Accuracy and inter-observer agreement of the nice and kudo classifications of superficial colonic lesions: a comparative study.
Colonic polyps
Colorectal cancer
Kudo pit pattern
NICE classification
Journal
International journal of colorectal disease
ISSN: 1432-1262
Titre abrégé: Int J Colorectal Dis
Pays: Germany
ID NLM: 8607899
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
accepted:
23
02
2021
pubmed:
3
3
2021
medline:
24
6
2021
entrez:
2
3
2021
Statut:
ppublish
Résumé
For superficial colonic lesions, the NICE and Kudo classifications are used in the in vivo prediction of histology and as guide to therapy. The NICE system derives information from unmagnified NBI endoscopic images. The Kudo one necessitates a magnification, but, as this tool is not commonly available, it is applied also to characterize unmagnified pictures to compare their diagnostic performances. We conducted a prospective comparison of the NICE versus the Kudo classification for the differential diagnosis of colonic polyps taking histology as the gold standard. The inter-observer agreement for both classifications among 11 colonoscopists was also evaluated. Short unmagnified NBI videoclips of 64 colonic polyps were sent twice to the participants. In the first round, they classified the lesions according to the NICE classification; 4 months later, the same videos were assessed with the Kudo system. The diagnosis provided by the participants was grouped in non-neoplastic, non-invasive neoplasia, invasive neoplasia. Overall, the diagnostic accuracy was 82% (95%CI: 79-85) with the NICE system and 81% (95%CI: 78-84) with the Kudo one (ρ = 0.78). The accuracy of the NICE classification for non-neoplastic lesions was greater compared with the Kudo's (ρ = 0.03). Sensitivity sub-analyses revealed a higher ability of the NICE in distinguishing between neoplastic vs. non-neoplastic lesions (ρ = 0.01). The overall inter-rater agreement did not differ when the classifications were compared. The NICE and the Kudo classifications might be considered comparable. Our data could allow the use of the NBI Kudo classification even in those centers where magnification is not available.
Identifiants
pubmed: 33649902
doi: 10.1007/s00384-021-03897-8
pii: 10.1007/s00384-021-03897-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1561-1568Commentaires et corrections
Type : ErratumIn
Références
Patrun J, Okreša L, Iveković H, Rustemović N (2018) Diagnostic accuracy of NICE classification system for optical recognition of predictive morphology of colorectal polyps. Gastroenterol Res Pract 2018:7531368–7531310. https://doi.org/10.1155/2018/7531368
doi: 10.1155/2018/7531368
pubmed: 29725349
pmcid: 5872609
Rex DK, Shaukat A, Wallace MB (2019) Optimal management of malignant polyps, from endoscopic assessment and resection to decisions about surgery. Clin Gastroenterol Hepatol 17:1428–1437. https://doi.org/10.1016/j.cgh.2018.09.040
doi: 10.1016/j.cgh.2018.09.040
pubmed: 30268567
(2003) The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 58:S3–S43. https://doi.org/10.1016/s0016-5107(03)02159-x
Rex DK, Boland CR, Dominitz JA et al (2017) Colorectal cancer screening: recommendations for physicians and patients from the U.S. multi-society task force on colorectal cancer. Gastroenterology 153:307–323. https://doi.org/10.1053/j.gastro.2017.05.013
doi: 10.1053/j.gastro.2017.05.013
pubmed: 28600072
Ferlitsch M, Moss A, Hassan C, Bhandari P, Dumonceau JM, Paspatis G, Jover R, Langner C, Bronzwaer M, Nalankilli K, Fockens P, Hazzan R, Gralnek I, Gschwantler M, Waldmann E, Jeschek P, Penz D, Heresbach D, Moons L, Lemmers A, Paraskeva K, Pohl J, Ponchon T, Regula J, Repici A, Rutter M, Burgess N, Bourke M (2017) Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 49:270–297. https://doi.org/10.1055/s-0043-102569
