20 women were undergoing vaginal smear and at the same time, Flexible NBI-ME was performed. After written consent was obtained from all patients vaginal examination was done. Cusco speculum is used to examination a cervix by endoscopy using white light imaging, and. Narrow-band image at the long, middle, and short distances images and video of ME-NBI were taken to investigate the cervical lesions. The images were analyzed, built on cytology result.

The NBI-ME images revealed the following abnormal findings: Tongue-like projections of the epithelium, nabothian follicles, gland ostium, metaplastic cells with special features, transformation zone type, normal vascular of the cervix and its changed shape of all type of epithelium cells, cell nuclear density, the thickness of the epithelium. If you know how to diagnose squamous epithelium 50 percent of correct diagnosis of the cervical lesion will be done (Figures 1-5).

Figure 1: Cervical metaplasia magnifying endoscopy with narrow band imaging.

Figure 2: Metaplasia of cervix by light band.

Figure 3: Metaplasia with narrow band image.

Figure 4: Metaplasia area with transformation zona.

Figure 5: Vascular of cervix by light.

This study indicates that ME-NBI may have novel value for metaplasia diagnosis without the use of acetoacetic acid or Lugol's iodine images [1-3].