Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population
Background and study aims We aimed to describe the presence and combination of Hazewinkelʼs optical diagnosis (OD) criteria for sessile serrated lesions (SSL), determining which lesion characteristics increase the probability of a correct OD, with a focus on diminutive lesions. Patients a...
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Georg Thieme Verlag KG
2021-01-01
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doaj-dc931a08bc7f47bfb7eeb29bbf5c86c52021-01-01T23:35:17ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362021-01-010901E14E2110.1055/a-1293-7086Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening populationMarco Bustamante-Balén0Carla Satorres1David Ramos-Soler2Maria García-Campos3Noelia Alonso4Marta Ponce5Lidia Argüello-Viudez6Francisco Giner7Jaime Ferrer-Lozano8Vicente Pons-Beltrán9Gastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Research Group, Health Research Institute (IISLaFe), Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainPathology Department, Hospital Universitari i Politècnic La Fe, Valencia, SpainPathology Department, Hospital Universitari i Politècnic La Fe, Valencia, SpainGastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, SpainBackground and study aims We aimed to describe the presence and combination of Hazewinkelʼs optical diagnosis (OD) criteria for sessile serrated lesions (SSL), determining which lesion characteristics increase the probability of a correct OD, with a focus on diminutive lesions. Patients and methods This was a prospective study describing the presence of Hazewinkelʼs OD criteria for SSL in lesions found in consecutive CRC screening colonoscopies. The presence of each OD criterion and their diagnostic combinations in SSL, related to the lesion’s NBI International Colorectal Endoscopic (NICE) classification category, size, and location, were described. The presence of two or more optical criteria was considered diagnostic of SSL. The OD was compared to pathology as the gold standard. Results Seventy-nine SSLs (5.6 %) were diagnosed. Cloud-like appearance was the most prevalent OD criterion (35, 44.3 %). OD criteria were more frequently identified in NICE type 1, ≥ 10 mm, and proximal lesions. Only 26 SLLs fulfilled the OD criteria (sensitivity 32.9 %, 95 % CI 29.1 %–36.7 %). The sensitivity for diminutive SSL was 14.7 %, (95 % CI 11.9 %–17.6 %). Eighty-five lesions were optically diagnosed as SSL. However, only in 26 SSL was this the definitive diagnosis (positive predictive value 30.6 %, 95 % CI 26.9 %–34.3 %). Size > 5 mm and proximal location increased the probability of a correct diagnosis. The overall accuracy of the optical criteria was 92.0 % (95 % CI, 89.8 %–94.2 %). Conclusions The Hazewinkelʼs optical criteria are not reliable for a positive diagnosis of SSL, particularly for diminutive lesions.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1293-7086 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marco Bustamante-Balén Carla Satorres David Ramos-Soler Maria García-Campos Noelia Alonso Marta Ponce Lidia Argüello-Viudez Francisco Giner Jaime Ferrer-Lozano Vicente Pons-Beltrán |
spellingShingle |
Marco Bustamante-Balén Carla Satorres David Ramos-Soler Maria García-Campos Noelia Alonso Marta Ponce Lidia Argüello-Viudez Francisco Giner Jaime Ferrer-Lozano Vicente Pons-Beltrán Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population Endoscopy International Open |
author_facet |
Marco Bustamante-Balén Carla Satorres David Ramos-Soler Maria García-Campos Noelia Alonso Marta Ponce Lidia Argüello-Viudez Francisco Giner Jaime Ferrer-Lozano Vicente Pons-Beltrán |
author_sort |
Marco Bustamante-Balén |
title |
Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population |
title_short |
Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population |
title_full |
Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population |
title_fullStr |
Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population |
title_full_unstemmed |
Evaluation of the optical criteria for sessile serrated lesions of the colon: A prospective study on a colorectal cancer screening population |
title_sort |
evaluation of the optical criteria for sessile serrated lesions of the colon: a prospective study on a colorectal cancer screening population |
publisher |
Georg Thieme Verlag KG |
series |
Endoscopy International Open |
issn |
2364-3722 2196-9736 |
publishDate |
2021-01-01 |
description |
Background and study aims We aimed to describe the presence and combination of Hazewinkelʼs optical diagnosis (OD) criteria for sessile serrated lesions (SSL), determining which lesion characteristics increase the probability of a correct OD, with a focus on diminutive lesions.
Patients and methods This was a prospective study describing the presence of Hazewinkelʼs OD criteria for SSL in lesions found in consecutive CRC screening colonoscopies. The presence of each OD criterion and their diagnostic combinations in SSL, related to the lesion’s NBI International Colorectal Endoscopic (NICE) classification category, size, and location, were described. The presence of two or more optical criteria was considered diagnostic of SSL. The OD was compared to pathology as the gold standard.
Results Seventy-nine SSLs (5.6 %) were diagnosed. Cloud-like appearance was the most prevalent OD criterion (35, 44.3 %). OD criteria were more frequently identified in NICE type 1, ≥ 10 mm, and proximal lesions. Only 26 SLLs fulfilled the OD criteria (sensitivity 32.9 %, 95 % CI 29.1 %–36.7 %). The sensitivity for diminutive SSL was 14.7 %, (95 % CI 11.9 %–17.6 %). Eighty-five lesions were optically diagnosed as SSL. However, only in 26 SSL was this the definitive diagnosis (positive predictive value 30.6 %, 95 % CI 26.9 %–34.3 %). Size > 5 mm and proximal location increased the probability of a correct diagnosis. The overall accuracy of the optical criteria was 92.0 % (95 % CI, 89.8 %–94.2 %).
Conclusions The Hazewinkelʼs optical criteria are not reliable for a positive diagnosis of SSL, particularly for diminutive lesions. |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/a-1293-7086 |
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