关联彩色成像与白光成像在幽门螺杆菌感染内镜诊断中的诊断性能比较:系统综述和荟萃分析。

IF 3.4 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Gut and Liver Pub Date : 2024-05-15 Epub Date: 2023-10-06 DOI:10.5009/gnl230244
Jae Gon Lee, In Kyung Yoo, Abdullah Ozgur Yeniova, Sang Pyo Lee
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引用次数: 0

摘要

背景/目的:在内窥镜检查中识别幽门螺杆菌感染很重要,因为它可以导致验证性测试的执行。关联彩色成像(LCI)是一种可以提高胃肠道病变检测的图像增强技术。本研究的目的是比较LCI和传统白光成像(WLI)在幽门螺杆菌感染的内镜诊断中的作用。方法:我们使用PubMed、Embase和Cochrane图书馆进行了全面的文献检索。所有评估LCI或WLI在幽门螺杆菌内镜诊断中的诊断性能的研究都符合条件。排除了放大内窥镜、彩色内窥镜和人工智能的研究。结果:本荟萃分析包括34项研究,其中32项报告了WLI的表现,8项报告了LCI在诊断幽门螺杆菌感染方面的表现。WLI在诊断幽门螺杆菌感染中的综合敏感性和特异性分别为0.528(95%置信区间[CI],0.517至0.540)和0.821(95%可信区间,0.811至0.830)。LCI在幽门螺杆菌诊断中的综合敏感性和特异性分别为0.816(95%CI,0.790-0.841)和0.868(95%CI,0.850-0.884)。WLI和LCI的合并诊断优势比分别为15.447(95%置信区间,8.225至29.013)和31.838(95%可信区间,15.576至65.078)。WLI和LCI的总结接收机工作特性曲线下的面积分别为0.870和0.911。结论:LCI对幽门螺杆菌感染的内镜诊断灵敏度高于标准WLI。
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The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis.

Background/aims: Recognizing Helicobacter pylori infection during endoscopy is important because it can lead to the performance of confirmatory testing. Linked color imaging (LCI) is an image enhancement technique that can improve the detection of gastrointestinal lesions. The purpose of this study was to compare LCI to conventional white light imaging (WLI) in the endoscopic diagnosis of H. pylori infection.

Methods: We conducted a comprehensive literature search using PubMed, Embase, and the Cochrane Library. All studies evaluating the diagnostic performance of LCI or WLI in the endoscopic diagnosis of H. pylori were eligible. Studies on magnifying endoscopy, chromoendoscopy, and artificial intelligence were excluded.

Results: Thirty-four studies were included in this meta-analysis, of which 32 reported the performance of WLI and eight reported the performance of LCI in diagnosing H. pylori infection. The pooled sensitivity and specificity of WLI in the diagnosis of H. pylori infection were 0.528 (95% confidence interval [CI], 0.517 to 0.540) and 0.821 (95% CI, 0.811 to 0.830), respectively. The pooled sensitivity and specificity of LCI in the diagnosis of H. pylori were 0.816 (95% CI, 0.790 to 0.841) and 0.868 (95% CI, 0.850 to 0.884), respectively. The pooled diagnostic odds ratios of WLI and LCI were 15.447 (95% CI, 8.225 to 29.013) and 31.838 (95% CI, 15.576 to 65.078), respectively. The areas under the summary receiver operating characteristic curves of WLI and LCI were 0.870 and 0.911, respectively.

Conclusions: LCI showed higher sensitivity in the endoscopic diagnosis of H. pylori infection than standard WLI.

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来源期刊
Gut and Liver
Gut and Liver 医学-胃肠肝病学
CiteScore
7.50
自引率
8.80%
发文量
119
审稿时长
6-12 weeks
期刊介绍: Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut and Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. Gut and Liver is jointly owned and operated by 8 affiliated societies in the field of gastroenterology, namely: the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, the Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, the Korean Pancreatobiliary Association, and the Korean Society of Gastrointestinal Cancer.
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