Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2022; 14(7): 471-473
Published online Jul 16, 2022. doi: 10.4253/wjge.v14.i7.471
Texture and color enhancement imaging for detecting colorectal adenomas: Good, but not good enough
Ying Wang, Chen-Yu Sun, Lowe Scott, Dan-Dan Wu, Xia Chen
Ying Wang, Dan-Dan Wu, South District of Endoscopic Center, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, Anhui Province, China
Chen-Yu Sun, AMITA Health Saint Joseph Hospital Chicago, Chicago, IL 60657, United States
Lowe Scott, College of Osteopathic Medicine, Kansas City University, Kansas City, KS 64106, United States
Xia Chen, Department of Nursing, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, Anhui Province, China
Author contributions: Wang Y and Chen X conceived and designed the study; Wang Y, Sun CY, Lowe S, Wu DD, and Chen X participated in drafting and critical revision of the manuscript; all authors approved the final version of the manuscript.
Conflict-of-interest statement: All authors have no conflict(s) of interest to declare in relation to this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xia Chen, MSN, RN, Associate Chief Nurse, Department of Nursing, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230001, Anhui Province, China. 1569265542@qq.com
Received: March 4, 2022
Peer-review started: March 4, 2022
First decision: April 13, 2022
Revised: April 23, 2022
Accepted: June 15, 2022
Article in press: June 15, 2022
Published online: July 16, 2022
Processing time: 131 Days and 24 Hours
Abstract

Texture and color enhancement imaging (TXI) has been developed as a novel image-enhancing endoscopy. However, the effectiveness of TXI detecting adenomas is inferior to narrow band imaging. Thus, future studies will need to focus on investigating the feasibility of such combination in clinical settings in order to provide patients with more accurate diagnoses.

Keywords: White light imaging; Texture and color enhancement imaging; Narrow band imaging; Colorectal adenomas

Core Tip: Texture and color enhancement imaging (TXI) is designed to enhance three image factors in white light imaging (texture, brightness, and color) in order to clearly define subtle tissue differences. Latest articles reported that TXI may likely contribute to the detection of early gastric cancer. Notably, the synergistic added value of TXI and near-focus mode was discovered during saline-immersion endoscopic submucosal dissection by improving submucosal space visibility. As the authors put it, the effectiveness of TXI detecting adenomas is inferior to narrow band imaging.