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Evis lucera spectrum

Manufactured by Olympus
Sourced in Japan

The EVIS LUCERA SPECTRUM is a high-performance endoscopic video system developed by Olympus. It is designed to provide clear and detailed images during endoscopic procedures. The system includes advanced imaging technologies that enhance visualization and support diagnostic capabilities. The core function of the EVIS LUCERA SPECTRUM is to capture and display high-quality endoscopic images for medical professionals.

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17 protocols using evis lucera spectrum

1

Measuring Gastric Juice pH and Endoscopic Screening

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A high-resolution magnifying upper GI endoscope (GIF-Q240Z; Olympus Co. Ltd., Tokyo, Japan) or a high-definition magnifying upper GI endoscope (GIF-H260Z; Olympus Co. Ltd., Tokyo, Japan) and an electronic endoscopy system (EVIS LUCERA Spectrum; Olympus Co. Ltd., Tokyo, Japan) were used. Measurement of the fasting gastric juice pH and endoscopic examinations were carried out by specialists certified by the Japan Gastroenterological Endoscopy Society. Endoscopic studies were performed following an overnight fast of >12 h.
To prevent contamination from affecting the accuracy of the pH measurements, premedication (such as a mucolytic or deforming agent) was not administered, except for local pharyngeal anesthesia with an 8% lidocaine pump spray. After the endoscope had been inserted into the stomach, pooled gastric juice was aspirated and collected endoscopically according to a previously described technique [11 (link)]. The pH of the collected sample was immediately measured using a 14-step pH test strip (pH 1-14; AS ONE Co. Ltd, Osaka, Japan). Following this, the observer performed a routine screening endoscopy study by high-resolution white light electronic endoscopy. The endoscopic photos and the results were recorded in a digital filing system (NEXUS; Fuji Film Medical Co., Tokyo, Japan).
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2

Endoscopic Observation of Cellular Structure

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We used the prototype of ECS (GIF-Y0002; Olympus Corporation, Tokyo, Japan) connected to a video-endoscopy system (CV260, EVIS LUCERA SPECTRUM; Olympus). The GIF-Y0002 is an integrated type of endoscope with one lens that enables a progressive increase in magnification to ×380 (tissue field of view, 700 µm × 600 µm, 0.42 mm2) using a hand lever. Up to ×600 ultra-high magnification is available when the electronic zoom function (×1.6) is activated by pushing the button [24 (link)]. The consecutive zoom function allows us to find the target area through non-magnifying observation, while maintaining the center of the endoscopic view. The ECS system can visualize not only the gland duct lumens and villi, but also the shape of epithelial cells and nuclei at a focus depth of about 50 µm.
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3

Magnifying Endoscopy for Gastric Neoplasia Assessment

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The instruments used in the current study were a high-resolution magnifying upper gastrointestinal endoscope (GIF-Q240Z;Olympus Medical Systems, Tokyo, Japan) or a high-definition magnifying upper gastrointestinal endoscope (GIF-H260Z; Olympus Medical systems, Tokyo, Japan) and an electronic endoscopy system (EVIS LUCERA Spectrum; Olympus Medical Systems). A soft black hood (MAJ-1988 for the GIF-Q240Z, MAJ-1989 for the GIF-H260Z; Olympus) was mounted at the tip of the endoscope to enable the endoscopist to fix a consistent focal distance between the tip of the endoscope and the gastric mucosa. M-NBI examinations and the recording of endoscopic findings were carried out by four endoscopists ( T. U., K. T, Y. Y, and M. F.). The presence or absence of WOS was determined in each of the neoplasias based on the findings of M-NBI. Neoplasias with a partially positive WOS were considered “WOS positive”. For assesment of the background gastric mucosa, atrophy was graded endoscopically according to the Kimura and Takemoto classification 11 .
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4

High-Resolution Upper GI Endoscopy

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All procedures were performed using a high-resolution magnifying upper gastrointestinal endoscope (GIF-Q240Z, GIF-H260Z; Olympus Co., Tokyo, Japan) with an electronic endoscopy system (Evis Lucera Spectrum, Olympus Corporation, Tokyo, Japan).
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5

Endoscopic Resection Techniques for GI Lesions

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ER was defined as endoscopic mucosal resection with a cap-fitted panendoscope (EMRC) and ESD. The decision to resect with ESD or EMRC depended on the size of the lesion, and the final decision was made by the endoscopist.
The video processor unit EVIS LUCERA SPECTRUM, EVIS LUCERA ELITE, or EVIS X1 (Olympus Corporation, Tokyo, Japan) and a single-channel upper gastrointestinal endoscope (GIF-Q260J, GIF-H290T; Olympus Co.) were used.
For ESD, hyaluronic acid (MucoUP; Boston Scientific, Tokyo, Japan or Ksmart; Olympus Co.) was used for submucosal injection. A DualKnife (KD-655Q or KD-655L, Olympus Co.), IT-nano knife (KD-612L, Olympus Co.), and Splash M-knife (Pentax Medical, Japan) were used for submucosal dissection.
For EMRC, snare (SD-221L-25, Olympus Co) was used for resection.
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6

