Confocal Endomicroscopy of Colorectal Polyps

Confocal laser endomicroscopy (CLE) is one of several novel methods that provide real-time, high-resolution imaging at a micron scale via endoscopes. CLE has the potential to be a disruptive technology in that it can change the current algorithms that depend on biopsy to perform surveillance of high...

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Main Authors: Vivian M. Ussui, Michael B. Wallace
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/545679
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author Vivian M. Ussui
Michael B. Wallace
author_facet Vivian M. Ussui
Michael B. Wallace
author_sort Vivian M. Ussui
collection DOAJ
description Confocal laser endomicroscopy (CLE) is one of several novel methods that provide real-time, high-resolution imaging at a micron scale via endoscopes. CLE has the potential to be a disruptive technology in that it can change the current algorithms that depend on biopsy to perform surveillance of high-risk conditions. Furthermore, it allows on-table decision making that has the potential to guide therapy in real time and reduce the need for repeated procedures. CLE and related technologies are often termed “virtual biopsy” as they simulate the images seen in traditional histology. However, the imaging of living tissue allows more than just pragmatic convenience; it also allows imaging of living tissue such as active capillary circulation, cellular death, and vascular and endothelial translocation, thus extending beyond what is capable in traditional biopsy. Immediate potential applications of CLE are to guide biopsy sampling in Barrett's esophagus and inflammatory bowel disease surveillance, evaluation of colorectal polyps, and intraductal imaging of the pancreas and bile duct. Data on these applications is rapidly emerging, and more is needed to clearly demonstrate the optimal applications of CLE. In this paper, we will focus on the role of CLE as applied to colorectal polyps detected during colonoscopy.
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spelling doaj-art-09ae252a444d4cbfbf3044de8c5d9bc32025-02-03T01:31:30ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/545679545679Confocal Endomicroscopy of Colorectal PolypsVivian M. Ussui0Michael B. Wallace1Department of Gastroenterology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USADepartment of Gastroenterology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USAConfocal laser endomicroscopy (CLE) is one of several novel methods that provide real-time, high-resolution imaging at a micron scale via endoscopes. CLE has the potential to be a disruptive technology in that it can change the current algorithms that depend on biopsy to perform surveillance of high-risk conditions. Furthermore, it allows on-table decision making that has the potential to guide therapy in real time and reduce the need for repeated procedures. CLE and related technologies are often termed “virtual biopsy” as they simulate the images seen in traditional histology. However, the imaging of living tissue allows more than just pragmatic convenience; it also allows imaging of living tissue such as active capillary circulation, cellular death, and vascular and endothelial translocation, thus extending beyond what is capable in traditional biopsy. Immediate potential applications of CLE are to guide biopsy sampling in Barrett's esophagus and inflammatory bowel disease surveillance, evaluation of colorectal polyps, and intraductal imaging of the pancreas and bile duct. Data on these applications is rapidly emerging, and more is needed to clearly demonstrate the optimal applications of CLE. In this paper, we will focus on the role of CLE as applied to colorectal polyps detected during colonoscopy.http://dx.doi.org/10.1155/2012/545679
spellingShingle Vivian M. Ussui
Michael B. Wallace
Confocal Endomicroscopy of Colorectal Polyps
Gastroenterology Research and Practice
title Confocal Endomicroscopy of Colorectal Polyps
title_full Confocal Endomicroscopy of Colorectal Polyps
title_fullStr Confocal Endomicroscopy of Colorectal Polyps
title_full_unstemmed Confocal Endomicroscopy of Colorectal Polyps
title_short Confocal Endomicroscopy of Colorectal Polyps
title_sort confocal endomicroscopy of colorectal polyps
url http://dx.doi.org/10.1155/2012/545679
work_keys_str_mv AT vivianmussui confocalendomicroscopyofcolorectalpolyps
AT michaelbwallace confocalendomicroscopyofcolorectalpolyps