High-Resolution Probe-Based Confocal Laser Endomicroscopy for Diagnosing Biliary Diseases
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Probe-based confocal laser endomicroscopy is an endoscopic technique that enables in vivo histological evaluation using fluorescentpigment. The ability to diagnostically differentiate between benign and malignant biliary disease using the “CholangioFlexTM”, adedicated biliary device, has been reported. However, the Miami and Paris classifications, used as diagnostic criteria, mainly evaluatefindings in the submucosa, and visualizing the epithelium as the main site of lesions remains difficult. To address this problem, weverified the imaging findings and diagnostic ability of three types of probes: CholangioFlexTM, GastroFlexTM, and AlveoFlexTM. WithGastroFlexTM, the clear mucosal epithelium was observed, and differential diagnoses as benign/malignant could be made based onepithelial findings. GastroFlexTM may be a good first-choice probe for probe-based confocal laser endomicroscopy of biliary diseases,and a new diagnostic classification based on bile duct epithelial findings may provide useful criteria independent of the Miami orParis classifications.
Abstract
Probe-based confocal laser endomicroscopy is an endoscopic technique that enables in vivo histological evaluation using fluorescentpigment. The ability to diagnostically differentiate between benign and malignant biliary disease using the “CholangioFlexTM”, adedicated biliary device, has been reported. However, the Miami and Paris classifications, used as diagnostic criteria, mainly evaluatefindings in the submucosa, and visualizing the epithelium as the main site of lesions remains difficult. To address this problem, weverified the imaging findings and diagnostic ability of three types of probes: CholangioFlexTM, GastroFlexTM, and AlveoFlexTM. WithGastroFlexTM, the clear mucosal epithelium was observed, and differential diagnoses as benign/malignant could be made based onepithelial findings. GastroFlexTM may be a good first-choice probe for probe-based confocal laser endomicroscopy of biliary diseases,and a new diagnostic classification based on bile duct epithelial findings may provide useful criteria independent of the Miami orParis classifications.
참고문헌 (11)
- Ponchon T, "Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis : results of a prospective study", Gastrointest Endosc, 42, pp.565~572 (1995)
- Schoefl R, "Forceps biopsy and brush cytology during endoscopic retrograde cholangiopancreatography for the diagnosis of biliary stenoses", Scand J Gastroenterol, 32, pp.363~368 (1997)
- Rösch T, "ERCP or EUS for tissue diagnosis of biliary strictures? A prospective comparative study", Gastrointest Endosc, 60, pp.390~396 (2004)
- Meining A, "Direct visualization of indeterminate pancreaticobiliary strictures with probe-based confocal laser endomicroscopy : a multicenter experience", Gastrointest Endosc, 74, pp.961~968 (2011)
- Caillol F, "Refined probe-based confocal laser endomicroscopy classification for biliary strictures : the Paris classification", Dig Dis Sci, 58, pp.1784~1789 (2013)
- Wallace M, "Miami classification for probebased confocal laser endomicroscopy", Endoscopy, 43, pp.882~891 (2011)
- Kahaleh M, "Probe-based confocal laser endomicroscopy for indeterminate biliary strictures : refinement of the image interpretation classification", Gastroenterol Res Pract, 2015, pp.675210~ (2015)
- Slivka A, "Validation of the diagnostic accuracy of probe-based confocal laser endomicroscopy for the characterization of indeterminate biliary strictures : results of a prospective multicenter international study", Gastrointest Endosc, 81, pp.282~290 (2015)
- Meining A, "Classification of probe-based confocal laser endomicroscopy findings in pancreaticobiliary strictures", Endoscopy, 44, pp.251~257 (2012)
- Shieh FK, "High-definition confocal endomicroscopy of the common bile duct", J Clin Gastroenterol, 46, pp.401~406 (2012)
- Blair NP, "Fluorescein and fluorescein glucuronide pharmacokinetics after intravenous injection", Invest Ophthalmol Vis Sci, 27, pp.1107~1114 (1986)