A Predictive Model Based on Narrow Band Imaging for Early Gastric Cancerous Lesions
Study Details
Study Description
Brief Summary
Without high diagnostic efficacy of endoscopic forceps biopsy (EFB) and with low diagnostic efficacy of narrow band imaging (NBI) in novice endoscopists and endoscopists of community hospitals in China, it is urgent to improve diagnostic efficacy for gastric cancerous lesions.The investigators will conduct a study to develop and validate a diagnostic model based on NBI for early gastric cancerous lesions under endoscopic observation.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Endoscopic forceps biopsy (EFB) is considered the gold standard and most commonly used for histological diagnosis of gastric epithelial neoplasia before proper management.Many studies have shown that there exist considerable discrepancies between EFB and subsequently resected specimens with discrepancy rate of 27.1-44.5%. On the other hand, with low diagnostic efficacy of narrow band imaging (NBI) in novice endoscopists and endoscopists of community hospitals in China, not higher diagnostic accuracy of gastric cancerous lesions could be observed. Here, the investigators will conduct a study to develop and validate a diagnostic model based on narrow band imaging for early gastric cancerous lesions under endoscopic observation, trying to improve overall diagnostic efficacy for gastric cancerous lesions.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Suspected gastric cancerous lesions Magnifying endoscopy with NBI would be conducted for every patient included in our study |
Device: NBI
Endoscopic factors under white light view and simplified narrow band imaging classification assisting in diagnosing cancerous lesions will be recorded.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Accuracy of the diagnostic model in histological prediction of gastric cancerous lesions [36 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Suspected of having a cancerous lesions
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The age of patients is from 40-80 years
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Patients must undergo esophagogastroduodenoscopy
Exclusion Criteria:
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Clinical diagnosis of advanced gastric cancer
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Acute upper gastrointestinal bleeding
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Severe systemic diseases
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Refuse to attend the study
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Shanghai Jiao Tong University School of Medicine
- Shanghai Putuo district Liqun hospital
- Shanghai MCC worker hospital
Investigators
- Principal Investigator: Xiaobo Li, MD.Ph.D, Departments of Gastroenterology and Clinical Laboratory, Shanghai Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai,China,Shanghai Institute of Digestive Disease, Shanghai
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2016-138k