Single Endoscopist Upper GI Examination

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All of the endoscopic examinations were performed and assessed by a single experienced endoscopist (T.M.) with special endoscopic qualifications, using a high-resolution magnifying upper gastrointestinal endoscope (GIF-H260Z, Olympus, Tokyo, Japan) and an electronic endoscopy system (Evis Lucera Spectrum, Olympus, Tokyo, Japan).
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7

Microvessel Pattern Classification in Endoscopy

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The instruments used in our study were an electronic endoscopic system (EVIS LUCERA Spectrum; Olympus, Tokyo, Japan) and a high resolution magnifying video endoscope (GIF-H260Z and GIF-H290Z, Olympus, Tokyo, Japan). A soft hood was mounted at the tip of the endoscope to obtain a clear view for ME-NBI. Microvessel patterns were classified into intralobular loop pattern (ILL), fine network patten (FNP), and corkscrew patten (CSP) according to previous studies [9 (link), 12 , 13 (link)]. If more than one pattern were observed in the lesion, the lesion was classified based on the predominant vascular pattern.
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8

High-resolution Endoscopic Procedures for Diagnostic Evaluation

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All the endoscopic diagnostic procedures were performed by two highly experienced endoscopists (certified by the Japan Gastroenterological Endoscopy Society) using a high-resolution upper gastrointestinal endoscope (GIF-H260, Olympus Medical Systems, Tokyo, Japan), a magnifying upper gastrointestinal endoscope (GIF-Q260Z, Olympus Medical Systems), and two electronic endoscopy systems (EVIS LUCERA Spectrum and EVIS LUCERA ELITE Spectrum; Olympus Medical Systems). NBI-ME was performed using a GIF-Q260Z endoscope fitted with a soft black hood (MB-46, Olympus Medical Systems) by the same endoscopist who performed ESD [22 (link)].
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9

Endoscopic Screening Protocols Comparison

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In the EUS group, all EGDs were performed immediately before EUS in the same session by EUS operators. In principle, screening EGD was performed in patients who had not undergone EGD at our hospital within approximately 1 year; additionally, screening EGD was performed if the attending physician deemed it necessary. EGD and EUS were performed under sedation with 0.1–0.5 mg of flunitrazepam and 17.5–35 mg of pethidine hydrochloride. The GIF-H260, H260Z, Q260, Q260, H290, or H290Z (Olympus Co., Japan) video endoscopy system (Evis Lucera Spectrum or Evis Lucera Elite; Olympus Co., Japan) was used for screening EGD at random. In contrast, in the MCC group, EGD was primarily performed by expert operators who were familiar with screening. The EG-L580NW7 (FujiFilm Co., Japan) and video endoscopy systems (LASEREO 7000 System; FujiFilm Co., Japan) were used for screening EGD. Magnification endoscopy or sedation was not used at the MCC. In both groups, image enhancement endoscopy (IEE) was used in all cases for esophageal observation, and as needed in other cases. Indigo carmine was not used for screening in our hospital.
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10

Magnifying Endoscopic Evaluation of Gastric Mucosa

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A single endoscopist (KY) with 15 years of experience with magnifying gastroscopy performed all endoscopic diagnostic procedures. The instruments used in the procedures were high-resolution magnifying upper gastrointestinal endoscopes (GIF-Q240Z or GIF-H290Z; Olympus, Tokyo, Japan) and an endoscopy system (EVIS LUCERA SPECTRUM; Olympus). In addition, a black soft hood (MAJ 1989; Olympus) was mounted at the tip of the scope in order to consistently fix the focal distance between the tip of the scope and the mucosal surface during magnifying observation at the maximal magnification rate. At 30 minutes prior to the endoscopic examination, patients drank 100 mL of a preparation solution that contained 10,000 units of pronase (Kaken Pharmaceutical, Tokyo, Japan), 1 g of sodium bicarbonate, and 10 mL of dimethylpolysiloxane (20 mg/mL; Horii Pharmaceutical Ind., Osaka, Japan). After inserting the endoscope, all of the gastric mucosa was inspected according to the systematic screening protocol for the stomach (SSS) [4 (link)]. When the SSS was completed, detected mucosal lesions were observed by conventional white-light imaging, non-magnifying narrow-band imaging (N-NBI), and magnifying narrow-band imaging (M-NBI) at the maximum magnification rate. All endoscopic images were recorded in an image filing system. A target biopsy was taken from the MWFL.
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