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. 2017 Feb 10;8(2):98–103. doi: 10.1136/flgastro-2016-100777

Table 1.

Pit pattern, microvessel pattern and surface pattern classifications

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
  • ▸ Clouded surface

  • ▸ Indistinct border

  • ▸ Irregular shape

  • ▸ Dark spots inside pits

<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.