A HIGH-RESOLUTION MICROENDOSCOPE IMPROVES ESOPHAGEAL CANCER SCREENING AND SURVEILLANCE: IMPLICATIONS FOR UNDERSERVED GLOBAL SETTINGS BASED ON AN INTERNATIONAL, RANDOMIZED CONTROLLED TRIAL
随机对照试验
医学
食管癌
肿瘤科
内科学
癌症
作者
Mimi C. Tan,Zhengqi Li,Kalpesh Patel,Fan Zhang,Xinying Yu,Wang Xue-shan,Daniel Rosen,Sanford M. Dawsey,Liyan Xue,Chin Hur,Richard A. Schwarz,Imran S. Vohra,Yubo Tang,Meng-Fen Wu,Wei Wang,Jennifer Carns,Hong Xu,Rebecca Richards‐Kortum,Guiqi Wang,Sharmila Anandasabapathy
Lugol's chromoendoscopy (LCE)-based detection of esophageal squamous cell neoplasia (ESCN) is limited by low specificity. High-resolution microendoscopy (HRME) was shown to improve specificity and reduce unnecessary biopsies when used by academic endoscopists. In this international, randomized controlled trial, we determined the clinical impact, efficiency, and performance of HRME in true global health contexts with a range of providers.