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<front>
<journal-meta>
<journal-id journal-id-type="doi">10.1002/(ISSN)1864-0648</journal-id>
<journal-id journal-id-type="publisher-id">JBIO</journal-id>
<journal-title-group>
<journal-title xml:lang="en">Journal of Biophotonics</journal-title>
<abbrev-journal-title abbrev-type="publisher" xml:lang="en">J. Biophotonics</abbrev-journal-title>
</journal-title-group>
<issn publication-format="ppub">1864-063X</issn>
<issn publication-format="epub">1864-0648</issn>
<publisher>
<publisher-name>WILEY‐VCH Verlag GmbH &amp; Co. KGaA</publisher-name>
<publisher-loc>Weinheim</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.1002/jbio.202100078</article-id>
<article-id pub-id-type="publisher-id">JBIO202100078</article-id>
<article-categories>
<subj-group subj-group-type="overline" xml:lang="en">
<subject>FULL ARTICLE</subject>
</subj-group>
<subj-group subj-group-type="heading" xml:lang="en">
<subject>FULL ARTICLES</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="en">First experience in clinical application of hyperspectral endoscopy for evaluation of colonic polyps</article-title>
<alt-title alt-title-type="left-running-head">Yoon et al.</alt-title>
</title-group>
<contrib-group>
<contrib id="jbio202100078-cr-0001" contrib-type="author">
<name>
<surname>Yoon</surname>
<given-names>Jonghee</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3886-2792</contrib-id>
<xref ref-type="aff" rid="jbio202100078-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0002">
<sup>2</sup>
</xref>
<xref ref-type="current-address" rid="jbio202100078-curr-0001">
<sup>6</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0002" contrib-type="author">
<name>
<surname>Joseph</surname>
<given-names>James</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6270-2559</contrib-id>
<xref ref-type="aff" rid="jbio202100078-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0002">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0003">
<sup>3</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0003" contrib-type="author">
<name>
<surname>Waterhouse</surname>
<given-names>Dale J.</given-names>
</name>
<xref ref-type="aff" rid="jbio202100078-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0004" contrib-type="author">
<name>
<surname>Borzy</surname>
<given-names>Charlie</given-names>
</name>
<xref ref-type="aff" rid="jbio202100078-aff-0004">
<sup>4</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0005" contrib-type="author">
<name>
<surname>Siemens</surname>
<given-names>Kyla</given-names>
</name>
<xref ref-type="aff" rid="jbio202100078-aff-0004">
<sup>4</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0006" contrib-type="author">
<name>
<surname>Diamond</surname>
<given-names>Sarah</given-names>
</name>
<xref ref-type="aff" rid="jbio202100078-aff-0005">
<sup>5</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0007" contrib-type="author" corresp="yes">
<name>
<surname>Tsikitis</surname>
<given-names>Vassiliki Liana</given-names>
</name>
<email>tsikitis@ohsu.edu</email>
<xref ref-type="corresp" rid="correspondenceTo">*</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0004">
<sup>4</sup>
</xref>
</contrib>
<contrib id="jbio202100078-cr-0008" contrib-type="author" corresp="yes">
<name>
<surname>Bohndiek</surname>
<given-names>Sarah E.</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0371-8635</contrib-id>
<email>seb53@cam.ac.uk</email>
<xref ref-type="corresp" rid="correspondenceTo">*</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="jbio202100078-aff-0002">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="jbio202100078-aff-0001">
<label>
<sup>1</sup>
</label>

<named-content content-type="organisation-division">Department of Physics</named-content>

<institution>University of Cambridge</institution>

<city>Cambridge</city>
 <country country="GB">UK</country>

</aff>
<aff id="jbio202100078-aff-0002">
<label>
<sup>2</sup>
</label>

<named-content content-type="organisation-division">Cancer Research UK Cambridge Institute</named-content>

<institution>University of Cambridge</institution>

<city>Cambridge</city>
 <country country="GB">UK</country>

</aff>
<aff id="jbio202100078-aff-0003">
<label>
<sup>3</sup>
</label>

<named-content content-type="organisation-division">School of Science and Engineering, Fulton Building</named-content>

<institution>University of Dundee</institution>

<city>Dundee</city>
 <country country="GB">UK</country>

</aff>
<aff id="jbio202100078-aff-0004">
<label>
<sup>4</sup>
</label>

<named-content content-type="organisation-division">Department of Surgery</named-content>

<institution>Oregon Health and Science University</institution>

<city>Portland</city>
 <named-content content-type="country-part">Oregon</named-content>
 <country country="US">USA</country>

