Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy
The endoscopic detection of perpendicular vascular changes (PVC) of the vocal folds has been associated with vocal fold cancer, dysplastic lesions, and papillomatosis, according to a classification proposed by the European Laryngological Society (ELS). The combination of contact endoscopy with narro...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-01-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/12/1/248 |
| _version_ | 1797706553840631808 |
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| author | Nikolaos Davaris Anke Lux Nazila Esmaeili Alfredo Illanes Axel Boese Michael Friebe Christoph Arens |
| author_facet | Nikolaos Davaris Anke Lux Nazila Esmaeili Alfredo Illanes Axel Boese Michael Friebe Christoph Arens |
| author_sort | Nikolaos Davaris |
| collection | DOAJ |
| description | The endoscopic detection of perpendicular vascular changes (PVC) of the vocal folds has been associated with vocal fold cancer, dysplastic lesions, and papillomatosis, according to a classification proposed by the European Laryngological Society (ELS). The combination of contact endoscopy with narrow-band imaging (NBI-CE) allows intraoperatively a highly contrasted, real-time visualization of vascular changes of the vocal folds. Aim of the present study was to determine the association of PVC to specific histological diagnoses, the level of interobserver agreement in the detection of PVC, and their diagnostic effectiveness in diagnosing laryngeal malignancy. The evaluation of our data confirmed the association of PVC to vocal fold cancer, dysplastic lesions, and papillomatosis. The level of agreement between the observers in the identification of PVC was moderate for the less-experienced observers and almost perfect for the experienced observers. The identification of PVC during NBI-CE proved to be a valuable indicator for diagnosing malignant and premalignant lesions. |
| first_indexed | 2024-03-12T05:53:02Z |
| format | Article |
| id | doaj.art-f24b51d10c8c472f8588ba0bb8bf15df |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-12T05:53:02Z |
| publishDate | 2020-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-f24b51d10c8c472f8588ba0bb8bf15df2023-09-03T04:57:54ZengMDPI AGCancers2072-66942020-01-0112124810.3390/cancers12010248cancers12010248Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold MalignancyNikolaos Davaris0Anke Lux1Nazila Esmaeili2Alfredo Illanes3Axel Boese4Michael Friebe5Christoph Arens6Department of Otorhinolaryngology, Head and Neck Surgery, Magdeburg University Hospital, 39120 Magdeburg, GermanyInstitute of Biometry and Medical Informatics, Otto-von-Guericke University, 39120 Magdeburg, GermanyInstitute of Medical Technology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, GermanyInstitute of Medical Technology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, GermanyInstitute of Medical Technology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, GermanyFaculty of Medicine, Otto-von-Guericke-University, 39120 Magdeburg, Germany and IDTM GmbH, 45657 Recklinghausen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Magdeburg University Hospital, 39120 Magdeburg, GermanyThe endoscopic detection of perpendicular vascular changes (PVC) of the vocal folds has been associated with vocal fold cancer, dysplastic lesions, and papillomatosis, according to a classification proposed by the European Laryngological Society (ELS). The combination of contact endoscopy with narrow-band imaging (NBI-CE) allows intraoperatively a highly contrasted, real-time visualization of vascular changes of the vocal folds. Aim of the present study was to determine the association of PVC to specific histological diagnoses, the level of interobserver agreement in the detection of PVC, and their diagnostic effectiveness in diagnosing laryngeal malignancy. The evaluation of our data confirmed the association of PVC to vocal fold cancer, dysplastic lesions, and papillomatosis. The level of agreement between the observers in the identification of PVC was moderate for the less-experienced observers and almost perfect for the experienced observers. The identification of PVC during NBI-CE proved to be a valuable indicator for diagnosing malignant and premalignant lesions.https://www.mdpi.com/2072-6694/12/1/248laryngeal cancercontact endoscopynarrow-band imagingvascular changes |
| spellingShingle | Nikolaos Davaris Anke Lux Nazila Esmaeili Alfredo Illanes Axel Boese Michael Friebe Christoph Arens Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy Cancers laryngeal cancer contact endoscopy narrow-band imaging vascular changes |
| title | Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy |
| title_full | Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy |
| title_fullStr | Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy |
| title_full_unstemmed | Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy |
| title_short | Evaluation of Vascular Patterns Using Contact Endoscopy and Narrow-Band Imaging (CE-NBI) for the Diagnosis of Vocal Fold Malignancy |
| title_sort | evaluation of vascular patterns using contact endoscopy and narrow band imaging ce nbi for the diagnosis of vocal fold malignancy |
| topic | laryngeal cancer contact endoscopy narrow-band imaging vascular changes |
| url | https://www.mdpi.com/2072-6694/12/1/248 |
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