Dr. Sophia Bano Profile

Dr. Sophia Bano

at Univ College London

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SPIE Journal Paper | 9 October 2021 Open Access

First-in-human pilot study of snapshot multispectral endoscopy for early detection of Barrett’s-related neoplasia

Dale Waterhouse, Sophia Bano, Wladyslaw Januszewicz, Dan Stoyanov, Rebecca Fitzgerald, Massimiliano di Pietro, Sarah Bohndiek

JBO, Vol. 26, Issue 10, 106002, (October 2021) https://doi.org/10.1117/12.10.1117/1.JBO.26.10.106002

KEYWORDS: Endoscopy, Endoscopes, Multispectral imaging, Biopsy, Image classification, Tissues, Esophagus, Tissue optics, In vivo imaging, Pathology

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Significance: The early detection of dysplasia in patients with Barrett’s esophagus could improve outcomes by enabling curative intervention; however, dysplasia is often inconspicuous using conventional white-light endoscopy. Aim: We sought to determine whether multispectral imaging (MSI) could be applied in endoscopy to improve detection of dysplasia in the upper gastrointestinal (GI) tract. Approach: We used a commercial fiberscope to relay imaging data from within the upper GI tract to a snapshot MSI camera capable of collecting data from nine spectral bands. The system was deployed in a pilot clinical study of 20 patients (ClinicalTrials.gov NCT03388047) to capture 727 in vivo image cubes matched with gold-standard diagnosis from histopathology. We compared the performance of seven learning-based methods for data classification, including linear discriminant analysis, k-nearest neighbor classification, and a neural network. Results: Validation of our approach using a Macbeth color chart achieved an image-based classification accuracy of 96.5%. Although our patient cohort showed significant intra- and interpatient variance, we were able to resolve disease-specific contributions to the recorded MSI data. In classification, a combined principal component analysis and k-nearest-neighbor approach performed best, achieving accuracies of 95.8%, 90.7%, and 76.1%, respectively, for squamous, non-dysplastic Barrett’s esophagus and neoplasia based on majority decisions per-image. Conclusions: MSI shows promise for disease classification in Barrett’s esophagus and merits further investigation as a tool in high-definition “chip-on-tip” endoscopes.

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