AIM: To study a new imaging equipment, highresolution micro-endoscopy(HRME), in the diagnosis and pathological classification of colon polyps.METHODS: We selected 114 specimens of colon polyps, 30 of which were colon ...AIM: To study a new imaging equipment, highresolution micro-endoscopy(HRME), in the diagnosis and pathological classification of colon polyps.METHODS: We selected 114 specimens of colon polyps, 30 of which were colon polyps with known pathological types and 84 that were prospective polyp specimens; 10 normal colon mucosa specimens served as controls. We obtained images of 30 colon polyp specimens with known pathological types using HRME and analyzed the characteristics of these images to develop HRME diagnostic criteria for different pathological types of colon polyps. Based on these criteria, we performed a prospective study of 84 colon polyp specimens using HRME and compared the results with those of the pathological examination to evaluate the diagnostic value of HRME in the pathological classification of different types of colon polyps. RESULTS: In the 30 cases of known pathological type of colon polyp samples, there were 21 cases of adenomatous polyps, which comprised nine cases of tubular adenoma, seven cases of villous adenoma and five cases of mixed adenomas. The nine cases of non-adenomatous polyps included four cases of inflammatory polyps and five cases of hyperplastic polyps five. Ten cases of normal colonic mucosa were confirmed pathologically. In a prospective study of 84 cases using HRME, 23 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 18 cases as tubular adenoma, eight cases as villous adenoma and 24 cases as mixed adenomas. After pathological examination, 24 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 19 cases as tubular adenoma, eight cases as villous adenoma and 22 cases as mixed adenomas. Compared with the pathological examinations, the sensitivities, specificities, accuracies, and positive and negative predictive values of HRME in diagnosing inflammatory polyps(87.5%, 96.7%, 94.0%, 91.3% and 95.1%), hyperplastic polyps(72.7%, 95.9%, 92.9%, 72.7% and 95.9%), tubular adenomas(73.7%, 93.8%, 89.3%, 77.8% and 92.4%), villous adenomas(75.0%, 97.4%, 95.2%, 75.0% and 97.4%), and mixed adenomas(75.0%, 93.3%, 88.1%, 81.8% and 90.3%) were relatively high.CONCLUSION: HRME has a relatively high diagnostic value in the pathological classification of colon polyps. Thus, it may be an alternative to confocal microendoscopy in lower-resource or community-based settings.展开更多
Gradient index (GRIN) lenses are often used as an optical relay to a sample at a location that is not accessible for a standard microscope. This capability is turning them into an important enabling technology that ex...Gradient index (GRIN) lenses are often used as an optical relay to a sample at a location that is not accessible for a standard microscope. This capability is turning them into an important enabling technology that extends many optical imaging modalities like harmonic laser scanned imaging with micro endoscopic in vivo capabilities as needed in research and diagnostics. These micro endoscopic imaging variants however rely on the light scattering capability of the underlying tissue. Further complications arise from an increased number of optical interfaces and the overall optical performance of a GRIN rod. We have therefore performed a quantitative comparison of the back-scattered second harmonic generation (SHG) signal intensity generated in skin and low-scattering muscle tissue, both obtained with a standard two photon laser scanning microscope (LSM) and a GRIN lens based LSM. We report that the GRIN lens based system sees approximately 1/4 of the net two photon signal detected by the standard LSM. We expect that this value can be generalized to other LSM techniques enhanced by GRIN technology and encourage its use in experimental situations with standard LSM signal to noise ratios of four or higher.展开更多
基金Supported by Capital Clinical Characteristics Application Research(Z141107002514099)
文摘AIM: To study a new imaging equipment, highresolution micro-endoscopy(HRME), in the diagnosis and pathological classification of colon polyps.METHODS: We selected 114 specimens of colon polyps, 30 of which were colon polyps with known pathological types and 84 that were prospective polyp specimens; 10 normal colon mucosa specimens served as controls. We obtained images of 30 colon polyp specimens with known pathological types using HRME and analyzed the characteristics of these images to develop HRME diagnostic criteria for different pathological types of colon polyps. Based on these criteria, we performed a prospective study of 84 colon polyp specimens using HRME and compared the results with those of the pathological examination to evaluate the diagnostic value of HRME in the pathological classification of different types of colon polyps. RESULTS: In the 30 cases of known pathological type of colon polyp samples, there were 21 cases of adenomatous polyps, which comprised nine cases of tubular adenoma, seven cases of villous adenoma and five cases of mixed adenomas. The nine cases of non-adenomatous polyps included four cases of inflammatory polyps and five cases of hyperplastic polyps five. Ten cases of normal colonic mucosa were confirmed pathologically. In a prospective study of 84 cases using HRME, 23 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 18 cases as tubular adenoma, eight cases as villous adenoma and 24 cases as mixed adenomas. After pathological examination, 24 cases were diagnosed as inflammatory polyps, 11 cases as hyperplastic polyps, 19 cases as tubular adenoma, eight cases as villous adenoma and 22 cases as mixed adenomas. Compared with the pathological examinations, the sensitivities, specificities, accuracies, and positive and negative predictive values of HRME in diagnosing inflammatory polyps(87.5%, 96.7%, 94.0%, 91.3% and 95.1%), hyperplastic polyps(72.7%, 95.9%, 92.9%, 72.7% and 95.9%), tubular adenomas(73.7%, 93.8%, 89.3%, 77.8% and 92.4%), villous adenomas(75.0%, 97.4%, 95.2%, 75.0% and 97.4%), and mixed adenomas(75.0%, 93.3%, 88.1%, 81.8% and 90.3%) were relatively high.CONCLUSION: HRME has a relatively high diagnostic value in the pathological classification of colon polyps. Thus, it may be an alternative to confocal microendoscopy in lower-resource or community-based settings.
文摘Gradient index (GRIN) lenses are often used as an optical relay to a sample at a location that is not accessible for a standard microscope. This capability is turning them into an important enabling technology that extends many optical imaging modalities like harmonic laser scanned imaging with micro endoscopic in vivo capabilities as needed in research and diagnostics. These micro endoscopic imaging variants however rely on the light scattering capability of the underlying tissue. Further complications arise from an increased number of optical interfaces and the overall optical performance of a GRIN rod. We have therefore performed a quantitative comparison of the back-scattered second harmonic generation (SHG) signal intensity generated in skin and low-scattering muscle tissue, both obtained with a standard two photon laser scanning microscope (LSM) and a GRIN lens based LSM. We report that the GRIN lens based system sees approximately 1/4 of the net two photon signal detected by the standard LSM. We expect that this value can be generalized to other LSM techniques enhanced by GRIN technology and encourage its use in experimental situations with standard LSM signal to noise ratios of four or higher.
