Young EJ, Rajandran A, Philpott HL, Sathananthan D, Hoile SF, Singh R. Mucosal imaging in colon polyps: New advances and what the future may hold. World J Gastroenterol 2022; 28(47): 6632-6661 [PMID: 36620337 DOI: 10.3748/wjg.v28.i47.6632]
Corresponding Author of This Article
Rajvinder Singh, FRACP, FRCP, MBBS, MPhil, MRCP, Professor, Department of Gastroenterology, Lyell McEwin Hospital, Northern Adelaide Local Health Network, Haydown Road, Elizabeth Vale 5031, South Australia, Australia. rajvinder.singh@sa.gov.au
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 21, 2022; 28(47): 6632-6661 Published online Dec 21, 2022. doi: 10.3748/wjg.v28.i47.6632
Mucosal imaging in colon polyps: New advances and what the future may hold
Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh
Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh, Department of Gastroenterology, Lyell McEwin Hospital, Northern Adelaide Local Health Network, Elizabeth Vale 5031, South Australia, Australia
Edward John Young, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide 5000, South Australia, Australia
Author contributions: Young E, Rajandran A, and Singh R wrote the manuscript; Young E, Rajandran A, and Hoile S performed the literature review and collated data; Philpott H, Sathananthan D, and Singh R reviewed and edited the final manuscript; Hoile S, Philpott H, and Sathananthan D provided images for the manuscript; all authors made meaningful contributions to the manuscript; all authors have read and approve the final manuscript.
Conflict-of-interest statement: No authors have any conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rajvinder Singh, FRACP, FRCP, MBBS, MPhil, MRCP, Professor, Department of Gastroenterology, Lyell McEwin Hospital, Northern Adelaide Local Health Network, Haydown Road, Elizabeth Vale 5031, South Australia, Australia. rajvinder.singh@sa.gov.au
Received: September 3, 2022 Peer-review started: September 3, 2022 First decision: October 20, 2022 Revised: October 23, 2022 Accepted: November 22, 2022 Article in press: November 22, 2022 Published online: December 21, 2022
Abstract
An expanding range of advanced mucosal imaging technologies have been developed with the goal of improving the detection and characterization of lesions in the gastrointestinal tract. Many technologies have targeted colorectal neoplasia given the potential for intervention prior to the development of invasive cancer in the setting of widespread surveillance programs. Improvement in adenoma detection reduces miss rates and prevents interval cancer development. Advanced imaging technologies aim to enhance detection without significantly increasing procedural time. Accurate polyp characterisation guides resection techniques for larger polyps, as well as providing the platform for the “resect and discard” and “do not resect” strategies for small and diminutive polyps. This review aims to collate and summarise the evidence regarding these technologies to guide colonoscopic practice in both interventional and non-interventional endoscopists.
Core Tip: Advanced mucosal imaging enhances polyp detection and characterization. This detailed review summarises existing advanced mucosal imaging technologies to guide everyday colonoscopic practice for interventional and non-interventional endoscopists.
