Autofluorescence Image-Guided Endoscopy in the Management of Upper Aerodigestive Tract Tumors

Int J Environ Res Public Health. 2022 Dec 22;20(1):159. doi: 10.3390/ijerph20010159.

Abstract

At this juncture, autofluorescence and narrow-band imaging have resurfaced in the medicine arena in parallel with current technology advancement. The emergence of newly developed optical instrumentation in addition to the discovery of new fluorescence biomolecules have contributed to a refined management of diseases and tumors, especially in the management of upper aerodigestive tract tumors. The advancement in multispectral imaging and micro-endoscopy has also escalated the trends further in the setting of the management of this tumor, in order to gain not only the best treatment outcomes but also facilitate early tumor diagnosis. This includes the usage of autofluorescence endoscopy for screening, diagnosis and treatment of this tumor. This is crucial, as microtumoral deposit at the periphery of the gross tumor can be only assessed via an enhanced endoscopy and even more precisely with autofluorescence endoscopic techniques. Overall, with this new technique, optimum management can be achieved for these patients. Hence, the treatment outcomes can be improved and patients are able to attain better prognosis and survival.

Keywords: autofluorescence; endoscopy; head and neck cancers; narrow band imaging; oral cavity carcinoma; squamous cell carcinoma; surgical margins; upper aerodigestive tract tumor.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Squamous Cell* / pathology
  • Early Diagnosis
  • Endoscopy, Gastrointestinal
  • Head and Neck Neoplasms* / diagnostic imaging
  • Humans
  • Precancerous Conditions* / diagnosis

Grants and funding

This work was supported by the Ministry of Higher Education Malaysia, with project code [203.PPSP.6782007].