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Evaluation Of Laryngeal Vascular Changes With Image1 S Enhancement System In Reference To The European Laryngological Society Guideline
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  • Sibel Yıldırım,
  • Tarık Küçük,
  • Zahide Büyükatalay,
  • Muhammet Gökmen,
  • MUSTAFA KURSAT GOKCAN,
  • Gürsel Dursun
Sibel Yıldırım
Ankara University Faculty of Medicine
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Tarık Küçük
Ankara University Faculty of Medicine
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Zahide Büyükatalay
Ankara University Faculty of Medicine
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Muhammet Gökmen
Ankara University Faculty of Medicine
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MUSTAFA KURSAT GOKCAN
Ankara University Faculty of Medicine
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Gürsel Dursun
Ankara University Faculty of Medicine
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Abstract

Objectives: To assess the feasibility of using Image1 S™ endoscopic enhancement system for discrimination of the vascular patterns in laryngeal lesions. Design: Forty patients presenting with benign, dysplastic and malign laryngeal lesions were examined with Image1 S system. The vascular patterns were classified by a group of the authors/ according to the ELS guideline, as perpendicular or longitudinal, in all lesions. Endoscopic images of the vascular patterns are evaluated through an online survey by a group of otolaryngologists with different levels of clinical expertise. The qualitative evaluation of the vascular patterns in two groups were compared to investigate the consistency. The relationship between the vascular patterns and the pathological results was statistically analyzed. Results: Eleven patient presented with benign, 13 patients with dysplastic and 16 patients with malignant pathology. The vascular patterns were longitudinal in 9 lesions, perpendicular in 28 lesions and undetectable in 3 lesions. The relevance between the vascularization pattern and the pathological diagnosis was found to be significant (χ2= 20.30, p < 0,001). The qualitative evaluation of the vascular patterns by the two groups of observers was significantly close to each other (=0.63). The survey also showed that spectral modes producing high contrast images were preferred by 81,9% of the participants over white light images. Conclusion: This study demonstrated the usefulness and feasibility of Image1 S endoscopic enhancement system to predict the diagnosis from vascular changes in laryngeal lesions.

Peer review status:UNDER REVIEW

21 Dec 2020Submitted to Clinical Otolaryngology
05 Jan 2021Submission Checks Completed
05 Jan 2021Assigned to Editor
14 Jan 2021Reviewer(s) Assigned
08 Feb 2021Review(s) Completed, Editorial Evaluation Pending
14 Feb 2021Editorial Decision: Revise Major
24 Mar 20211st Revision Received
25 Mar 2021Assigned to Editor
25 Mar 2021Submission Checks Completed
13 Apr 2021Reviewer(s) Assigned
19 Apr 2021Review(s) Completed, Editorial Evaluation Pending
24 Apr 2021Editorial Decision: Revise Minor
11 May 20212nd Revision Received
12 May 2021Assigned to Editor
12 May 2021Submission Checks Completed
26 May 2021Reviewer(s) Assigned
26 May 2021Review(s) Completed, Editorial Evaluation Pending