NICE Classification (NBI Colorectal Lesion)

NICE classification (NBI International Colorectal Endoscopic; Hewett 2012 / Hayashi 2013) of a colorectal lesion, read on narrow-band imaging without requiring magnification, by color, vessels, and surface pattern.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

NICE type
3 — dark brown, disrupted/missing vessels, amorphous surface…

Result: NICE type 3: dark brown, disrupted or missing vessels, amorphous surface; deep submucosal invasive cancer.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Type 1
Same/lighter color, absent or lacy vessels, uniform or absent surface pattern. Hyperplastic (non-neoplastic).
Type 2
Browner color, brown vessels surrounding white structures, oval/tubular/branched white structures. Adenoma (or superficial cancer).
Type 3
Brown to dark brown, disrupted or missing vessels, amorphous or absent surface. Deep submucosal invasive cancer.

What you enter

  • NICE type
How this is calculated

Hewett DG, Kaltenbach T, Sano Y, et al. Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using narrow-band imaging. Gastroenterology. 2012;143(3):599-607. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.