</aff>
<aff id="jbio202100078-aff-0005">
<label>
<sup>5</sup>
</label>

<named-content content-type="organisation-division">Department of Medicine</named-content>

<institution>Oregon Health and Science University</institution>

<city>Portland</city>
 <named-content content-type="country-part">Oregon</named-content>
 <country country="US">USA</country>

</aff>
<aff id="jbio202100078-curr-0001">
<label>
<sup>6</sup>
</label>

<named-content content-type="organisation-division">Department of Physics</named-content>

<institution>Ajou University</institution>

<city>Suwon</city>
 <country country="KR">South Korea</country>

</aff>
<author-notes>
<corresp id="correspondenceTo"><label>*</label>

<bold>Correspondence</bold><break/>
V. Liana Tsikitis, Department of Surgery, Oregon Health and Science University, Portland, OR 97239, USA.<break/>
Email: <email>tsikitis@ohsu.edu</email>
<break/>
Sarah E. Bohndiek, Department of Physics, University of Cambridge, JJ Thomson Avenue, Cambridge CB3 0HE, UK.<break/>
Email: <email>seb53@cam.ac.uk</email>
<break/>

</corresp>
</author-notes>
<pub-date date-type="pub" publication-format="electronic"><day>21</day>
<month>06</month>
<year>2021</year>
</pub-date><elocation-id>e202100078</elocation-id>
<history>

<date date-type="rev-recd">
<day>07</day>
<month>05</month>
<year>2021</year>
</date>

<date date-type="received">
<day>03</day>
<month>03</month>
<year>2021</year>
</date>

<date date-type="accepted">
<day>23</day>
<month>05</month>
<year>2021</year>
</date>

</history>
<permissions>
<copyright-statement content-type="issue-copyright">© 2021 Wiley‐VCH GmbH</copyright-statement>
<copyright-statement content-type="article-copyright">© 2021 The Authors. <italic>Journal of Biophotonics</italic> published by Wiley‐VCH GmbH.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>© 2021 The Authors. Journal of Biophotonics published by Wiley‐VCH GmbH.</copyright-holder>
<license>
<ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open access article under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution</ext-link> License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract xml:lang="en" abstract-type="main">
<title>Abstract</title>
<p xml:lang="en">Early detection and resection of adenomatous polyps prevents their progression to colorectal cancer (CRC), significantly improving patient outcomes. Polyps are typically identified and removed during white‐light colonoscopy. Unfortunately, the rate of interval cancers that arise between CRC screening events remains high, linked to poor visualization of polyps during screening and incomplete polyp removal. Here, we sought to evaluate the potential of a hyperspectral endoscope (HySE) to enhance polyp discrimination for detection and resection. We designed, built and tested a new compact HySE in a proof‐of‐concept clinical study. We successfully collected spectra from three tissue types in seven patients undergoing routine colonoscopy screening. The acquired spectral data from normal tissue and polyps, both pre‐ and post‐ resection, were subjected to quantitative analysis using spectral angle mapping and machine learning, which discriminated the data by tissue type, meriting further investigation of HySE as a clinical tool.<inline-graphic xlink:href="image_n/jbio202100078-gra-0001.png" xlink:title="image"/></p>
</abstract>
<kwd-group kwd-group-type="author-generated" xml:lang="en">
<kwd id="jbio202100078-kwd-0001">colonoscopy</kwd>
<kwd id="jbio202100078-kwd-0002">hyperspectral endoscope</kwd>
<kwd id="jbio202100078-kwd-0003">hyperspectral imaging</kwd>
<kwd id="jbio202100078-kwd-0004">machine learning</kwd>
</kwd-group>
<funding-group>
<award-group id="funding-0001">
<funding-source>

<institution-wrap>
<institution>Cancer Research UK</institution>
<institution-id>http://dx.doi.org/10.13039/501100000289</institution-id>
</institution-wrap>

</funding-source>
<award-id>C14303/A17197</award-id>
<award-id>C47594/A16267</award-id>
<award-id>C47594/A21102</award-id>
<award-id>C47594/A26851</award-id>
<award-id>C55962/A24669</award-id>
<award-id>C9545/A29580</award-id>
</award-group>
</funding-group>
<funding-group>
<award-group id="funding-0002">
<funding-source>

<institution-wrap>
<institution>Engineering and Physical Sciences Research Council</institution>
<institution-id>http://dx.doi.org/10.13039/501100000266</institution-id>
</institution-wrap>

</funding-source>
<award-id>EP/N014588/1</award-id>
<award-id>EP/R003599/1</award-id>
</award-group>
</funding-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<page-count count="9"/>
<word-count count="5264"/>
</counts>
</article-meta>
</front>
</article>