Comparison of the Sensitivity of pCLE and Pathological Biopsy for Gastric Mucosal Lesions
NCT07507071 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 169
Last updated 2026-04-02
Summary
The pathological biopsy of gastric lesions, performed prior to endoscopic submucosal dissection (ESD), is crucial for differentiating the pathological nature of the lesions and guiding treatment decisions. However, due to the impact of biopsy sampling, the sensitivity of the pathological biopsy is not optimal.
The probe - based confocal laser endomicroscopy (pCLE) technique enables the real - time display of high-resolution microscopic images of the mucosal layer (with an amplification factor of up to 1000 times) through a slender optical fiber probe that can pass through the standard endoscope's working channel. It is an optical biopsy technique and has unique value in determining the pathological nature of gastric lesions.
As the Digestive Endoscopy Center of Shanghai Changhai Hospital is a national-level pCLE application demonstration center, it has prospectively collected numerous cases of pCLE examinations of gastric mucosal lesions.
The main purpose of this study is to retrospectively analyze these cases and compare the sensitivity and specificity of pathological biopsy and pCLE in differentiating the pathological nature of gastric mucosal lesions.
Conditions
- Early Gastric Cancer
Interventions
- DIAGNOSTIC_TEST
-
Probe-based Confocal Laser Endomicroscopy
Description: Confocal Laser Endomicroscopy (CLE) is an advanced in vivo imaging technique that combines confocal microscopy with endoscopy, enabling real-time, microscopic visualization of tissues at a cellular level during endoscopic procedures. Probe-based CLE (pCLE) can enter the stomach cavity through the biopsy channel of the endoscope and observe the gastric mucosa. All patients scheduled for endoscopic submucosal dissection (ESD) of gastric lesions must undergo probe-based confocal laser endomicroscopy (pCLE) prior to the ESD procedure.
- DIAGNOSTIC_TEST
-
Pathological biopsy
A pathological biopsy is a medical procedure that involves the removal of a small sample of tissue or cells from the body for microscopic examination. It is a crucial diagnostic tool used to identify diseases, particularly cancer, infections, inflammatory conditions, and other abnormalities.
Sponsors & Collaborators
-
Changhai Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-30
- Primary Completion
- 2026-04-10
- Completion
- 2026-04-15
Countries
- China
Study Locations
More Related Trials
-
Confocal Laser Endomicroscopy for the Diagnosis of Gastric Intestinal Metaplasia, Intraepithelial Neoplasia, and Carcinoma
NCT01642797 ·Status: UNKNOWN ·Phase: NA
-
Detection of Early Gastric Cancers Using Confocal Laser Endomicroscopy
NCT00851305 ·Status: COMPLETED ·Phase: NA
-
Enhanced Magnifying Endoscopy for Diagnosis of Early Gastric Cancer
NCT01617876 ·Status: COMPLETED
-
Automatic Real-time Diagnosis of Gastric Mucosal Disease Using pCLE With Artificial Intelligence
NCT03784209 ·Status: COMPLETED
-
Confocal Laser Endomicroscopy for the Detection of Gastric Intestinal Metaplasia: a Randomized Controlled Trial
NCT01024621 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Probe-based Confocal Laser Endomicroscopy, White-light Endoscopy and Virtual Chromoendoscopy
NCT01398579 ·Status: UNKNOWN ·Phase: PHASE1
-
A Predictive Model Based on Narrow Band Imaging for Early Gastric Cancerous Lesions
NCT02968069 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Value of Black Spots in Diagnosing Gastric Intestinal Metaplasia by Confocal Laser Endomicroscopy
NCT01646528 ·Status: UNKNOWN
-
The Efficacy of Probe-based Confocal Laser Endomicroscopy in Staging OLGIM
NCT02932735 ·Status: UNKNOWN
-
A Comparison of pCLE Based Targeted Biopsy and WLE Based Standard Biopsy in Staging the Operative Link on Gastric Intestinal Metaplasia (OLGIM): A Randomized,Cross-over Study
NCT02930616 ·Status: UNKNOWN ·Phase: PHASE4
-
Confocal Laser Endomicroscopy in Digestive Diseases
NCT01156064 ·Status: UNKNOWN
-
A Pilot Study on Usefulness of Probe-based Confocal Laser Endomicroscopy Targeted Gastric Biopsy
NCT02089373 ·Status: COMPLETED ·Phase: NA
-
a Prospective Study on the Efficacy of Magnifying Endoscopy With Narrow-band Imaging in Diagnosing Gastric Lesions
NCT01508520 ·Status: COMPLETED
-
Role of Probe-based Confocal Laser Endomicroscopy Targeted Biopsy in the Molecular Study of Undifferentiated Gastric Cancer
NCT02799420 ·Status: COMPLETED ·Phase: NA
-
I-scan With Magnification for the Detection of Gastric Intestinal Metaplasia
NCT02516735 ·Status: UNKNOWN ·Phase: NA
-
Application of Linked Color Imaging(LCI) in Diagnosis of Early Gastric Cancer(EGC)
NCT03661671 ·Status: UNKNOWN ·Phase: NA
-
Application of OE in Diagnosis of EGC
NCT04720521 ·Status: UNKNOWN ·Phase: NA
-
Establishment of Image Database for Early Upper Gastrointestinal Cancer, Precancerous Lesions, and Precancerous Conditions
NCT07462247 ·Status: RECRUITING
-
Confocal Endomicroscopy Detection of Gastric Preneoplasia and Neoplasia
NCT01384201 ·Status: COMPLETED
-
pCLE in the Detection of Esophageal and Gastric Lesions and Intestinal Metaplasia or Dysplasia in Patients After Endoscopic Treatment of BORN
NCT02922049 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Ultrasound-guided Needle-based Confocal Laser Endomicroscopy for Diagnosis of Gastric Subepithelial Tumors
NCT02936986 ·Status: COMPLETED
-
Confocal Laser Endomicroscopy With Cresyl Violet for in Vivo Diagnosis of Gastric Intestinal Metaplasia
NCT03672708 ·Status: COMPLETED ·Phase: NA
-
Comparison of Ability of pCLE and WLE for Diagnosis and Cancer Tissue Acquisition in Advanced Gastric Cancer After Chemotherapy Status
NCT03449966 ·Status: UNKNOWN ·Phase: NA
-
Confocal Laser Microendoscopy (CellTouch) for the Diagnosis of Early Gastric Cancer: A Multicenter Clinical Study
NCT06152783 ·Status: NOT_YET_RECRUITING
-
Early Screening Cohort Study of Multiple Gastrointestinal Tumors
NCT07106424 ·Status: RECRUITING