Evidence map›Paper›PMID 41567606›Full record

ArticleEndoscopy international open2025

Comparison of adenoma detection rate using the novel 5-LED vs xenon-light endoscopic system: Propensity score matching analysis.

Tatsuhiro Ito, Satoshi Osawa, Takanori Yamada, Keisuke Inagaki, Tomohiro Takebe, Satoru Takahashi, Shunya Onoue, Kiichi Sugiura, Natsuki Ishida, Tomoharu Matsuura and 4 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tatsuhiro ItoFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Satoshi OsawaDepartment of Advanced Medical Science for Regional Collaboration, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0003-3414-1808
Takanori YamadaDepartment of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Keisuke InagakiFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiro TakebeFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Satoru TakahashiFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Shunya OnoueFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kiichi SugiuraFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Natsuki IshidaFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomoharu MatsuuraDepartment of Laboratory Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Mihoko YamadeFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Moriya IwaizumiDepartment of Laboratory Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yasushi HamayaFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Ken SugimotoFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Olympus's new endoscopic system, EVIS X1, features five-LED illumination and a novel complementary metal-oxide-semiconductor (CMOS) image sensor distinct from conventional charge-coupled devices (CCDs), potentially improving colorectal adenoma detection rates (ADRs). This study compared ADR and related indicators between the EVIS X1 system and the conventional EVIS LUCERA ELITE, a xenon-light system. Patients and methods: Of 4,915 colonoscopies performed between September 2020 and April 2023, 814 EVIS X1 and 953 LUCERA cases met inclusion criteria. After propensity score matching to balance baseline characteristics, 660 patients per group were analyzed. Outcomes included ADR, polyp detection rate (PDR), adenomas per colonoscopy (APC), and polyps per colonoscopy (PPC). Subgroup analysis assessed the impact of CMOS-equipped scopes within the X1 group. Results: ADR was slightly higher in the X1 group (36.1%) than the LUCERA group (32.1%), although not statistically significant ( Conclusions: The EVIS X1 system may have the potential to improve adenoma detection, particularly when used with CMOS sensor-equipped scopes. These findings suggest potential benefits for colorectal cancer screening, although further large-scale studies are warranted for validation.

Indexed as

Diagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...)Endoscopic resection (polypectomy, ESD, EMR, ...)Endoscopy Lower GI TractPolyps / adenomas / ...

Identifiers

PMID41567606
PMCPMC12818183

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.