{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T03:13:20Z","timestamp":1719803600213},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004595","name":"Universiti Sains Malaysia","doi-asserted-by":"publisher","award":["USM 304\/PPSP\/61312046"],"award-info":[{"award-number":["USM 304\/PPSP\/61312046"]}],"id":[{"id":"10.13039\/501100004595","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Colonoscopy is the gold standard to detect colorectal neoplasm. Narrow\u2010band imaging (NBI) has a good diagnostic accuracy to differentiate between neoplastic and non\u2010neoplastic colorectal lesions. This study explores the diagnostic validity of NBI colonoscopy as well as its associated factors related to neoplastic and non\u2010neoplastic colorectal lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study enrolled 100 patients in a single\u2010center tertiary teaching hospital. Patients presented for screening colonoscopy, and those with suspicious colorectal lesions were included in this study. During colonoscopy, the most suspicious lesion in each patient was analyzed using the NBI system based on Sano\u2019s classification. Each lesion was biopsied for histopathological analysis, the gold standard. Endoscopic images were captured electronically. The sensitivity, specificity, and diagnostic accuracy of NBI colonoscopy were assessed. Other associated factors related to neoplastic and non\u2010neoplastic lesions were analyzed accordingly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sensitivity and specificity of the NBI were 88.2% and 71.9%, respectively. The area under the receiver\u2013operator curve was 0.801, indicating that NBI has a good ability to differentiate between disease and non\u2010disease. There are significant associations between histopathological examination outcomes and both presenting symptoms, especially weight loss, and lesion site, even after other variables were controlled (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The NBI system in colonoscopy was capable of distinguishing neoplastic from non\u2010neoplastic colorectal lesions. It indicates an acceptable level of agreement with histopathology, the gold standard. However, the role of NBI in screening and surveillance in Malaysia still needs further evaluation and exploration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12463","type":"journal-article","created":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T02:18:40Z","timestamp":1518142720000},"page":"318-324","source":"Crossref","is-referenced-by-count":2,"title":["Prospective diagnostic study on the use of narrow\u2010band imaging on suspicious lesions during colonoscopy examination"],"prefix":"10.1111","volume":"11","author":[{"given":"Huzairi","family":"Yaacob","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medical Sciences Universiti Sains Malaysia, Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sani Mohamad","family":"Ikhwan","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medical Sciences Universiti Sains Malaysia, Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Nizam","family":"Hashim","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medical Sciences Universiti Sains Malaysia, Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Hassan","family":"Syed Abd Aziz","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, School of Medical Sciences Universiti Sains Malaysia Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan Zainira","family":"Wan Zain","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, School of Medical Sciences Universiti Sains Malaysia Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharifah Emilia","family":"Tuan Sharif","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medical Sciences Universiti Sains Malaysia Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Firdaus","family":"Hayati","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Health Sciences Universiti Malaysia Sabah Kota Kinabalu Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andee Dzulkarnaen","family":"Zakaria","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medical Sciences Universiti Sains Malaysia, Kota Bharu, Kelantan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-826040"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.01.054"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2011.01118.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2003.07662.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2008.05635.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.4103\/0377-4929.91505","article-title":"Sporadic colorectal polyps and mismatch repair proteins","volume":"54","author":"Molaei M","year":"2011","journal-title":"Indian J Pathol Microbiol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2010.00983.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2002.122335"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70510-X"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61950-8"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12463","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.12463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T02:32:46Z","timestamp":1719801166000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.12463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,8]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/ases.12463"],"URL":"https:\/\/doi.org\/10.1111\/ases.12463","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,8]]}}}