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Peer-Reviewed Publication
Clin Gastroenterol Hepatol2022;20(11):2514-2523.e3.November 1, 2022Clinical Trial Protocol

Image-Enhanced Endoscopy and Molecular Biomarkers Vs Seattle Protocol to Diagnose Dysplasia in Barrett's Esophagus.

Mathew Vithayathil1, Ines Modolell2, Jacobo Ortiz-Fernandez-Sordo3, Dahmane Oukrif4, Apostolos Pappas1, Wladyslaw Januszewicz5, Maria O'Donovan6, Andreas Hadjinicolaou7, Michele Bianchi1, Adrienn Blasko1, Jonathan White3, Philip Kaye8, Marco Novelli4, Lorenz Wernisch9, Krish Ragunath3, Massimiliano di Pietro10
1Medical Research Council Cancer Unit, University of Cambridge, United Kingdom.
2Department of Gastroenterology, University Hospital National Health Service Foundation Trust, United Kingdom.
3Nottingham Digestive Diseases Centre, National Institute of Health Research Nottingham Biomedical Research Centre, United Kingdom.
4Department of Histopathology, University College London Hospital, Longdon, United Kingdom.
5Medical Research Council Cancer Unit, University of Cambridge, United Kingdom; Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland.
6Department of Histopathology, Cambridge University Hospital National Health Service Foundation Trust, United Kingdom.
7Medical Research Council Cancer Unit, University of Cambridge, United Kingdom; Department of Gastroenterology, University Hospital National Health Service Foundation Trust, United Kingdom.
8Department of Histopathology, Nottingham University Hospitals National Health Service Trust, University of Nottingham, United Kingdom.
9BIOS Health, Ltd, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, University of Cambridge, United Kingdom.
10Medical Research Council Cancer Unit, University of Cambridge, United Kingdom; Department of Gastroenterology, University Hospital National Health Service Foundation Trust, United Kingdom. Electronic address: md460@cam.ac.uk.

Abstract

BACKGROUND & AIMS: Dysplasia in Barrett's esophagus often is invisible on high-resolution white-light endoscopy (HRWLE). We compared the diagnostic accuracy for inconspicuous dysplasia of the combination of autofluorescence imaging (AFI)-guided probe-based confocal laser endomicroscopy (pCLE) and molecular biomarkers vs HRWLE with Seattle protocol biopsies. METHODS: Barrett's esophagus patients w…

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