Diagnostic value of Fuji intelligent color enhancement on vocal leukoplakia and esophageal diseases
10.3760/cma.j.issn.1007-5232.2018.09.011
- VernacularTitle:人工智能电子染色技术在声带白斑及食管病变诊断中的临床应用
- Author:
Ruijun MA
1
;
Rong WANG
;
Xing CHEN
;
Haojie ZHANG
Author Information
1. 山西省人民医院消化内镜中心
- Keywords:
Endoscopy;
Diagnosis;
Fuji intelligent color enhancement;
Vocal leukoplakia;
Esophageal diseases
- From:
Chinese Journal of Digestive Endoscopy
2018;35(9):656-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical application of Fuji intelligent color enhancement ( FICE) on the diagnosis of vocal leukoplakia and esophageal diseases. Methods A total of 50 patients suspected with vocal leukoplakia by electronic laryngoscopy were enrolled for undergoing meticulous examination of vocal cords and esophagus using FICE from January 2014 to January 2016. The diagnostic value of FICE for vocal leukoplakia were analyzed. Results Among the 50 patients, 50 lesions were found using laryngoscopy and 52 lesions were found using FICE. There were significant differences between FICE mode and white light mode on the capillary pattern score and lesion boundary resolution score ( all P<0. 05) . The diagnostic coincidence rate of FICE mode with pathology was higher than that of white light mode [ 89. 4％ ( 42/47 ) VS 68. 1％ ( 32/47 ) , P = 0. 01 ] . Among the 50 patients suspected with vocal leukoplakia, 31 combined with gastroesophageal reflux disease, and were given proton-pump inhibitor treatment. In the follow-up after three months, lesions of 16 cases alleviated, 13 cases disappeared, and 2 cases had no significant changes. Conclusion FICE has a higher clinical value than conventional laryngoscopy and white light endoscopy on the diagnosis of vocal leukoplakia.
