Evidence map›Paper›PMID 33456043›Full record

ArticleInternal medicine (Tokyo, Japan)2021

The Differential Diagnosis of Colorectal Polyps Using Colon Capsule Endoscopy.

Kei Nakazawa, Sadaharu Nouda, Kazuki Kakimoto, Naohiko Kinoshita, Yasuyoshi Tanaka, Hideki Tawa, Ryoji Koshiba, Yutaka Naka, Yuki Hirata, Kazuhiro Ota and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Kei Nakazawa2nd Department of Internal Medicine, Osaka Medical College, Japan.
Sadaharu Nouda2nd Department of Internal Medicine, Osaka Medical College, Japan.
Kazuki Kakimoto2nd Department of Internal Medicine, Osaka Medical College, Japan.
Naohiko Kinoshita2nd Department of Internal Medicine, Osaka Medical College, Japan.
Yasuyoshi Tanaka2nd Department of Internal Medicine, Osaka Medical College, Japan.
Hideki Tawa2nd Department of Internal Medicine, Osaka Medical College, Japan.
Ryoji Koshiba2nd Department of Internal Medicine, Osaka Medical College, Japan.
Yutaka Naka2nd Department of Internal Medicine, Osaka Medical College, Japan.
Yuki Hirata2nd Department of Internal Medicine, Osaka Medical College, Japan.
Kazuhiro Ota2nd Department of Internal Medicine, Osaka Medical College, Japan.
Ken Kawakami2nd Department of Internal Medicine, Osaka Medical College, Japan.
Toshihisa Takeuchi2nd Department of Internal Medicine, Osaka Medical College, Japan.
Takuya Inoue2nd Department of Internal Medicine, Osaka Medical College, Japan.
Takako Miyazaki2nd Department of Internal Medicine, Osaka Medical College, Japan.
Makoto SanomuraDepartment of Gastroenterology, Hokusetsu General Hospital, Japan.
Shiro Nakamura2nd Department of Internal Medicine, Osaka Medical College, Japan.
Yutaka SaitoEndoscopy Division, National Cancer Center Hospital, Japan.
Kazuhide Higuchi2nd Department of Internal Medicine, Osaka Medical College, Japan.
Osaka Medical and Pharmaceutical University · JPNational Cancer Center Hospital East · JPHokushin General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Although colorectal polyps (CPs) can be observed with colon capsule endoscopy (CCE), it is difficult to determine the type of polyp using CCE. The objective of this study was to differentiate adenomatous polyps (APs) from hyperplastic polyps (HPs) with CCE. Methods In this single-center retrospective study, an analysis was conducted on the same CPs with both CCE and colonoscopy (CS) and histopathologically diagnosed as AP or HP. The color difference (ΔE) between the polyp surface and the surrounding mucosa was calculated using the CIE1976 L*a*b* color space method on white light (WL), flexible spectral imaging color enhancement (FICE), and blue mode (BM) CP images. We investigated the ability of the ratio of the color differences (ΔE') to differentiate between APs and HPs. Results The size of all 51 polyps (34 APs, 17 HPs) was 7.5±4.6 mm with CCE and 7.3±4.2 mm with CS, and this difference was not significant (p=0.28). The FICEΔE' of APs was 3.3±1.8, which was significantly higher than the FICEΔE' of HPs (1.3±0.6; p<0.001). A receiver operating characteristic analysis showed that FICEΔE' was useful for differentiating between APs and HPs, with an area under the curve of 0.928 (95% confidence interval, 0.843-1). The sensitivity was 91.2%, and the specificity was 88.2% with a cut-off value of 1.758. Conclusion Using FICE on CCE images of CPs and applying the CIELAB color space method, we were able to differentiate between APs and HPs with high accuracy. This method has the potential to reduce unnecessary CS procedures.

Indexed as

Capsule EndoscopyColonic PolypsColorectal NeoplasmsColonoscopyDiagnosis, DifferentialHumansRetrospective Studiesadenomatous polypcolon capsule endoscopycolorectal polypflexible spectral imaging color enhancementhyperplastic polyp

Identifiers

PMID33456043
PMCPMC8263190
OpenAlexW3120503349

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Registered trials

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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.