Year 2016 / Volume 108 / Number 11
Original
Validation of the computed assessment of cleansing score with the Mirocam® system

709-715

DOI: 10.17235/reed.2016.4366/2016

Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, João Carvalho,

Abstract
Background and aims: A computed assessment of cleansing (CAC) score was developed to objectively evaluate small-bowel cleansing in the PillCam® capsule endoscopy (CE) system and to overcome the subjectivity and complexity of previous scoring systems. Our study aimed to adapt the CAC score to the Mirocam® system, evaluate its reliability with the Mirocam® CE system and compare it with three validated subjective grading scales. Patients and methods: Thirty CE were prospectively and independently reviewed by two authors who classified the degree of small-bowel cleanliness according to a quantitative index, a qualitative evaluation and an overall adequacy assessment. The authors were blinded for the CAC score of each CE, which was calculated as ([mean intensity of the red channel]/[mean intensity of the green channel] - 1) x 10. The mean intensities of the red and green channels of the small-bowel segment of the “Map View” bar in the Miroview Client® were determined using the histogram option of two photo-editing software. Results: There was a strong agreement between both CE readers for each of the three subjective scales used. The reproducibility of the CAC score was excellent and identical results were obtained with the two photo-editing software. Regarding the comparison between the CAC score and the subjective scales, there was a moderate-to-good agreement with the quantitative index, qualitative evaluation and overall adequacy assessment. Conclusions: CAC score represents an objective and feasible score in the assessment of small-bowel cleansing in the Mirocam® CE system, and could be used per se or as part of a more comprehensive score.
Share Button
New comment
Comments
No comments for this article
References
1) Pennazio M, Spada C, Eliakim R, Keuchel M, May A, Mulder CJ, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2015 Apr;47(4):352-76.
2) Ladas SD, Triantafyllou K, Spada C, Riccioni ME, Rey JF, Niv Y, et al. European Society of Gastrointestinal Endoscopy (ESGE): recommendations (2009) on clinical use of videocaspule endoscopy to investigate small-bowel, esophageal and colonic diseases. Endoscopy. 2010 Mar;42(3):220-7.
3) Pinho R, Mascarenhas-Saraiva M, Mão-de-Ferro S, Ferreira S, Almeida N, Figueiredo P, et al. Multicenter survey on the use of device-assisted enteroscopy in Portugal. United European Gastroenterol J (in press).
4) Pinho R, Ponte A., Rodrigues A., Pinto-Pais T., Fernandes C., Ribeiro I., et al. Long-term rebleeding risk following endoscopic therapy of small-bowel vascular lesions with device-assisted enteroscopy. Eur J Gastroenterol Hepatol. 2016 Apr;28(4):479-85.
5) Viazis N, Sgouros S, Papaxoinis K, Vlachogiannakos J, Bergele C, Sklavos P, et al. Bowel preparation increases the diagnostic yield of capsule endoscopy: a prospective, randomized, controlled study. Gastrointest Endosc. 2004 Oct;60(4):534-8.
6) Ribeiro I, Pinho R, Rodrigues A, Marques J, Fernandes C, Carvalho J. Obscure gastrointestinal bleeding: Which factors are associated with positive capsule endoscopy findings? Rev Esp Enferm Dig. 2015 Jun;107(6):334-9.
7) Park SC, Keum B, Seo YS, Kim YS, Jeen YT, Chun HJ, et al. Effect of bowel preparation with polyethylene glycol on quality of capsule endoscopy. Dig Dis Sci. 2011 Jun;56(6):1769-75.
8) Brotz C, Nandi N, Conn M, Daskalakis C, DiMarino M, Infantolino A, et al. A validation study of 3 grading systems to evaluate small-bowel cleansing for wireless capsule endoscopy: a quantitative index, a qualitative evaluation, and a overall adequacy assessment. Gastrointest Endosc. 2009 Feb;69(2):262-70, 270.e1.
9) Goyal J, Goel A, McGwin G, Weber F. Analysis of a grading system to assess the quality of small-bowel preparation for capsule endoscopy: in search of the Holy Grail. Endosc Int Open. 2014 Sep;2(3):E183-6.
10) Park SC, Keum B, Hyun JJ, Seo YS, Kim YS, Jeen YT, et al. A novel cleansing score system for capsule endoscopy. World J Gastroenterol. 2010 Feb 21;16(7):875-80.
11) Wei W, Ge ZZ, Lu H, Gao YJ, Hu YB, Xiao SD. Purgative bowel cleansing combined with simethicone improves capsule endoscopy imaging. Am J Gastroenterol. 2008 Jan;103(1):77-82.
