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Narrow band imaging (NBI) is a new endoscopic technique in which imagesof mucosal microstructures and capillary structures are enhanced by shifting thelight spectrum to a narrow band. Image-enhanced gastrointestinal endoscopy usingNBI has improved the qualitative diagnosis of the grade and depth of invasionof an atypical lesion. NBI is currently not commonly used in gynecological endoscopy,but has recently been applied in laparoscopy and hysteroscopy. The utility ofNBI for diagnosis of endometrial lesions and endometriosis has also been shown.In gynecological endoscopy, NBI provides enhanced images of mucosal microstructuresand capillary structures and improves visual identification of lesions. Therefore,image-enhanced observation using NBI is likely to be useful for improved detectionof lesions in endoscopic diagnosis. However, this technique remains experimentalso far, and no study has demonstrated improved clinical outcome using this technique.In this review, we discuss the utility and potential applications of NBI in clinicalpractice in gynecology.

Narrow band imaging in gynecology: A new diagnostic approach with improved visual identification (Review)