The Use of Narrowband Imaging for Identification of Endometriosis
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This paper investigates the effectiveness of narrowband imaging (NBI) in identifying endometriosis lesions, reporting on its diagnostic capabilities and visualization enhancement.
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Abstract
A pilot study was designed to evaluate whether a narrowband imaging (NBI) endoscopic light source could detect endometriosis implants that were not identifiable with a visible light spectrum laparoscope. In all, 21 consecutive patients who were undergoing pelviscopy for pelvic pain and possible endometriosis were enrolled in the study. Endoscopic evaluation was performed using an endoscope that was fitted with a NBI light source using 415- and 540-nm filters. Endometriosis was first documented and photographed using visible light and then re-evaluated with NBI. Implants newly found with NBI were documented and photographed. All noted lesions were excised using a harmonic scalpel. In all, 21 consecutive patients (age range 20-40 years) were enrolled in the study with a preoperative diagnosis of pelvic pain and possible pelvic endometriosis. One patient was excluded after evaluation with NBI did not provide additional biopsy specimens. Fourteen of the 20 patients had lesions identified with NBI that were not identified with visible light. A total of 38 biopsy specimens were taken using NBI; 20 (53%) of them were identified histologically as endometriosis. Seven patients did not have endometriosis identified with white light; however, 4 of these patients had lesions identified with NBI that were confirmed endometriosis. This pilot study is a promising start in the process to evaluate NBI endoscopy as an effective tool for evaluating and identifying endometriosis implants that are not visible with white light endoscopy.
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Cited by (17)
- Enhanced peroperative imaging of endometriosis and peritoneal carcinomatosis 2024
- Improving tissue characterization, differentiation and diagnosis in gynecology with the narrow‑band imaging technique: A systematic review 2021
- Endometriosis 2021
- Comparison of enhanced laparoscopic imaging techniques in endometriosis surgery: a diagnostic accuracy study 2019
- Prospective Comparative Study of Laparoscopic Narrow Band Imaging (NBI) Versus Standard Imaging in Gynecologic Oncology 2018
- Utilisation de l'imagerie à bande étroite dans la prise en charge chirurgicale de l'endométriose 2017
- Novel Imaging Technologies in Laparoscopic Gynecologic Surgery: A Systematic Review 2017
- Use of Narrowband Imaging for the Surgical Management of Endometriosis 2017
- Change in Pain and Quality of Life Among Women Enrolled in a Trial Examining the Use of Narrow Band Imaging During Laparoscopic Surgery for Suspected Endometriosis 2015
- Is a Picture Worth a Thousand Biopsies? Challenges in the Diagnosis of Endometriosis 2013
- Narrow band imaging in gynecology: A new diagnostic approach with improved visual identification (Review) 2011
- Accuracy and efficacy of narrow-band imaging versus white light hysteroscopy for the diagnosis of endometrial cancer and hyperplasia 2011
- Magnifying hysteroscopy with narrow‐band imaging for visualization of endometrial lesions 2011
- A new instrument: A flexible hysteroscope with narrow band imaging system - optical quality comparison between a flexible and a rigid hysteroscope 2011
- A new instrument: A flexible hysteroscope with narrow band imaging system - optical quality comparison between a flexible and a rigid hysteroscope 2011
- Peritoneal Vascular Density Assessment Using Narrow-Band Imaging and Vascular Analysis Software, and Cytokine Analysis in Women With and Without Endometriosis 2009
- Vascular Density of Peritoneal Endometriosis Using Narrow-Band Imaging System and Vascular Analysis Software 2009
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