Comparative Study of Postprocessing Imaging Systems for Diminutive Colonic Polyps

NCT ID: NCT01133041

Last Updated: 2011-09-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2010-10-31

Brief Summary

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Several novel imaging technologies are currently used for detection and differentiation of colonic polyps during colonoscopy, such as NBI (Olympus), FICE (Fujinon), and i-Scan (Pentax).

Several previous studies have indicated that NBI without magnification can be useful for real-time differentiation of diminutive colonic neoplasias.

To date, however, there are no studies comparing NBI with other imaging systems (FICE or i-Scan) for differentiation of diminutive colonic polyps.

The study objectives are to compare the diagnostic efficacy of NBI with that of i-Scan in real-time prediction of diminutive colonic polyps.

In this prospective pilot study, diminutive colonic polyps detected during colonoscopy will be observed with conventional colonoscopy, thereafter will be observed with new imaging systems.

Sensitivity, specificity, and diagnostic accuracy of both NBI and i-Scan will be assessed by reference to histological results obtained by endoscopic biopsy or polypectomy.

Detailed Description

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Conditions

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Diminutive Colon Polyp Adenomatous Polyp Hyperplastic Polyp Colonoscopy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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NBI observation

Group Type EXPERIMENTAL

Observation using NBI system

Intervention Type OTHER

NBI system can improve the patterns of mucosal surface and vascularity of colonic polyp.

i-Scan observation

Group Type EXPERIMENTAL

Observation using i-Scan system

Intervention Type OTHER

I-Scan system can improve the patterns of mucosal surface and vascularity of colonic polyp.

Interventions

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Observation using NBI system

NBI system can improve the patterns of mucosal surface and vascularity of colonic polyp.

Intervention Type OTHER

Observation using i-Scan system

I-Scan system can improve the patterns of mucosal surface and vascularity of colonic polyp.

Intervention Type OTHER

Other Intervention Names

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NBI, narrow band imaging (Olympus, Japan) i-Scan (Pentax, Japan)

Eligibility Criteria

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Inclusion Criteria

* screening or surveillance colonoscopy
* age over 18
* informed consent

Exclusion Criteria

* history of inflammatory bowel diseases
* history of hereditary colorectal cancers and polyposis syndrome
* inability to give informed consent
* use of antiplatelet agent and anticoagulants
* pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Soon Chun Hyang University

OTHER

Sponsor Role lead

Responsible Party

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Chang Kyun Lee

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chang Kyun Lee, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Soon Chun Hyang University

Locations

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Soon Chung Hyang University, Cheonan hospital

Cheonan, Choongnam, South Korea

Site Status

Countries

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South Korea

References

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Rastogi A, Pondugula K, Bansal A, Wani S, Keighley J, Sugar J, Callahan P, Sharma P. Recognition of surface mucosal and vascular patterns of colon polyps by using narrow-band imaging: interobserver and intraobserver agreement and prediction of polyp histology. Gastrointest Endosc. 2009 Mar;69(3 Pt 2):716-22. doi: 10.1016/j.gie.2008.09.058.

Reference Type BACKGROUND
PMID: 19251016 (View on PubMed)

Rex DK. Narrow-band imaging without optical magnification for histologic analysis of colorectal polyps. Gastroenterology. 2009 Apr;136(4):1174-81. doi: 10.1053/j.gastro.2008.12.009. Epub 2008 Dec 10.

Reference Type BACKGROUND
PMID: 19187781 (View on PubMed)

Hoffman A, Kagel C, Goetz M, Tresch A, Mudter J, Biesterfeld S, Galle PR, Neurath MF, Kiesslich R. Recognition and characterization of small colonic neoplasia with high-definition colonoscopy using i-Scan is as precise as chromoendoscopy. Dig Liver Dis. 2010 Jan;42(1):45-50. doi: 10.1016/j.dld.2009.04.005. Epub 2009 May 26.

Reference Type BACKGROUND
PMID: 19473893 (View on PubMed)

Lee CK, Lee SH, Hwangbo Y. Narrow-band imaging versus I-Scan for the real-time histological prediction of diminutive colonic polyps: a prospective comparative study by using the simple unified endoscopic classification. Gastrointest Endosc. 2011 Sep;74(3):603-9. doi: 10.1016/j.gie.2011.04.049. Epub 2011 Jul 18.

Reference Type DERIVED
PMID: 21762907 (View on PubMed)

Other Identifiers

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SCHCH2010L2

Identifier Type: -

Identifier Source: org_study_id