TY - JOUR AU1 - Peng, Tingfa AU2 - Deng, Lijuan AU3 - Wang, Yuexing AU4 - Wang, Ruilan AU5 - Zeng, Fanqing AU6 - Xie, Min AU7 - Gou, Xiaopan AU8 - Guo, Yulan AU9 - Wu, Dongmei AU1 - Peng, Fengxiang AU1 - Gao, Rongmei AU1 - Ye, Xiaojuan AB - ObjectiveGastric mucosa-associated lymphoid tissue lymphoma is a rare disease, which is associated with a low endoscopic diagnostic accuracy even on tissue biopsy. We aimed to establish a diagnostic process system (M-system) using detailed magnifying endoscopy images to improve the diagnostic efficiency of this disease.MethodsFirst, 34 cases from 16 patients with the diagnosis of mucosa-associated lymphoid tissue lymphoma were collected as the study group. The control group included randomly selected patients who were diagnosed with early differentiated carcinoma, undifferentiated carcinoma or inflammation. Then, the endoscopic images of these patients were analyzed by senior physicians. Finally, the M-system was established based on the data extracted from the images reviewed, and its diagnostic efficiency for mucosa-associated lymphoid tissue lymphoma was validated by the junior physicians.ResultsA series of elements with high sensitivity and specificity for the diagnosis of mucosa-associated lymphoid tissue lymphoma on endoscopic images were extracted for the establishment of the M-system. Using the M-system, the diagnostic accuracy, sensitivity, specificity and correct indices of mucosa-associated lymphoid tissue lymphoma rose from 65.4 to 79.4%, 41.2 to 76.5%, 73.5 to 80.4% and 0.147 to 0.569%, respectively, all of which were statistically significant.ConclusionsThe M-system can improve the diagnostic accuracy of mucosa-associated lymphoid tissue lymphoma of the superficial-spreading type on detailed magnifying endoscopy. This would help in the early diagnosis of the disease and treatment, which would translate into improved clinical outcomes. TI - Establishing an endoscopic diagnostic process system (M-system) for gastric MALT lymphoma of superficial-spreading type JF - Japanese Journal of Clinical Oncology DO - 10.1093/jjco/hyaa242 DA - 2021-01-13 UR - https://www.deepdyve.com/lp/oxford-university-press/establishing-an-endoscopic-diagnostic-process-system-m-system-for-16AGHa0NG7 SP - 560 EP - 568 VL - 51 IS - 4 DP - DeepDyve ER -