|LETTER TO EDITOR
|Year : 2019 | Volume
| Issue : 1 | Page : 58
Narrow-Band Imaging Pattern: A Promising Radiologic Aid in Potentially Malignant Lesions and Oral Cancer
Department of Dentistry, Government Taluk Head Quarters Hospital, Malappuram, Kerala, India
|Date of Web Publication||10-May-2019|
Dr. Thorakkal Shamim
“Shangrila,” Parappanangadi - 676 303, Kerala
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Shamim T. Narrow-Band Imaging Pattern: A Promising Radiologic Aid in Potentially Malignant Lesions and Oral Cancer. Mustansiriya Med J 2019;18:58
|How to cite this URL:|
Shamim T. Narrow-Band Imaging Pattern: A Promising Radiologic Aid in Potentially Malignant Lesions and Oral Cancer. Mustansiriya Med J [serial online] 2019 [cited 2019 Sep 15];18:58. Available from: http://www.mmjonweb.org/text.asp?2019/18/1/58/257905
This letter addresses recent updates about narrow-band imaging pattern as a promising radiologic aid in potentially malignant lesions and oral cancer. The narrow-band imaging pattern uses the principle of depth of penetration of light, with the narrow-band blue light having a short wavelength (415 nm) penetrating into the mucosa and highlighting the superficial vasculature. A prospective study comparing narrow-band imaging and autofluorescence imaging for head-and-neck squamous cell carcinoma detection was done between May 2010 and October 2010 in 50 consecutive patients with suspected laryngopharyngeal tumor in Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, China, and it was found that narrow-band imaging is superior to autofluorescence imaging in diagnostic specificity. Enhanced contact endoscopy diagnostic modalities such as narrow-band imaging coupled with Storz professional image enhancement system are used for the assessment of the neoangiogenetic changes (appearing as subepithelial and epithelial microvascular irregularities) in potentially malignant and malignant lesions of the oral cavity. More recently, Tirelli et al. come up with proposed classification for narrow-band imaging pattern with three epithelial types (1, 2a, and 2b), and it may serve as a guide to differentiate normal mucosa from malignant lesions and possibly reduce the number of unnecessary biopsies. More multidisciplinary and collaborative research in narrow-band imaging pattern as a promising radiologic aid in potentially malignant lesions and oral cancer is anticipated in the future.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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Narrow-band imaging: A new tool for evaluation of head and neck squamous cell carcinomas. Review of the literature. Acta Otorhinolaryngol Ital 2008;28:49-54.
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Tirelli G, Marcuzzo AV, Boscolo Nata F. Narrow-band imaging pattern classification in oral cavity. Oral Dis 2018;24:1458-67.