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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(03): e471-e478
DOI: 10.1055/s-0040-1719119
Systematic Review

The Impact of Narrow-band Imaging on the Pre- and Intra- operative Assessments of Neoplastic and Preneoplastic Laryngeal Lesions. A Systematic Review

Carmelo Saraniti 
1   Department of Biomedicine, Neurosciences and Advanced Diagnostics, ENT Clinic, Università degli Studi di Palermo, Palermo, Italy
,
Enzo Chianetta 
1   Department of Biomedicine, Neurosciences and Advanced Diagnostics, ENT Clinic, Università degli Studi di Palermo, Palermo, Italy
,
Giuseppe Greco 
1   Department of Biomedicine, Neurosciences and Advanced Diagnostics, ENT Clinic, Università degli Studi di Palermo, Palermo, Italy
,
Norhafiza Mat Lazim 
2   Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
,
Barbara Verro 
1   Department of Biomedicine, Neurosciences and Advanced Diagnostics, ENT Clinic, Università degli Studi di Palermo, Palermo, Italy
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Abstract

Introduction Narrow-band imaging is an endoscopic diagnostic tool that, focusing on superficial vascular changes, is useful to detect suspicious laryngeal lesions, enabling their complete excision with safe and tailored resection margins.

Objectives To analyze the applications and benefits of narrow-band imaging in detecting premalignant and malignant laryngeal lesions through a comparison with white-light endoscopy.

Data Synthesis A literature search was performed in the PubMed, Scopus and Web of Science databases using strict keywords. Then, two authors independently analyzed the articles, read the titles and abstracts, and read completely only the relevant studies according to certain eligibility criteria. In total, 14 articles have been included in the present review; the sensitivity, specificity, positive and negative predictive values, and accuracy of pre- and/or intraoperative narrow-band imaging were analyzed. The analysis showed that narrow-band imaging is better than white-light endoscopy in terms of sensitivity, specificity, positive and negative predictive values, and accuracy regarding the ability to identify cancer and/or precancerous laryngeal lesions. Moreover, the intraoperative performance of narrow-band imaging resulted more effective than the in-office performance.

Conclusion Narrow-band imaging is an effective diagnostic tool to detect premalignant and malignant laryngeal lesions and to define proper resection margins. Moreover, narrow-band imaging is useful in cases of leukoplakia that may cover a possible malignant lesion and that cannot be easily assessed with white-light endoscopy. Finally, a shared, simple and practical classification of laryngeal lesions, such as that of the European Laryngological Society, is required to identify a shared lesion management strategy.

Key Points

  • Narrow-band imaging is useful in detecting suspicious laryngeal lesions and proper resection margins showing intraepithelial papillary capillary loops (IPCLs) that are considered a main cancer feature.

  • Narrow-band imaging is used both pre- and intraoperatively, but it provides more precise information if used during surgery.

  • Compared with white-light endoscopy, narrow-band imaging enables a better assessment of the lesions covered by a thick white plaque (such as in cases of leukoplakia)

  • The classification of the European Laryngological Society is the simplest and the most practical for the identification of various laryngeal lesions compared with other classifications.