12) Ninomiya K, Yao K, Matsui T, Sato Y, Kishi M, Karashima Y, et al. Effectiveness of magnesium citrate as preparation for capsule endoscopy: a randomized, prospective, open-label, inter-group trial. Digestion. 2012;86(1):27-33.
13) van Tuyl SA, den Ouden H, Stolk MF, Kuipers EJ. Optimal preparation for video capsule endoscopy: a prospective, randomized, single-blind study. Endoscopy. 2007 Dec;39(12):1037-40.
14) Kantianis A, Karagiannis S, Liatsos C, Galanis P, Psilopoulos D, Tenta R, et al. Comparison of two schemes of small bowel preparation for capsule endoscopy with polyethylene glycol: a prospective, randomized single-blind study. Eur J Gastroenterol Hepatol. 2009 Oct;21(10):1140-4.
15) Lapalus MG, Ben Soussan E, Saurin JC, Favre O, D'Halluin PN, Coumaros D, et al. Capsule endoscopy and bowel preparation with oral sodium phosphate: a prospective randomized controlled trial. Gastrointest Endosc. 2008 Jun;67(7):1091-6.
16) Ribeiro I, Pinho R, Rodrigues A, Silva J, Ponte A, Rodrigues J, et al. What is the long term safety of a negative capsule endoscopy in patients with obscure gastrointestinal bleeding. Rev Esp Enferm Dig. 2015 Dec;107(12):753-8.
17) Van Weyenberg SJ, De Leest HT, Mulder CJ. Description of a novel grading system to assess the quality of bowel preparation in video capsule endoscopy. Endoscopy. 2011 May;43(5):406-11.
18) Pons Beltrán V, González Suárez B, González Asanza C, Pérez-Cuadrado E, Fernández Diez S, Fernández-Urién I, et al. Evaluation of different bowel preparations for small bowel capsule endoscopy: a prospective, randomized, controlled study. Dig Dis Sci. 2011 Oct;56(10):2900-5.
19) Spada C, Riccioni ME, Familiari P, Spera G, Pirozzi GA, Marchese M, et al. Polyethyelene glycol plus simethicone in small-bowel preparation for capsule endoscopy. Dig Liver Dis. 2010 May;42(5):365-70.
20) Chen HB, Huang Y, Chen SY, Song HW, Li XL, Dai DL, et al. Small bowel preparations for capsule endoscopy with mannitol and simethicone: a prospective, randomized, clinical trial. J Clin Gastroenterol. 2011 Apr;45(4):337-41.
21) Rosa BJ, Barbosa M, Magalhães J, Rebelo A, Moreira MJ, Cotter J. Oral purgative and simethicone before small bowel capsule endoscopy. World J Gastrointest Endosc. 2013 Feb 16;5(2):67-73.
22) Hong-Bin C, Yue H, Su-Yu C, Chun H, Lan-Hua G, Dong-Ying D, et al. Evaluation of visualized area percentage assessment of cleansing score and computed assessment of cleansing score for capsule endoscopy. Saudi J Gastroenterol. 2013 Jul-Aug;19(4):160-4.
23) Louro-da-Ponte AI, Taveira-Pinho R, Rodrigues MA, Pinto-Pais MT, Pinho Fernandes CD, Ribeiro IC, et al. Advances and pitfalls in the management of small bowel polyps in Peutz-Jeghers syndrome. Rev Esp Enferm Dig. 2015 Jun;107(6):390-1.
24) ASGE Technology Committee, Wang A, Banerjee S, Barth BA, Bhat YM, Chauhan S, et al. Wireless capsule endoscopy. Gastrointest Endosc. 2013 Dec;78(6):805-15.
25) Hooks SB 3rd, Rutland TJ, Di Palma JA. Lubiprostone neither decreases gastric and small-bowel transit time nor improves visualization of small bowel for capsule endoscopy: a double-blind, placebo-controlled study. Gastrointest Endosc. 2009 Nov;70(5):942-6.
26) Niv Y, Niv G. Capsule endoscopy: role of bowel preparation in successful visualization. Scand J Gastroenterol. 2004 Oct;39(10):1005-9.
27) Fisher LR, Hasler WL. New vision in video capsule endoscopy: current status and future directions. Nat Rev
Gastroenterol Hepatol. 2012 May 8;9(7):392-405.
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Letter

Capsule endoscopy diagnosis of gastrointestinal melanoma

DOI: 10.17235/reed.2023.9803/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Digestive Diseases Image

Whipple’s disease – A typical endoscopic finding of a rare disease

DOI: 10.17235/reed.2022.9338/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Digestive Diseases Image

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Citation tools
Ponte A, Pinho R, Rodrigues A, Silva J, Rodrigues J, Carvalho J, et all. Validation of the computed assessment of cleansing score with the Mirocam® system. 4366/2016


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 410 visits.
This article has been downloaded 52 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 07/04/2016

Accepted: 18/07/2016

Online First: 05/10/2016

Published: 02/11/2016

Article revision time: 98 days

Article Online First time: 181 days

Article editing time: 209 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology