Evidence map›Paper›PMID 24988209›Full record

Trial reportPloS one2014

Assessment of still and moving images in the diagnosis of gastric lesions using magnifying narrow-band imaging in a prospective multicenter trial.

Tomoyuki Hayashi, Hisashi Doyama, Yukihiro Shirota, Hirokazu Tsuji, Youhei Marukawa, Hajime Ohta, Kazuhiro Miwa, Takaharu Masunaga, Shuichi Terasaki, Yutaka Matano and 5 more

Open access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Interobserver agreement in detection of "white globe appearance" and the ability of educational lectures to improve the diagnosis of gastric lesions.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

Tomoyuki HayashiDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Ishikawa, Japan.
Hisashi DoyamaDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Ishikawa, Japan.
Yukihiro ShirotaDepartment of Gastroenterology, Saiseikai Kanazawa Hospital, Kanazawa, Ishikawa, Japan.
Hirokazu TsujiDepartment of Gastroenterology, Kanazawa Municipal Hospital, Kanazawa, Ishikawa, Japan.
Youhei MarukawaDepartment of Gastroenterology, Kanazawa Medical Center, Kanazawa, Ishikawa, Japan.
Hajime OhtaDepartment of Gastroenterology, Kanazawa Medical Center, Kanazawa, Ishikawa, Japan.
Kazuhiro MiwaDepartment of Gastroenterology, Kanazawa Social Insurance Hospital, Kanazawa, Ishikawa, Japan.
Takaharu MasunagaDepartment of Gastroenterology, Hokuriku Hospital, Kanazawa, Ishikawa, Japan.
Shuichi TerasakiDepartment of Gastroenterology, Kanazawa Red Cross Hospital, Kanazawa, Ishikawa, Japan.
Yutaka MatanoDepartment of Gastroenterology, Komatsu Municipal Hospital, Komatsu, Ishikawa, Japan.
Kunihiro TsujiDepartment of Internal Medicine, Suzu General Hospital, Suzu, Ishikawa, Japan.
Yoshibumi KanekoDepartment of Internal Medicine, Sangane Clinic, Kouta, Aichi, Japan.
Toshihide OkadaDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Ishikawa, Japan.
Hiroshi KurumayaDepartment of Diagnostic Pathology, Ishikawa Prefectural Central Hospital, Kanazawa, Ishikawa, Japan.
Shuichi KanekoDepartment of Gastroenterology, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan.
Ishikawa Prefectural Central Hospital · JPKanazawa Hospital · JPKanazawa Medical Center · JPHokuriku University · JPJapanese Red Cross Kanazawa Hospital · JPKanazawa City Hospital · JPKanazawa University Hospital · JPKomatsu (Japan) · JPShizuoka General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMagnifying narrow-band imaging (M-NBI) is more accurate than white-light imaging for diagnosing small gastric cancers. However, it is uncertain whether moving M-NBI images have additional effects in the diagnosis of gastric cancers compared with still images.

designA prospective multicenter cohort study.

methodsTo identify the additional benefits of moving M-NBI images by comparing the diagnostic accuracy of still images only with that of both still and moving images. Still and moving M-NBI images of 40 gastric lesions were obtained by an expert endoscopist prior to this prospective multicenter cohort study. Thirty-four endoscopists from ten different Japanese institutions participated in the prospective multicenter cohort study. Each study participant was first tested using only still M-NBI images (still image test), then tested 1 month later using both still and moving M-NBI images (moving image test). The main outcome was a difference in the diagnostic accuracy of cancerous versus noncancerous lesions between the still image test and the moving image test.

resultsThirty-four endoscopists were analysed. There were no significant difference of cancerous versus noncancerous lesions between still and moving image tests in the diagnostic accuracy (59.9% versus 61.5%), sensitivity (53.4% versus 55.9%), and specificity (67.0% versus 67.6%). And there were no significant difference in the diagnostic accuracy between still and moving image tests of demarcation line (65.4% versus 65.5%), microvascular pattern (56.7% versus 56.9%), and microsurface pattern (48.1% versus 50.9%). Diagnostic accuracy showed no significant difference between the still and moving image tests in the subgroups of endoscopic findings of the lesions.

conclusionsThe addition of moving M-NBI images to still M-NBI images does not improve the diagnostic accuracy for gastric lesions. It is reasonable to concentrate on taking sharp still M-NBI images during endoscopic observation and use them for diagnosis.

trial registrationUmin.ac.jp UMIN-CTR000008048.

Indexed as

Case-Control StudiesFemaleGastroscopyHumansMaleProspective StudiesSensitivity and SpecificityStomach Neoplasms

Identifiers

PMID24988209
PMCPMC4079511
OpenAlexW2098693205

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.