PLoS ONE (Jan 2024)

Analysis of clinicopathological factors associate with the visibility of early gastric cancer in endoscopic examination and usefulness of linked color imaging: A multicenter prospective study.

  • Kensuke Fukuda,
  • Kazuhiro Mizukami,
  • Daisuke Yamaguch,
  • Yuichiro Tanaka,
  • Kazutoshi Hashiguchi,
  • Takashi Akutagawa,
  • Ryo Shimoda,
  • Sho Suzuki,
  • Tadashi Miike,
  • Yorinobu Sumida,
  • Hidehito Maeda,
  • Fumisato Sasaki,
  • Ryosuke Gushima,
  • Hideaki Miyamoto,
  • Keiichi Hashiguchi,
  • Naoyuki Yamaguchi,
  • Tetsuya Ohira,
  • Tetsu Kinjo,
  • Ken Ohnita,
  • Tomohiko Moriyama,
  • Kensei Ohtsu,
  • Akira Aso,
  • Ryo Ogawa,
  • Tetsuya Ueo,
  • Masahide Fukuda

DOI
https://doi.org/10.1371/journal.pone.0312385
Journal volume & issue
Vol. 19, no. 11
p. e0312385

Abstract

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BackgroundThis study investigated clinicopathological factors associated with the visibility of early gastric cancer and the efficacy of linked color imaging.MethodsPatients with early gastric cancer who underwent endoscopic treatment between April 2021 and July 2022 were enrolled. All cases underwent white light imaging and linked color imaging. Three experts evaluated lesion visibility using a visual analog scale. A mean score ≥3 on white light imaging was defined as "good visibility", and ResultsNinety-seven lesions were analyzed, with good visibility in 49 and poor visibility in 48. Multivariate analysis revealed small lesion size (odds ratio 1.89) and presence of endoscopic intestinal metaplasia (odds ratio 0.49) as significantly associated with the poor visibility of early gastric cancer. Mean visibility score was significantly higher for linked color imaging (PConclusionsLesion size and endoscopic intestinal metaplasia are associated with the visibility of early gastric cancer in white light imaging. Linked color imaging improves visibility of gastric cancer with these factors.