Keywords

narrow-band imaging - early diagnosis - larynx cancer


Publikationsverlauf

Eingereicht: 05. Juni 2020

Angenommen: 27. September 2020

Artikel online veröffentlicht:
30. November 2020

© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Piazza C, Del Bon F, Peretti G, Nicolai P. Narrow band imaging in endoscopic evaluation of the larynx. Curr Opin Otolaryngol Head Neck Surg 2012; 20 (06) 472-476
    CrossrefPubMedSuche in Google Scholar
  • 2 Lin YC, Watanabe A, Chen WC, Lee KF, Lee IL, Wang WH. Narrowband imaging for early detection of malignant tumors and radiation effect after treatment of head and neck cancer. Arch Otolaryngol Head Neck Surg 2010; 136 (03) 234-239
    CrossrefPubMedSuche in Google Scholar
  • 3 Volgger V, Felicio A, Lohscheller J. et al. Evaluation of the combined use of narrow band imaging and high-speed imaging to discriminate laryngeal lesions. Lasers Surg Med 2017; 49 (06) 609-618
    CrossrefPubMedSuche in Google Scholar
  • 4 Popek B, Bojanowska-Poźniak K, Tomasik B, Fendler W, Jeruzal-Świątecka J, Pietruszewska W. Clinical experience of narrow band imaging (NBI) usage in diagnosis of laryngeal lesions. Otolaryngol Pol 2019; 73 (06) 18-23
    CrossrefPubMedSuche in Google Scholar
  • 5 Klimza H, Jackowska J, Piazza C, Banaszewski J, Wierzbicka M. The role of intraoperative narrow-band imaging in transoral laser microsurgery for early and moderately advanced glottic cancer. Rev Bras Otorrinolaringol (Engl Ed) 2019; 85 (02) 228-236
    Suche in Google Scholar
  • 6 Staníková L, Šatanková J, Kučová H, Walderová R, Zeleník K, Komínek P. The role of narrow-band imaging (NBI) endoscopy in optical biopsy of vocal cord leukoplakia. Eur Arch Otorhinolaryngol 2017; 274 (01) 355-359
    CrossrefPubMedSuche in Google Scholar
  • 7 Lukes P, Zabrodsky M, Lukesova E. et al. The role of NBI HDTV magnifying endoscopy in the prehistologic diagnosis of laryngeal papillomatosis and spinocellular cancer. BioMed Res Int 2014; 2014: 285486
    CrossrefPubMedSuche in Google Scholar
  • 8 Rzepakowska A, Sielska-Badurek E, Żurek M, Osuch-Wójcikiewicz E, Niemczyk K. Narrow band imaging for risk stratification of glottic cancer within leukoplakia. Head Neck 2018; 40 (10) 2149-2154
    CrossrefPubMedSuche in Google Scholar
  • 9 Šifrer R, Rijken JA, Leemans CR. et al. Evaluation of vascular features of vocal cords proposed by the European Laryngological Society. Eur Arch Otorhinolaryngol 2018; 275 (01) 147-151
    CrossrefPubMedSuche in Google Scholar
  • 10 Rzepakowska A, Sielska-Badurek E, Cruz R, Sobol M, Osuch-Wójcikiewicz E, Niemczyk K. Narrow band imaging versus laryngovideostroboscopy in precancerous and malignant vocal fold lesions. Head Neck 2018; 40 (05) 927-936
    CrossrefPubMedSuche in Google Scholar
  • 11 Hosono H, Katada C, Okamoto T. et al. Usefulness of narrow band imaging with magnifying endoscopy for the differential diagnosis of cancerous and noncancerous laryngeal lesions. Head Neck 2019; 41 (08) 2555-2560
    CrossrefPubMedSuche in Google Scholar
  • 12 Šifrer R, Šereg-Bahar M, Gale N, Hočevar-Boltežar I. The diagnostic value of perpendicular vascular patterns of vocal cords defined by narrow-band imaging. Eur Arch Otorhinolaryngol 2020; 277 (06) 1715-1723
    CrossrefPubMedSuche in Google Scholar
  • 13 De Vito A, Meccariello G, Vicini C. Narrow band imaging as screening test for early detection of laryngeal cancer: a prospective study. Clin Otolaryngol 2017; 42 (02) 347-353
    CrossrefPubMedSuche in Google Scholar
  • 14 Piazza C, Cocco D, De Benedetto L, Del Bon F, Nicolai P, Peretti G. Narrow band imaging and high definition television in the assessment of laryngeal cancer: a prospective study on 279 patients. Eur Arch Otorhinolaryngol 2010; 267 (03) 409-414
    CrossrefPubMedSuche in Google Scholar
  • 15 Ni XG, He S, Xu ZG. et al. Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging. J Laryngol Otol 2011; 125 (03) 288-296
    CrossrefPubMedSuche in Google Scholar
  • 16 Ni XG, Zhu JQ, Zhang QQ, Zhang BG, Wang GQ. Diagnosis of vocal cord leukoplakia: The role of a novel narrow band imaging endoscopic classification. Laryngoscope 2019; 129 (02) 429-434
    CrossrefPubMedSuche in Google Scholar
  • 17 Campo F, D'Aguanno V, Greco A, Ralli M, de Vincentiis M. The prognostic value of adding Narrow-Band Imaging in transoral laser microsurgery for early glottic cancer: a review. Lasers Surg Med 2019; 52 (04) 301-306
    CrossrefPubMedSuche in Google Scholar
  • 18 Yang Y, Fang J, Zhong Q. et al. The value of narrow band imaging combined with stroboscopy for the detection of applanate indiscernible early-stage vocal cord cancer. Acta Otolaryngol 2018; 138 (04) 400-406
    CrossrefPubMedSuche in Google Scholar
  • 19 Kraft M, Fostiropoulos K, Gürtler N, Arnoux A, Davaris N, Arens C. Value of narrow band imaging in the early diagnosis of laryngeal cancer. Head Neck 2016; 38 (01) 15-20
    CrossrefPubMedSuche in Google Scholar
  • 20 Arens C, Piazza C, Andrea M. et al. Proposal for a descriptive guideline of vascular changes in lesions of the vocal folds by the committee on endoscopic laryngeal imaging of the European Laryngological Society. Eur Arch Otorhinolaryngol 2016; 273 (05) 1207-1214
    CrossrefPubMedSuche in Google Scholar
  • 21 Piazza C, Cocco D, Del Bon F, Mangili S, Nicolai P, Peretti G. Narrow band imaging and high definition television in the endoscopic evaluation of upper aero-digestive tract cancer. Acta Otorhinolaryngol Ital 2011; 31 (02) 70-75
    PubMedSuche in Google Scholar
  • 22 Żurek M, Rzepakowska A, Osuch-Wójcikiewicz E, Niemczyk K. Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging. Rev Bras Otorrinolaringol (Engl Ed) 2019; 85 (06) 753-759
    Suche in Google Scholar
  • 23 Lukes P, Zabrodsky M, Syba J, Lukesova E, Votava M, Plzak J. Efficacy of transnasal flexible videoendoscopy with narrow band imaging for follow-up of patients after transoral laser cordectomy. Lasers Surg Med 2020; 52 (04) 333-340
    CrossrefPubMedSuche in Google Scholar