Goto N, Kusaka T, Tomita Y, Tanaka H, Itokawa Y, Koshikawa Y, Yamaguchi D, Nakai Y, Fujii S, Kokuryu H. Magnifying narrow-band imaging with acetic acid to diagnose early colorectal cancer. World J Gastroenterol 2014; 20(43): 16306-16310 [PMID: 25473188 DOI: 10.3748/wjg.v20.i43.16306]
Corresponding Author of This Article
Norihiro Goto, MD, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital, 17 Yamada Hiraocho, Nishikyoku, Kyoto 615-8256, Japan. norihirogoto@hotmail.co.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Prospective Study
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. Nov 21, 2014; 20(43): 16306-16310 Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16306
Table 1 Diagnostic characteristics of magnifying endoscopy with narrow-band imaging, magnifying endoscopy with acetic acid spray and narrow-band imaging, and magnifying endoscopy with crystal violet dye
M-NBI
MA-NBI
M-CV
Accuracy (95%CI)
73% (63%-81%)
73% (63%-81%)
73% (63%-81%)
Sensitivity (95%CI)
85% (71%-93%)
80% (67%-90%)
83% (69%-91%)
Specificity (95%CI)
60% (45%-73%)
64% (50%-77%)
62% (48%-75%)
PPV (95%CI)
68% (55%-79%)
70% (56%-81%)
69% (56%-80%)
NPV (95%CI)
79% (36%-90%)
76% (61%-87%)
78% (62%-89%)
Table 2 Diagnostic characteristics of magnifying endoscopy with narrow-band imaging
High-confidence predictions(n = 52)
Low-confidence predictions(n = 39)
P value for high-confidence vs low-confidence predictions
Accuracy (95%CI)
79% (66%-88%)
64% (48%-77%)
0.16
Sensitivity (95%CI)
87% (70%-95%)
81% (56%-94%)
0.68
Specificity (95%CI)
68% (47%-84%)
52% (33%-71%)
0.37
PPV (95%CI)
79% (62%-90%)
54% (35%-72%)
0.08
NPV (95%CI)
79% (56%-92%)
80% (54%-94%)
1.00
Table 3 Diagnostic characteristics of magnifying endoscopy with acetic acid spray and narrow-band imaging
High-confidence predictions(n = 68)
Low-confidence predictions(n = 23)
P value for high-confidence vs low-confidence predictions
Accuracy (95%CI)
79% (68%-87%)
52% (36%-71%)
0.02
Sensitivity (95%CI)
83% (67%-92%)
70% (39%-90%)
0.69
Specificity (95%CI)
76% (59%-87%)
39% (18%-65%)
0.04
PPV (95%CI)
78% (63%-89%)
47% (25%-70%)
0.04
NPV (95%CI)
81% (63%-91%)
63% (30%-90%)
0.35
Table 4 Diagnostic characteristics of magnifying endoscopy with crystal violet dye
High-confidence predictions(n = 69)
Low-confidence predictions(n = 22)
P value for high-confidence vs low-confidence predictions
Accuracy (95%CI)
81% (70%-88%)
46% (27%-65%)
0.002
Sensitivity (95%CI)
92% (78%-98%)
38% (13%-70%)
0.002
Specificity (95%CI)
68% (50%-82%)
50% (27%-73%)
0.330
PPV (95%CI)
78% (64%-88%)
30% (10%-61%)
0.006
NPV (95%CI)
88% (68%-96%)
58% (32%-81%)
0.090
Citation: Goto N, Kusaka T, Tomita Y, Tanaka H, Itokawa Y, Koshikawa Y, Yamaguchi D, Nakai Y, Fujii S, Kokuryu H. Magnifying narrow-band imaging with acetic acid to diagnose early colorectal cancer. World J Gastroenterol 2014; 20(43): 16306-16310