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First experience in clinical application of hyperspectral endoscopy for evaluation of colonic polyps

Published version
Peer-reviewed

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Authors

Waterhouse, Dale J. 
Borzy, Charlie 
Siemens, Kyla 

Abstract

Abstract: Early detection and resection of adenomatous polyps prevents their progression to colorectal cancer (CRC), significantly improving patient outcomes. Polyps are typically identified and removed during white‐light colonoscopy. Unfortunately, the rate of interval cancers that arise between CRC screening events remains high, linked to poor visualization of polyps during screening and incomplete polyp removal. Here, we sought to evaluate the potential of a hyperspectral endoscope (HySE) to enhance polyp discrimination for detection and resection. We designed, built and tested a new compact HySE in a proof‐of‐concept clinical study. We successfully collected spectra from three tissue types in seven patients undergoing routine colonoscopy screening. The acquired spectral data from normal tissue and polyps, both pre‐ and post‐ resection, were subjected to quantitative analysis using spectral angle mapping and machine learning, which discriminated the data by tissue type, meriting further investigation of HySE as a clinical tool.

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Keywords

FULL ARTICLE, FULL ARTICLES, colonoscopy, hyperspectral endoscope, hyperspectral imaging, machine learning

Journal Title

Journal of Biophotonics

Conference Name

Journal ISSN

1864-063X
1864-0648

Volume Title

Publisher

WILEY‐VCH Verlag GmbH & Co. KGaA
Sponsorship
Cancer Research UK (C14303/A17197, C47594/A16267, C47594/A21102, C47594/A26851, C55962/A24669, C9545/A29580)
Engineering and Physical Sciences Research Council (EP/N014588/1, EP/R003599/1)
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