Mucosal imaging in colon polyps: New advances and what the future may hold

An expanding range of advanced mucosal imaging technologies have been developed with the goal of improving the detection and characterization of lesions in the gastrointestinal tract. Many technologies have targeted colorectal neoplasia given the potential for intervention prior to the development of invasive cancer in the setting of widespread surveillance programs. Improvement in adenoma detection reduces miss rates and prevents interval cancer development. Advanced imaging technologies aim to enhance detection without significantly increasing procedural time. Accurate polyp characterisation guides resection techniques for larger polyps, as well as providing the platform for the resect and discard and do not resect strategies for small and diminutive polyps. This review aims to collate and summarise the evidence regarding these technologies to guide colonoscopic practice in both interventional and non-interventional endoscopists.

Automated summary

An expanding range of advanced mucosal imaging technologies have been developed to improve the detection and characterization of gastrointestinal tract lesions, particularly colorectal neoplasia. Improved adenoma detection reduces miss rates and prevents cancer development without significantly increasing procedural time. Accurate polyp characterization guides resection techniques and the use of different strategies. This review aims to summarize the evidence regarding these technologies and guide colonoscopic practice.