doi: 10.1055/s-0043-102569
pubmed: 28212588
Kaltenbach T, Anderson JC, Burke CA, Dominitz JA, Gupta S, Lieberman D, Robertson DJ, Shaukat A, Syngal S, Rex DK (2020) Endoscopic removal of colorectal lesions-recommendations by the US multi-society task force on colorectal cancer. Gastrointest Endosc 91:486–519. https://doi.org/10.1016/j.gie.2020.01.029
doi: 10.1016/j.gie.2020.01.029
pubmed: 32067745
Vleugels JLA, Hazewinkel Y, Dekker E (2017) Morphological classifications of gastrointestinal lesions. Best Pract Res Clin Gastroenterol 31:359–367. https://doi.org/10.1016/j.bpg.2017.05.005
doi: 10.1016/j.bpg.2017.05.005
pubmed: 28842045
Puig I, Mármol C, Bustamante M (2019) Endoscopic imaging techniques for detecting early colorectal cancer. Curr Opin Gastroenterol 35:432–439. https://doi.org/10.1097/MOG.0000000000000570
doi: 10.1097/MOG.0000000000000570
pubmed: 31246596
Backes Y, Moss A, Reitsma JB, Siersema PD, Moons LMG (2017) Narrow band imaging, magnifying chromoendoscopy, and gross morphological features for the optical diagnosis of T1 colorectal cancer and deep submucosal invasion: a systematic review and meta-analysis. Am J Gastroenterol 112:54–64. https://doi.org/10.1038/ajg.2016.403
doi: 10.1038/ajg.2016.403
pubmed: 27644737
Iwatate M, Ikumoto T, Hattori S, Sano W, Sano Y, Fujimori T (2012) NBI and NBI combined with magnifying colonoscopy. Diagn Ther Endosc 2012:173269–173211. https://doi.org/10.1155/2012/173269
doi: 10.1155/2012/173269
pubmed: 23304065
pmcid: 3523539
Tanaka S, Sano Y (2011) Aim to unify the narrow band imaging (NBI) magnifying classification for colorectal tumors: current status in Japan from a summary of the consensus symposium in the 79th Annual Meeting of the Japan Gastroenterological Endoscopy Society. Dig Endosc 23(Suppl 1):131–139. https://doi.org/10.1111/j.1443-1661.2011.01106.x
doi: 10.1111/j.1443-1661.2011.01106.x
pubmed: 21535219
Kudo S, Hirota S, Nakajima T, Hosobe S, Kusaka H, Kobayashi T, Himori M, Yagyuu A (1994) Colorectal tumours and pit pattern. J Clin Pathol 47(10):880–885. https://doi.org/10.1136/jcp.47.10.880
doi: 10.1136/jcp.47.10.880
pubmed: 7962600
pmcid: 502170
Hewett DG, Kaltenbach T, Sano Y et al (2012) Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using narrow-band imaging. Gastroenterology 143:599–607.e1. https://doi.org/10.1053/j.gastro.2012.05.006
doi: 10.1053/j.gastro.2012.05.006
pubmed: 22609383
Hayashi N, Tanaka S, Hewett DG, Kaltenbach TR, Sano Y, Ponchon T, Saunders BP, Rex DK, Soetikno RM (2013) Endoscopic prediction of deep submucosal invasive carcinoma: validation of the narrow-band imaging international colorectal endoscopic (NICE) classification. Gastrointest Endosc 78:625–632. https://doi.org/10.1016/j.gie.2013.04.185
doi: 10.1016/j.gie.2013.04.185
pubmed: 23910062
Burgess NG, Hourigan LF, Zanati SA et al (2017) Risk stratification for covert invasive cancer among patients referred for colonic endoscopic mucosal resection: a large multicenter cohort. Gastroenterology 153:732–742.e1. https://doi.org/10.1053/j.gastro.2017.05.047
doi: 10.1053/j.gastro.2017.05.047
pubmed: 28583826
Rogart JN, Jain D, Siddiqui UD, Oren T, Lim J, Jamidar P, Aslanian H (2008) Narrow-band imaging without high magnification to differentiate polyps during real-time colonoscopy: improvement with experience. Gastrointest Endosc 68:1136–1145. https://doi.org/10.1016/j.gie.2008.04.035
doi: 10.1016/j.gie.2008.04.035
pubmed: 18691708
Kim BJ, Park MI, Park SJ, Moon W, Park ET, Kim SE, Lim CS, Yoo JH, Kang SJ (2014) Differential diagnosis of colorectal polyps with narrow band imaging colonoscopy without magnification. Korean J Gastroenterol 63:276–282. https://doi.org/10.4166/kjg.2014.63.5.276
doi: 10.4166/kjg.2014.63.5.276
pubmed: 24870299
