Endoscopic Vascular Assessment of Cervical Polyps Using Narrow-Band Imaging (NBI): A Prospective Observational Strategy Study

Objective: To assess whether depth-resolved vascular assessment using narrow-band imaging (NBI) can support selective biopsy decision-making in benign-appearing cervical polyps. Methods: In this prospective observational pilot study, 30 patients with visible cervical lesions were evaluated using a structured triple-light NBI protocol. Results: NBI assessment demonstrated very high agreement with histopathology (κ approaching 1.0). Conclusion: Multi-modal NBI may serve as a safe clinical triage strategy to support selective biopsy decision-making in cervical polyps.