-band imaging is useful in the differential diagnosis between low-grade adenoma and early cancer of superficial elevated gastric lesions. Gastric Cancer 2013; 16: 140-146,
26. Ezoe Y, Muto M, Uedo N, et al: Magnifying narrowband imaging is more accurate than conventional white-light imaging in diagnosis of gastric mucosal cancer. Gastroenterology 2011; 141: 2017-2025 e2013,
27. Kato M, Kaise M, Yonezawa J, et al: Magnifying endoscopy with narrow-band imaging achieves superior accuracy in the differential diagnosis of superficial gastric lesions identified with white-light endoscopy: a prospective study. Gastrointest Endosc 2010; 72: 523-529,
28. Liu H, Wu J, Lin XC, et al: Evaluating the diagnoses of gastric antral lesions using magnifying endoscopy with narrow-band imaging in a Chinese population. Dig Dis Sci 2014; 59: 1513-1519,
29. Tsuji Y, Ohata K, Sekiguchi M, et al: Magnifying endoscopy with narrow-band imaging helps determine the management of gastric adenomas. Gastric Cancer 2012; 15: 414-418,
30. Ezoe Y, Muto M, Horimatsu T, et al: Magnifying narrow-band imaging versus magnifying white-light imaging for the differential diagnosis of gastric small depressive lesions: a prospective study. Gastrointest Endosc 2010; 71: 477-484,
31. Rerknimitr R, Imraporn B, Klaikeaw N, et al: Non-sequential narrow band imaging for targeted biopsy and monitoring of gastric intestinal metaplasia. World J Gastroenterol 2011; 17: 1336-1342,
32. Yamada S, Doyama H, Yao K, et al: An efficient diagnostic strategy for small, depressed early gastric cancer with magnifying narrow-band imaging: a post-hoc analysis of a prospective randomized controlled trial. Gastrointest Endosc 2014; 79: 55-63,
33. Capelle LG, Haringsma J, de Vries AC, et al: Narrow band imaging for the detection of gastric intestinal metaplasia and dysplasia during surveillance endoscopy. Dig Dis Sci 2010; 55: 3442-3448,
34. Zhenming Y and Lei S: Diagnostic value of blue laser imaging combined with magnifying endoscopy for precancerous and early gastric cancer lesions. The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology 2019; 30: 549-556,
35. Guo TJ, Chen W, Chen Y, et al: Diagnostic performance of magnifying endoscopy with narrow-band imaging in differentiating neoplastic colorectal polyps from non-neoplastic colorectal polyps: a meta-analysis. Journal of gastroenterology 2018; 53: 701-711,
36. Hu YY, Lian QW, Lin ZH, et al: Diagnostic performance of magnifying narrow-band imaging for early gastric cancer: A meta-analysis. World J Gastroenterol 2015; 21: 7884-7894,
37. Yoshimizu S, Yamamoto Y, Horiuchi Y, et al: Diagnostic performance of routine esophagogastroduodenoscopy using magnifying endoscope with narrow-band imaging for gastric cancer. Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2018; 30: 71-78
Related articles

Editorial

Different trends in stomach and pancreatic cancer mortality rates

DOI: 10.17235/reed.2024.10504/2024

Digestive Diseases Image

Sustained silence of a small signet ring cell carcinoma

DOI: 10.17235/reed.2023.9891/2023

Digestive Diseases Image

Esophageal tuberculosis

DOI: 10.17235/reed.2022.9108/2022

Citation tools
Zhou J, Wu H, Fan C, Chen S, Liu A. Comparison of the diagnostic efficacy of blue laser imaging with narrow band imaging for gastric cancer and precancerous lesions: a meta-analysis. 6591/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1314 visits.
This article has been downloaded 272 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 28/08/2019

Accepted: 05/12/2019

Online First: 20/07/2020

Published: 30/07/2020

Article revision time: 98 days

Article Online First time: 327 days

Article editing time: 337 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology