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Figure 1.

Light blue crest sign.

Light blue crest (LBC) appears as blue-whit lines visible on the epithelial surface under narrow band imaging with magnification endoscopy (NBI-ME) (original photo, Olympus GIF-H260Z, under 80×magnification).

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Figure 1 Expand

Table 1.

Original Table of Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool [9].

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Figure 2.

Study selection flow diagram.

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Table 2.

Characteristics of studies included in meta-analysis of accuracy of light blue crest signto diagnose gastric intestinal metaplasia.

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Table 3.

Application of the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool to the five studies included in the meta-analysis.

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Figure 3.

Results of per-lesion analysis of four studies.

Per-lesion analysis of diagnostic performance of the light blue crest (LBC) sign under narrow band imaging with magnification endoscopy (NBI-ME) to diagnose gastric intestinal metaplasia(IM): (a) pooled sensitivity; (b) pooled specificity; (c) pooled positive likelihood ratio; (d) pooled negtive likelihood ratio; (e) symmetric receiver operator curve characteristic (SROC) curve and area under curve(AUC).

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Figure 4.

Results of per-lesion analysis of three studies.

Per-lesion analysis of diagnostic performance of the light blue crest (LBC) sign under narrow band imaging with magnification endoscopy (NBI-ME) to diagnose gastric intestinal metaplasia(IM): (a) pooled sensitivity; (b) pooled specificity; (c) pooled positive likelihood ratio; (d) pooled negtive likelihood ratio; (e) symmetric receiver operator curve characteristic (SROC) curve and area under curve(AUC).

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