Linked Color Imaging Improves Sessile Serrated Lesion Detection
Douglas K. Rex, MD, MASGE, reviewing Li J, et al. Clin Gastroenterol Hepatol 2022 Apr 3.
Linked color imaging (LCI) emphasizes red color and is available on Fujinon endoscopes (Fujifilm Corp, Tokyo, Japan). Previous studies found LCI improved adenoma detection and suggested it increased the detection of sessile serrated lesions (SSLs).
This study was powered specifically to examine SSL detection with LCI. In a parallel-group randomized trial, the detection rates of one or more SSLs were 11.3% with LCI versus 5.9% with white-light imaging. The adenoma detection rates for LCI and white-light imaging were similar at 38.5% and 33%, respectively (P=.083), but the number of adenomas per colonoscopy was higher in the LCI group.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
Li J, Zhang D, Wei Y, et al. Colorectal sessile serrated lesion detection using linked color imaging: a multicenter, parallel randomized controlled trial. Clin Gastroenterol Hepatol 2022 Apr 3. (Epub ahead of print) (https://doi.org/10.1016/j.cgh.2022.03.033)