Table 1.
Classification | Hyperplastic | SSP | Dysplasia | Early invasion (SM1) | Deep invasion (SM2/3) |
---|---|---|---|---|---|
Kudo | Asteroid or star shaped-pit (type II) | Asteroid or star shaped-pit (type II) or type II-O (open shape) | Tubular or round pit either smaller (IIIs) or larger (IIIL) than regular pits. Gyrus/branched type pits (IV) | Irregular aggregation of type IIIs, IIIL and IV pits (Vi) | Loss of pit pattern, amorphous (Vn) non-structural |
Sano | Meshed capillary vessels invisible with NBI (type I) | – | Broader meshed capillary vessels surround mucosal glands (type II) | Broad irregular vessels, unevenly sized and branching (type IIIa) | Avascular appearance due to desmoplastic change in stroma (type IIIb) |
NICE NBI | Type I | Type II | Type III | ||
Colour (vs background) | Same or lighter | – | Brown | – | Brown to dark brown |
Vessels | None or isolated lacy | – | Brown vessels surround (white) pits | – | Disrupted vessels |
Surface | Dark or white uniform spots | – | Tubular or branched | – | Amorphous or absent pattern |
WASP
|
<2 features present | ≥2 features present | <2 features present | – | – |
JNET | Type I | Type II | Type IIa | Type IIb | Type III |
Vessel pattern | Invisible | Invisible | Regular calibre Meshed pattern |
Variable calibre Irregular distribution |
Loose vessel areas Interruption of thick vessels |
Surface pattern | Regular white or dark spots, similar to surrounding mucosa | Regular white or dark spots, similar to surrounding mucosa | Tubular, branched or papillary | Irregular or obscure | Amorphous areas |
JNET, Japan NBI Expert Team; NBI, narrow band imaging; NICE, narrow band imaging international colorectal endoscopic; SM, submucosal invasive cancer; SSP, sessile serrated polyp; WASP, workgroup serrated polyps and polyposis.