Confocal laser endomicroscopy in the "in vivo" histological diagnosis of the gastrointestinal tract.
Recent technological advances in miniaturization have allowed for a confocal scanning microscope to be integrated into a conventional flexible endoscope, or into trans-endoscopic probes, a technique now known as confocal endomicroscopy or confocal laser endomicroscopy. This newly-developed technology has enabled endoscopists to collect real-time in vivo histological images or "virtual biopsies" of the gastrointestinal mucosa during endoscopy, and has stimulated significant interest in the application of this technique in clinical gastroenterology. This review aims to evaluate the current data on the technical aspects and the utility of this new technology in clinical gastroenterology and its potential impact in the future, particularly in the screening or surveillance of gastrointestinal neoplasia.
De Palma
Giovanni D
GD
Department of Surgery and Advanced Technologies, Center of Excellence for Technical Innovation in Surgery, University of Naples Federico II, School of Medicine, via Pansini 5, 80131 Naples, Italy. giovanni.depalma@unina.it
D001706:Biopsy; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods; D005456:Fluorescent Dyes / Q000378:metabolism; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000473:pathology; D041981:Gastrointestinal Tract / Q000473:pathology* / Q000601:surgery; D006801:Humans; D018613:Microscopy, Confocal / Q000295:instrumentation / Q000379:methods
D005456:Fluorescent Dyes