Review
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World J Gastroenterol. Oct 14, 2011; 17(38): 4277-4282
Published online Oct 14, 2011. doi: 10.3748/wjg.v17.i38.4277
Functional imaging and endoscopy
Jian-Guo Zhang, Hai-Feng Liu
Jian-Guo Zhang, Hai-Feng Liu, Department of Gastroenterology, General Hospital of Chinese Armed Police Forces, Beijing 100039, China
Author contributions: Zhang JG and Liu HF contributed equally to this paper; Zhang JG wrote the paper and Liu HF revised the paper.
Correspondence to: Hai-Feng Liu, MD, Professor of Medicine, Chief, Department of Gastroenterology, General Hospital of Chinese Armed Police Forces, 69 Yongding Road, Haidian District, Beijing 100039, China. haifengliu333@163.com
Telephone: +86-10-57976547 Fax:+86-10-57976549
Received: March 28, 2011
Revised: May 20, 2011
Accepted: May 27, 2011
Published online: October 14, 2011
Abstract

The emergence of endoscopy for the diagnosis of gastrointestinal diseases and the treatment of gastrointestinal diseases has brought great changes. The mere observation of anatomy with the imaging mode using modern endoscopy has played a significant role in this regard. However, increasing numbers of endoscopies have exposed additional deficiencies and defects such as anatomically similar diseases. Endoscopy can be used to examine lesions that are difficult to identify and diagnose. Early disease detection requires that substantive changes in biological function should be observed, but in the absence of marked morphological changes, endoscopic detection and diagnosis are difficult. Disease detection requires not only anatomic but also functional imaging to achieve a comprehensive interpretation and understanding. Therefore, we must ask if endoscopic examination can be integrated with both anatomic imaging and functional imaging. In recent years, as molecular biology and medical imaging technology have further developed, more functional imaging methods have emerged. This paper is a review of the literature related to endoscopic optical imaging methods in the hopes of initiating integration of functional imaging and anatomical imaging to yield a new and more effective type of endoscopy.

Keywords: Endoscopy, Functional imaging, Multi-modal imaging, Optical coherence tomography, Fluorescence molecular imaging, Photoacoustic tomography, Cerenkov luminescence tomography