Efficacy of narrow band imaging for detection and surveillance of potentially malignant and malignant lesions in the oral cavity and oropharynx: a systematic review

Vu, An N. and Farah, Camile S. (2014) Efficacy of narrow band imaging for detection and surveillance of potentially malignant and malignant lesions in the oral cavity and oropharynx: a systematic review. Oral Oncology, 50 5: 413-420. doi:10.1016/j.oraloncology.2014.02.002


Author Vu, An N.
Farah, Camile S.
Title Efficacy of narrow band imaging for detection and surveillance of potentially malignant and malignant lesions in the oral cavity and oropharynx: a systematic review
Journal name Oral Oncology   Check publisher's open access policy
ISSN 1368-8375
1879-0593
Publication date 2014-05
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.oraloncology.2014.02.002
Open Access Status
Volume 50
Issue 5
Start page 413
End page 420
Total pages 8
Place of publication Kidlington, Oxford, United Kingdom
Publisher Pergamon
Collection year 2014
Language eng
Formatted abstract
Objective Narrow band imaging (NBI) is an endoscopic technique that enhances the mucosal surface texture, and mucosal and submucosal vascular morphology. This paper systematically reviews the available literature regarding the efficacy of NBI for the detection and monitoring of potentially malignant and malignant lesions in the oral cavity and oropharynx.

Methods Databases searched included PubMed, EMBASE, Web of Science and Scopus (to September 2013). Additional articles were found by conducting an author publication search using PubMed and by scanning the reference lists of relevant articles. Only trials that investigated and evaluated the effectiveness of both white light (WL) and NBI for aiding the detection of only oral potentially malignant lesions, oral squamous cell carcinomas and/or oropharyngeal squamous cell carcinomas were considered for this review. Two reviewers (ANV and CSF) independently assessed retrieved articles against the criteria, and included articles underwent data extraction and risk of bias assessment.

Results Two studies, one retrospective and one prospective, met the inclusion criteria. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy for WL ranged between 56–96%, 60–100%, 33–100%, 87–99% and 66–89% respectively, whereas it was 87–96%, 94–98%, 73–96%, 97–98% and 92–97% respectively for NBI.

Conclusion While more research is required to determine the full value of NBI, it has great potential in accurately aiding the detection and assessment of neoplastic lesions, and influencing how these lesions are managed.
Keyword Narrow band imaging
Oral cancer
Oropharyngeal cancer
Oral squamous cell carcinoma
Oral potentially malignant lesions
Detection
Surveillance
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Official 2015 Collection
School of Dentistry Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 11 times in Scopus Article | Citations
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Created: Wed, 19 Mar 2014, 10:06:18 EST by Roheen Gill on behalf of UQ Centre for Clinical Research