Narrow-band imaging (NBI) magnifying endoscopic classification of colorectal tumors proposed by the Japan NBI Expert Team

被引：439

作者：

Sano, Yasushi ^{[1
]}

Tanaka, Shinji ^{[2
]}

Kudo, Shin-ei ^{[3
]}

Saito, Shoichi ^{[4
]}

Matsuda, Takahisa ^{[5
]}

Wada, Yoshiki ^{[12
]}

Fujii, Takahiro ^{[6
]}

Ikematsu, Hiroaki ^{[13
]}

Uraoka, Toshio ^{[7
]}

Kobayashi, Nozomu ^{[14
]}

Nakamura, Hisashi ^{[8
]}

Hotta, Kinichi ^{[15
]}

Horimatsu, Takahiro ^{[16
]}

Sakamoto, Naoto ^{[9
]}

Fu, Kuang-I ^{[28
]}

Tsuruta, Osamu ^{[19
]}

Kawano, Hiroshi ^{[20
]}

Kashida, Hiroshi ^{[21
]}

Takeuchi, Yoji ^{[22
]}

Machida, Hirohisa ^{[23
]}

Kusaka, Toshihiro ^{[17
]}

Yoshida, Naohisa ^{[18
]}

Hirata, Ichiro ^{[24
]}

Terai, Takeshi ^{[10
]}

Yamano, Hiro-o ^{[25
]}

Kaneko, Kazuhiro ^{[13
]}

Nakajima, Takeshi ^{[5
]}

Sakamoto, Taku ^{[5
]}

Yamaguchi, Yuichiro ^{[26
]}

Tamai, Naoto ^{[4
]}

Nakano, Naoko ^{[24
]}

Hayashi, Nana ^{[2
]}

Oka, Shiro ^{[2
]}

Iwatate, Mineo ^{[1
]}

Ishikawa, Hideki ^{[18
]}

Murakami, Yoshitaka ^{[11
]}

Yoshida, Shigeaki ^{[27
]}

Saito, Yutaka ^{[5
]}

机构：

[1] Sano Hosp, Kobe, Hyogo, Japan

[2] Hiroshima Univ, Hiroshima, Japan

[3] Showa Univ, Northern Yokohama Hosp, Yokohama, Kanagawa, Japan

[4] Jikei Univ, Sch Med, Tokyo, Japan

[5] Natl Canc Ctr, Tokyo, Japan

[6] Takahiro Fujii Clin, Tokyo, Japan

[7] Natl Hosp Org Tokyo Med Ctr, Tokyo, Japan

[8] Akasaka Endoscop Clin, Tokyo, Japan

[9] Juntendo Univ, Tokyo, Japan

[10] Terai Clin, Tokyo, Japan

[11] Toho Univ, Tokyo, Japan

[12] Wada Clin, Wakayama, Japan

[13] Natl Canc Ctr Hosp East, Kashiwa, Chiba, Japan

[14] Tochigi Canc Ctr, Utsunomiya, Tochigi, Japan

[15] Shizuoka Canc Ctr, Shizuoka, Japan

[16] Kyoto Univ, Kyoto, Japan

[17] Kyoto Katsura Hosp, Kyoto, Japan

[18] Kyoto Prefectural Univ Med, Kyoto, Japan

[19] Kurume Univ, Kurume, Fukuoka, Japan

[20] St Marys Hosp, Kurume, Fukuoka, Japan

[21] Kinki Univ, Osaka, Japan

[22] Osaka Med Ctr Canc & Cardiovasc Dis, Osaka, Japan

[23] Machida Gastrointestinal Hosp, Osaka, Japan

[24] Fujita Hlth Univ, Toyoake, Aichi, Japan

[25] Japanese Red Cross Akita Hosp, Akita, Japan

[26] Tokura Yamaguchi Clin, Mishima, Shizuoka, Japan

[27] Aomori Prefectural Cent Hosp, Aomori, Japan

[28] China Med Univ, Hosp 1, Shenyang, Peoples R China

来源：

DIGESTIVE ENDOSCOPY | 2016年 / 28卷 / 05期

关键词：

classification; colorectal neoplasms; magnifying endoscopy; narrow band imaging; the Japan NBI expert team (JNET); DIAGNOSIS; VALIDATION; HISTOLOGY; INVASION; POLYPS; DEPTH;

D O I：

10.1111/den.12644

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Many clinical studies on narrow-band imaging (NBI) magnifying endoscopy classifications advocated so far in Japan (Sano, Hiroshima, Showa, and Jikei classifications) have reported the usefulness of NBI magnifying endoscopy for qualitative and quantitative diagnosis of colorectal lesions. However, discussions at professional meetings have raised issues such as: (i) the presence of multiple terms for the same or similar findings; (ii) the necessity of including surface patterns in magnifying endoscopic classifications; and (iii) differences in the NBI findings in elevated and superficial lesions. To resolve these problems, the Japan NBI Expert Team (JNET) was constituted with the aim of establishing a universal NBI magnifying endoscopic classification for colorectal tumors (JNET classification) in 2011. Consensus was reached on this classification using the modified Delphi method, and this classification was proposed in June 2014. The JNET classification consists of four categories of vessel and surface pattern (i.e. Types 1, 2A, 2B, and 3). Types 1, 2A, 2B, and 3 are correlated with the histopathological findings of hyperplastic polyp/sessile serrated polyp (SSP), low-grade intramucosal neoplasia, high-grade intramucosal neoplasia/shallow submucosal invasive cancer, and deep submucosal invasive cancer, respectively.

引用

页码：526 / 533

页数：8

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