A first for state-of-the-art gastrointestinal endoscopy
20 August 2012
i-scan enhanced Tubulo-villous adenoma
UCLH study day demonstrates best practice for PENTAX i-scan.
University College Hospital London NHS Foundation Trust (UCLH) has recently hosted a first highly successful ‘hands-on’ gastrointestinal endoscopy study day focusing on the effective use of PENTAX Medical’s HD+ and i-scan imaging system. Consultant Endoscopists from around the UK found the briefing in a small informal group setting from experts in the field of gastroenterology at UCLH to be extremely useful; helping them to ensure future best practice when using state-of-the-art i-scan technology and assess the clinical benefits that this unique technology presents.
UCLH experts, Dr Matthew Banks, Dr Rehan Haidry and Dr Rosa Vega, all lead ‘hands-on’ sessions to help demonstrate the use of i-scan endoscopic optics for both the diagnosis of gastrointestinal mucosal disease and to increase the recognition of early cancer in the upper and lower gastrointestinal tract. The four live cases that attendees observed were particularly well received. In addition to being able to directly view more advanced endoscopy procedures, such as Endoscopic Mucosal Resection (EMR), delegates also greatly valued the opportunity for thought-provoking discussion with peers in a small group environment.
A presentation given by PENTAX Medical product specialists, providing a technical overview of the HD+ and i-scan imaging system, was also appreciated by attendees. This highlighted key features of the technology which deliver live, clear 1.3 million pixel images and its virtual chromoendoscopy options, ideal for early cancer detection. Consequently, delegates also participated in detailed tuition on the classification of i-scan Surface Enhanced and Tone Enhanced images using UCLH’s video case study library. Observations of correlations between i-scan images and histology outcomes made during these sessions will contribute to the creation of a new i-scan image classification.
With published evidence now demonstrating that i-scan enhanced images can help to predict early cancer, as presented in a recent paper1 published by the UCLH team, attendees were keen to learn more. “The study day has been extremely helpful, enabling us to start using the extraordinarily high resolution and virtual chromoendoscopic images produced by i-scan to develop a better way of visually identifying lesions to minimise the use of biopsies and limited histology services in countries such as Zambia,” explained Dr Paul Kelly, Reader in Tropical Gastroenterology, Barts and The London. “I’m concerned that we may be missing early stage cancers that could be identified by using i-scan to its full capacity.”
“I am extremely pleased that our i-scan study day has been very well received by our peers, particularly the opportunity for observation and discussion in small groups during our live cases,” said Dr Matthew Banks, UCLH. “It is great to be able to share our knowledge and experience of the clinical benefits presented by HD+ and i-scan imaging. We also appreciate the feedback from attendees to ensure that future study days will even better meet the educational needs of our delegates.”
This course was awarded 6 CPD points (Continual Professional Development) by the Royal College of Physicians, ranking this amongst the top endoscopic educational courses in the UK. The next i-scan study day will be held at UCLH in early 2013.
1. Banks, M.R et al. High resolution colonoscopy in a bowel cancer screening program improves polyp detection. World Journal of Gastroenterology 2011; 17(38): 4251-4348.
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