, Tokyo). The aim of this study was to evaluate the usefulness of endoscopic observation methods using monochrome mode for vascular lesions compared with the current NBI system. Methods: From May 2009 to September 2012, 14 cases (VE: vascular ectasia, 8 cases; GAVE: gastric antral vascular ectasia, 2 cases; RC: radiation colitis, 4 cases) were enrolled in this study. For these cases, 28 images were taken (close view: 14 images, distant view: 14 images) in the same situation using each of normal mode, NBI mode and monochrome mode (MONO mode). Normal mode observation was defined at 5 points. A total of 84 images (28 images for each of three modes) were evaluated by 15 trainee doctors with little experience of endoscopy,
on a scale of one to ten, for each of a: Recognition of Selleck KU57788 the lesion, b: Observation of the vessel and c: Observation of the background mucosa. Results: The scores for NBI mode (a: 5.37, b: 5.50, c: 5.06) LY294002 cost and MONO mode (a: 5.33, b: 5.44, c: 5.02) showed almost the same evaluation results, and they were better than in normal mode. In the close view, the scores for NBI mode were better than with MONO mode for
recognition of the lesion (a: 5.72 vs. 5.43, p < 0.05) and observation of the background mucosa (c: 5.51 vs. 5.17, p < 0.05). However, although there was no significant difference in the distant view, better results were obtained for all factors with MONO mode (a: 5.23, b: 5.17, c: 4.86) compared with NBI mode (a: 5.03, b: 5.01, c: 4.62). The brightness of the field of view obtained using MONO mode, even in the
distant view, was considered to be a reason for the results. Moreover, MONO mode was effective for observation of remaining blood vessels after APC ablation for GAVE and RC, as an evaluation of endoscopic treatment. Conclusion: Monochrome mode is convenient and useful in endoscopy for observation of vascular lesions. Key Word(s): 1. monochrome mode; 2. vascular lesions; 3. NBI; Presenting Author: BIN CHENG 上海皓元 Additional Authors: YAN WANG, JINLIN WANG Corresponding Author: BIN CHENG Affiliations: Dept. of Gastroenterology, Tongji Hospital of Huazhong University of Science and Technology Objective: To evaluate significance of Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) in diagnosis extramural lesions of the upper gastrointestinal tract. Methods: EUS-FNA was performed in 71 patients with pancreatic lesions, mediastinal and retroperitoneal masses detected by ultrasonography, Computed Tomography (CT) or clinical suspected diagnosis, 33 of the 71 are pancreatic lesions, 25 are mediastinal masses, and 13 are retroperitoneal masses, cytological and pathological evaluation were performed, flow cytometry was performed when necessary. Results: (1) The overall diagnosis sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) accuracy of EUS-FNA were respectively 82.2%, 100%, 100%, 76.5%, 88.7%.