PMID- 19826829 OWN - NLM STAT- MEDLINE DCOM- 20100422 LR - 20211020 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 267 IP - 3 DP - 2010 Mar TI - Narrow band imaging and high definition television in the assessment of laryngeal cancer: a prospective study on 279 patients. PG - 409-14 LID - 10.1007/s00405-009-1121-6 [doi] AB - Narrow band imaging (NBI) is an optical technique in which a filtered light reveals superficial carcinomas in view of their neoangiogenic pattern. The accuracy of NBI is implemented by combining it with a high definition television (HDTV) camera. The aim of this study was to prospectively evaluate the diagnostic gain of NBI and HDTV in the assessment of laryngeal squamous cell carcinoma (LSCC). Between April 2007 and December 2008, we analyzed by NBI with or without HDTV 279 patients divided in two groups: Group A included 96 patients affected by LSCC and Group B included 183 subjects under follow-up after treatment for the same disease. Overall, 50 of 279 patients (18%) showed "suspicious" NBI findings histologically confirmed as neoplastic. The sensitivity, specificity, accuracy, positive and negative predictive rates of flexible NBI, HDTV with white light, and HDTV with NBI in both groups confirmed the value of these two technologies. In the pre- and intraoperative settings, NBI with or without HDTV provided better definition of tumor staging and surgical margins. NBI has also a role in the postoperative setting, due to its ability in early detection of persistences, recurrences, and metachronous tumors. FAU - Piazza, Cesare AU - Piazza C AD - Department of Otorhinolaryngology, Head and Neck Surgery, University of Brescia, Piazza Spedali Civili 1, 25123 Brescia, Italy. ceceplaza@libero.it FAU - Cocco, Daniela AU - Cocco D FAU - De Benedetto, Luigi AU - De Benedetto L FAU - Del Bon, Francesca AU - Del Bon F FAU - Nicolai, Piero AU - Nicolai P FAU - Peretti, Giorgio AU - Peretti G LA - eng PT - Journal Article DEP - 20091014 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Aged MH - Capillaries/pathology MH - Carcinoma, Squamous Cell/blood supply/*diagnosis/*pathology/surgery MH - Female MH - Follow-Up Studies MH - Humans MH - *Image Enhancement MH - Laryngeal Neoplasms/blood supply/*diagnosis/*pathology/surgery MH - *Laryngoscopy MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Neovascularization, Pathologic/*diagnosis/pathology/surgery MH - Prospective Studies MH - Sensitivity and Specificity MH - *Television MH - Video Recording/*instrumentation MH - Vocal Cords/blood supply/pathology EDAT- 2009/10/15 06:00 MHDA- 2010/04/23 06:00 CRDT- 2009/10/15 06:00 PHST- 2009/04/20 00:00 [received] PHST- 2009/09/17 00:00 [accepted] PHST- 2009/10/15 06:00 [entrez] PHST- 2009/10/15 06:00 [pubmed] PHST- 2010/04/23 06:00 [medline] AID - 10.1007/s00405-009-1121-6 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2010 Mar;267(3):409-14. doi: 10.1007/s00405-009-1121-6. Epub 2009 Oct 14.