Computer-based Classification of Colorectal Polyps Using Narrow-band Imaging
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Purpose
Recent studies have shown that narrow-band imaging (NBI) is a powerful diagnostic tool for the differentiation between neoplastic and non-neoplastic colorectal polyps. The aim of the present study is to develop and evaluate a computer-based method for automated classification of small colorectal polyps on the basis of vascularization features.In a prospective study 207 polyps with a size of 10mm or smaller should be detected by a zoom NBI colonoscopy. These polyps were imaged and subsequently removed for histological analysis. the polyp images were analyzed by a computer algorithm. The proposed computer-based method consists of several steps: preprocessing, vessel segmentation, feature extraction and classification. The results of the automatic classification (sensitivity, specificity, negative predictive value, positive predictive value and accuracy)were compared to those of human observers, who were blinded to the histological gold standard.
| Condition |
|---|
|
Colorectal Polyps |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Computer-based Classification of Small Colorectal Polyps |
- diagnostic value (sensitivity, specificity, negative predictive value, positive predictive value, accuracy) [ Time Frame: 10 months ] [ Designated as safety issue: No ]
- interobserver variability [ Time Frame: 10 months ] [ Designated as safety issue: No ]
| Enrollment: | 434 |
| Study Start Date: | May 2010 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| patients with colorectal polyps |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
patients who underwent colonoscopy and colorectal polyps with a size of 10mm or smaller were detected
Inclusion Criteria:
- All patients who did not meet the exclusion criteria were included in the study
Exclusion Criteria:
- Patients with chronic inflammatory bowel disease, adenomatosis coli, coagulopathy, insufficient bowel preparation, or previous colonoscopy within the last 3 years; age under 18 years; no written informed consent for participation in the study
Contacts and Locations| Germany | |
| Department of Medicine III, University Hospital Aachen (RWTH) | |
| Aachen, Germany, 52074 | |
| Principal Investigator: | Jens Tischendorf, M.D. | Medical Department III, University Hospital Aachen (RWTH), Pauwelsstr. 30, 52074 Aachen |
More Information
Publications:
| Responsible Party: | Tischendorf, Jens, M.D., Department of Medicine III, University of Aachen (RWTH) |
| ClinicalTrials.gov Identifier: | NCT01262248 History of Changes |
| Other Study ID Numbers: | Ti-NBI |
| Study First Received: | December 15, 2010 |
| Last Updated: | June 15, 2011 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Tischendorf, Jens, M.D.:
|
small colorectal polyps narrow band imaging vascularization computer-based classification |
Additional relevant MeSH terms:
|
Polyps Colonic Polyps Pathological Conditions, Anatomical Intestinal Polyps |
ClinicalTrials.gov processed this record on May 16, 2013