Scopus
YÖKSİS Eşleşti
Evaluation of laryngeal vascular changes with image1 s enhancement system in reference to the European laryngological society guideline
Clinical Otolaryngology · Kasım 2021
YÖKSİS Kayıtları
Evaluation of laryngeal vascular changes with image1 s enhancement system in reference to the European laryngological society guideline
Clinical Otolaryngology · 2021 SCI
DOKTOR ÖĞRETİM ÜYESİ MUHAMMET FATİH GÖKMEN →
Makale Bilgileri
DergiClinical Otolaryngology
Yayın TarihiKasım 2021
Cilt / Sayfa46 · 1319-1325
Scopus ID2-s2.0-85112721001
Özet
Objectives: To assess the feasibility of using Image1 S™ endoscopic enhancement system for discrimination of the vascular patterns in laryngeal lesions. Design: Forty patients presenting with benign, dysplastic and malignant laryngeal lesions were examined with Image1 S system. The vascular patterns were classified by a group of authors according to the European Laryngological Society (ELS) guideline, as perpendicular or longitudinal, in all lesions. The relationship between the vascular patterns and the pathological results was statistically analysed. Endoscopic images of the lesions were evaluated through an online survey by a group of otolaryngologists with different levels of clinical expertise and asked them to choose a diagnosis and a vascular pattern. The vascular pattern evaluations of the participants were compared to the authors’ evaluations to determine the interobserver reliability. The final diagnostic judgements of the participants were compared with the definitive histopathological diagnoses. Setting: Tertiary university hospital. Participants: Forty patients with laryngeal lesions and thirty otolaryngologists with different clinical experience levels. Main outcome measures: The study evaluates the usefulness of the Image1 S system for the detecting the vascular patterns associated with benign, dysplastic, and malignant lesions and measures the level of accuracy and inter observer agreement in detecting the final histopathology. Results: Histopathological examination diagnosed 12 patients as benign, 12 dysplastic and 16 malignant. Using Image1 S, the vascular patterns were longitudinal in 11 lesions, perpendicular in 28 lesions and undetectable in 1 lesion. With white light, longitudinal pattern was observed in 14 lesions, perpendicular in 21 lesions and undetectable in 5 lesions. The correlation between the vascularisation pattern and the pathological diagnosis was found to be significant (p <.001). The qualitative evaluation of the vascular patterns by the two groups of observers showed significant reliability (κ = 0.63, p <.001). The agreement with the final diagnoses was also significant (κ = 0.56, p <.001). Conclusions: Image1 S endoscopic enhancement system with spectral modes provides an improved visibility of the vascular patterns defined by the ELS in laryngeal lesions. ELS classification can reliably distinguish benign lesions from suspected ones and can be applied even by less-experienced clinicians but the final diagnosis needs experience and should be confirmed with histopathology.
Yazarlar (6)
1
Sibel Yıldırım
ORCID: 0000-0002-5494-6198
2
Tarık Babür Küçük
ORCID: 0000-0002-4781-2001
3
Zahide Çiler Büyükatalay
ORCID: 0000-0002-0992-0079
4
Muhammet Fatih Gökmen
ORCID: 0000-0002-4134-8375
5
Mustafa Kürşat Gökcan
ORCID: 0000-0002-4160-7349
6
Gürsel Dursun
ORCID: 0000-0003-2542-8268
Anahtar Kelimeler
dysplasia
Image1 S™
image enhancement systems
laryngeal endoscopy
longitudinal vascular pattern
perpendicular vascular pattern
Kurumlar
Ankara Üniversitesi
Ankara Turkey