Table 1.
Adjuvant tools for risk stratification at the time of endoscopy.
Tool | Model | Biomarkers | Sensitivity/specificity for predicting neoplastic progression to HGD/EAC | Costs |
---|---|---|---|---|
p53 | IHC staining | NDBE/LGD cohort: Sensitivity 49%, Specificity 86% (18) | $ | |
TissueCypher | IF of molecular biomarkers + morphologic factors (nuclear size, shape, DNA amount) | p53, p16, AMACR, HER-2) CD68, COX2, HIF1 alpha, CD45RO | Mixed NDBE/IND/LGD cohort: high-intermediate risk class 55%/82% (29) | $$$ |
Wats3D | Extensive Barrett's segment sampling + computer-aided analysis | 2.1 % incremental yield in a mixed cohort with NDBE and all variants of dysplasia (34) | $$ |