Sikka S, Ringold DA, Jonnalagadda S, Banerjee B (2008) Comparison of white light and narrow band high definition images in predicting colon polyp histology, using standard colonoscopes without optical magnification. Endoscopy. 40:818–822. https://doi.org/10.1055/s-2008-1077437
doi: 10.1055/s-2008-1077437
pubmed: 18668472
Moss A, Bourke MJ, Williams SJ, Hourigan LF, Brown G, Tam W, Singh R, Zanati S, Chen RY, Byth K (2011) Endoscopic mucosal resection outcomes and prediction of submucosal cancer from advanced colonic mucosal neoplasia. Gastroenterology. 140:1909–1918. https://doi.org/10.1053/j.gastro.2011.02.062
doi: 10.1053/j.gastro.2011.02.062
pubmed: 21392504
Matsuda T, Fujii T, Saito Y, Nakajima T, Uraoka T, Kobayashi N, Ikehara H, Ikematsu H, Fu KI, Emura F, Ono A, Sano Y, Shimoda T, Fujimori T (2008) Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms. Am J Gastroenterol 103:2700–2706. https://doi.org/10.1111/j.1572-0241.2008.02190.x
doi: 10.1111/j.1572-0241.2008.02190.x
pubmed: 18853968
Puig I, López-Cerón M, Arnau A, Rosiñol Ò, Cuatrecasas M, Herreros-de-Tejada A, Ferrández Á, Serra-Burriel M, Nogales Ó, Vida F, de Castro L, López-Vicente J, Vega P, Álvarez-González MA, González-Santiago J, Hernández-Conde M, Díez-Redondo P, Rivero-Sánchez L, Gimeno-García AZ, Burgos A, García-Alonso FJ, Bustamante-Balén M, Martínez-Bauer E, Peñas B, Pellise M, Muñoz G, Peligros I, Tardio Baiges A, Elbouayadl L, Carames N, Iglesias M, del Carmen S, González-Lois C, Núñez H, García Hernández S, Guerra Pastrián L, López Carreira M, Casalots Á, Caminoa A, Solano M, López-Ibáñez M, Llaó J, Estévez P, Rodríguez-Alcalde D, Soto S, Pantaleón M, Álvarez A, Zamora Martínez T, Pascual JM, Ducóns J, García-Lledó J, Porta F, Hernández V, Cubiella J, Riu F, Simón MÁ, Martínez D, Seoane A, Gomollón F, Cid L, Sostres C, Domínguez F, Macenlle RM, de la Revilla J, Isava Á, Campo R, de la Poza G, Martínez A, Quintas P, Sánchez E, Foruny JR, Marín E, Martínez JL, Castro MI, González JÁ, Llop E, Martín E, Rey R, Sort P, Montesinos J, Fornells M, Ascon N (2019) Accuracy of the Narrow-Band Imaging International Colorectal Endoscopic Classification System in Identification of Deep Invasion in Colorectal Polyps. Gastroenterology. 156:75–87. https://doi.org/10.1053/j.gastro.2018.10.004
doi: 10.1053/j.gastro.2018.10.004
pubmed: 30296432
Di Eugenio B, Glass M (2004) The kappa statistic: a second look. Comput Linguist 30:95–101
doi: 10.1162/089120104773633402
Gwet KL (2008) Computing inter-rater reliability and its variance in the presence of high agreement. Br J Math Stat Psychol 61:29–48. https://doi.org/10.1348/000711006X126600
doi: 10.1348/000711006X126600
pubmed: 18482474
Bosman FT, Carneiro F, Hruban RH et al (2010) WHO Classification of Tumors of the Digestive System, 4th edn
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174
doi: 10.2307/2529310
Rex DK, Hassan C, Bourke MJ (2017) The colonoscopist’s guide to the vocabulary of colorectal neoplasia: histology, morphology, and management. Gastrointest Endosc 86(2):253–263. https://doi.org/10.1016/j.gie.2017.03.1546
doi: 10.1016/j.gie.2017.03.1546
pubmed: 28396276
Allen JE, Sharma P (2017) Polyp characterization at colonoscopy: Clinical implications. Best Pract Res Clin Gastroenterol 31:435–440. https://doi.org/10.1016/j.bpg.2017.07.001
doi: 10.1016/j.bpg.2017.07.001
pubmed: 28842053
Bisschops R, East JE, Hassan C, Hazewinkel Y, Kamiński MF, Neumann H, Pellisé M, Antonelli G, Bustamante Balen M, Coron E, Cortas G, Iacucci M, Yuichi M, Longcroft-Wheaton G, Mouzyka S, Pilonis N, Puig I, van Hooft JE, Dekker E (2019) Advanced imaging for detection and differentiation of colorectal neoplasia: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019 [published correction appears in Endoscopy. 2019 Dec;51(12):C6]. Endoscopy. 51:1155–1179. https://doi.org/10.1055/a-1031-7657
