Autofluorescence imaging with a transparent hood for detection of colorectal neoplasms: a prospective, randomized trial. 5

• Material Type: 博士論文
• Title: Autofluorescence imaging with a transparent hood for detection of colorectal neoplasms: a prospective, randomized trial.
• Volume: 72 5
• Author/Editor: Takeuchi, Yoji; Inoue, Takuya; Hanaoka, Noboru; Higashino, Koji; Iishi, Hiroyasu; Chatani, Rika; Hanafusa, Masao; Kizu, Takashi; Ishihara, Ryu; Tatsuta, Masaharu; Shimokawa, Toshio; Uedo, Noriya
• Author Heading: Takeuchi, Yoji; Inoue, Takuya; Hanaoka, Noboru; Higashino, Koji; Iishi, Hiroyasu; Chatani, Rika; Hanafusa, Masao; Kizu, Takashi; Ishihara, Ryu; Tatsuta, Masaharu; Shimokawa, Toshio; Uedo, Noriya
• Publication, Distribution, etc.: American Society for Gastrointestinal Endoscopy / Elsevier
• Publication Date: 2010-10; 72 5
• Publication Date (W3CDTF): 2010-10
• Alternative Title: 大腸腫瘍性病変の拾い上げ診断における透明フードを併用した自家蛍光内視鏡の有用性:前向き無作為化比較試験
• Periodical title: Gastrointestinal endoscopy
• Pages: 1006-1013
• ISSN (Periodical Title): 00165107
• Degree Grantor: 奈良県立医科大学
• Date Granted: 2014-03-17
• Date Granted (W3CDTF): 2014-03-17
• Dissertation Number: 乙第1327号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第1327号
• Text Language Code: eng
• Target Audience: 一般
• Note (General): type:Thesis; BACKGROUND:Colonoscopy is one of the most reliable methods for detection of colorectal neoplasms, but conventional colonoscopy can miss some lesions.OBJECTIVE:To evaluate the efficacy of autofluorescence imaging (AFI) with a transparent hood (TH) for detection of colorectal neoplasms.DESIGN:A 2 × 2 factorial designed, prospective, randomized, controlled trial.SETTING:This study was conducted at the Osaka Medical Center for Cancer and Cardiovascular Diseases, a tertiary cancer center.PATIENTS:A total of 561 patients.INTERVENTIONS:Patients were allocated to 1 of 4 groups: (1) white light imaging (WLI) alone--colonoscopy using WLI without a TH; (2) WLI+TH--colonoscopy using WLI with a TH; (3) AFI alone--colonoscopy using AFI without a TH; and (4) AFI+TH--colonoscopy using AFI with a TH. Eight colonoscopists used each allocated method.MAIN OUTCOME MEASUREMENT:The difference in neoplasm detection rate (number of detected neoplasms per patient) between the WLI alone and AFI+TH groups.RESULTS:Neoplasm detection rate (95% confidence interval) in the AFI+TH group was significantly higher than in the WLI alone group (1.96 [1.50-2.43] vs 1.19 [0.93-1.44]; P = .023, Tukey-Kramer multiple comparison test). Relative detection ratios (95% confidence interval) for polypoid neoplasms based on Poisson regression model were significantly increased by mounting a TH (1.69 [1.34-2.12], P < .001), and relative detection ratios for flat neoplasms were significantly increased by AFI observation (1.83 [1.24-2.71], P = .002).LIMITATIONS:Open trial performed in single cancer referral center.CONCLUSION:AFI colonoscopy with a TH detected significantly more colorectal neoplasms than did conventional WLI colonoscopy without a TH.; 博士（医学）・乙1327号・平成26年3月17日; identifier:Gastrointestinal endoscopy Vol.72 No.5 p.1006-1013; identifier:00165107; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/2712; identifier:Gastrointestinal endoscopy, 72(5): 1006-1013
• Persistent ID (NDL): info:ndljp/pid/8950885; https://dl.ndl.go.jp/pid/8950885
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Available (W3CDTF): 2015-03-03
• Date Accepted (W3CDTF): 2015-02-03T05:25:05+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Related Material (URI): https://doi.org/10.06.055
• Periodical Title (URI): http://hdl.handle.net/10564/2712
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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