Mo1432 Smart Atlas for Supporting the Interpretation of Needle-Based Confocal LASER Endomicroscopy (nCLE) of Pancreatic Cysts: First Classification Results of a Computer-Aided Diagnosis Software Based on Image Recognition

Abstract

nCLE enables microscopic imaging of pancreatic cysts, in vivo and in real time, during an EUS-FNA procedure. Differentiating branch duct-type Intraductal Papillary Mucinous Neoplasm (IPMN) and Serous Cystadenoma (SCA) of the pancreas can be difficult, especially in case of a solitary lesion without clear communication with the pancreatic duct. Recent studies (Konda et al., Endoscopy 2013; Napoléon et al., DDW 2013) have identified reliable nCLE descriptive features (superficial vascular network in SCA; finger-like projections in IPMN), allowing endoscopists to discriminate between SCA and IPMN.