doi: 10.1055/a-1031-7657
pubmed: 31711241
Hayashi N, Tanaka S, Kanao H, Oka S, Yoshida S, Chayama K (2013) Relationship between narrow-band imaging magnifying observation and pit pattern diagnosis in colorectal tumors. Digestion. 87:53–58. https://doi.org/10.1159/000343940
doi: 10.1159/000343940
pubmed: 23343970
Okamoto Y, Watanabe H, Tominaga K, Oki R, Yamagata M, Yokotsuka F, Ishida M, Masuyama H, Hiraishi H (2011) Evaluation of microvessels in colorectal tumors by narrow band imaging magnification: including comparison with magnifying chromoendoscopy. Dig Dis Sci 56:532–538. https://doi.org/10.1007/s10620-010-1293-3
doi: 10.1007/s10620-010-1293-3
pubmed: 20535558
Oba S, Tanaka S, Oka S, Kanao H, Yoshida S, Shimamoto F, Chayama K (2010) Characterization of colorectal tumors using narrow-band imaging magnification: combined diagnosis with both pit pattern and microvessel features. Scand J Gastroenterol 45:1084–1092. https://doi.org/10.3109/00365521003734166
doi: 10.3109/00365521003734166
pubmed: 20350257
Zhou QJ, Yang JM, Fei BY, Xu QS, Wu WQ, Ruan HJ (2011) Narrow-band imaging endoscopy with and without magnification in diagnosis of colorectal neoplasia. World J Gastroenterol 17:666–670. https://doi.org/10.3748/wjg.v17.i5.666
doi: 10.3748/wjg.v17.i5.666
pubmed: 21350718
pmcid: 3040341
Sakamoto T, Saito Y, Nakajima T, Matsuda T (2011) Comparison of magnifying chromoendoscopy and narrow-band imaging in estimation of early colorectal cancer invasion depth: a pilot study. Dig Endosc 23:118–123. https://doi.org/10.1111/j.1443-1661.2010.01049.x
doi: 10.1111/j.1443-1661.2010.01049.x
pubmed: 21429015
Sakamoto T, Nakajima T, Matsuda T, Murakami Y, Ishikawa H, Yao K, Saito Y (2018) Comparison of the diagnostic performance between magnifying chromoendoscopy and magnifying narrow-band imaging for superficial colorectal neoplasms: an online survey. Gastrointest Endosc 87:1318–1323. https://doi.org/10.1016/j.gie.2017.12.021
doi: 10.1016/j.gie.2017.12.021
pubmed: 29309778
Su MY, Hsu CM, Ho YP, Chen PC, Lin CJ, Chiu CT (2006) Comparative study of conventional colonoscopy, chromoendoscopy, and narrow-band imaging systems in differential diagnosis of neoplastic and nonneoplastic colonic polyps. Am J Gastroenterol 101:2711–2716. https://doi.org/10.1111/j.1572-0241.2006.00932.x
doi: 10.1111/j.1572-0241.2006.00932.x
pubmed: 17227517
Tischendorf JJ, Wasmuth HE, Koch A, Hecker H, Trautwein C, Winograd R (2007) Value of magnifying chromoendoscopy and narrow band imaging (NBI) in classifying colorectal polyps: a prospective controlled study. Endoscopy. 39:1092–1096. https://doi.org/10.1055/s-2007-966781
doi: 10.1055/s-2007-966781
pubmed: 18072061
East JE, Suzuki N, Saunders BP (2007) Comparison of magnified pit pattern interpretation with narrow band imaging versus chromoendoscopy for diminutive colonic polyps: a pilot study. Gastrointest Endosc 66:310–316. https://doi.org/10.1016/j.gie.2007.02.026
doi: 10.1016/j.gie.2007.02.026
pubmed: 17643705
Chiu HM, Chang CY, Chen CC, Lee YC, Wu MS, Lin JT, Shun CT, Wang HP (2007) A prospective comparative study of narrow-band imaging, chromoendoscopy, and conventional colonoscopy in the diagnosis of colorectal neoplasia. Gut. 56:373–379. https://doi.org/10.1136/gut.2006.099614
doi: 10.1136/gut.2006.099614
pubmed: 17005766
Pu LZCT, Cheong KL, Koay DSC, Yeap SP, Ovenden A, Raju M, Ruszkiewicz A, Chiu PW, Lau JY, Singh R (2018) Randomised controlled trial comparing modified Sano's and narrow band imaging international colorectal endoscopic classifications for colorectal lesions. World J Gastrointest Endosc 10:210–218. https://doi.org/10.4253/wjge.v10.i9.210
doi: 10.4253/wjge.v10.i9.210
pubmed: 30283604
pmcid: 6162252