keyword
https://read.qxmd.com/read/38483770/combined-gray-scale-ultrasonography-and-doppler-diagnostic-tools-with-strain-elastography-in-assessment-of-inflammatory-bowel-disease-in-pediatrics-patients
#1
JOURNAL ARTICLE
Enas Mamdooh Awad Allah Mohamed, Ayman Emil Eskander, Reham Osama Mahmoud, Hadeel Mohamed Seif Eldin Ali
BACKGROUND: Intestinal changes in inflammatory bowel disease (IBD) are frequently observed on ultrasound. Invasive diagnostic procedures are often employed to differentiate between the main types of IBD and detect complications. Ultrasound Strain Elastography (SE) is a promising non-invasive technique for detecting intestinal changes and assessing inflammatory activity in pediatric IBD. AIM OF THE STUDY: This research aims to evaluate the diagnostic performance of conventional ultrasound, color Doppler, and SE in assessing inflammatory bowel disease in pediatric patients, both separately and in combination as additional tools...
March 14, 2024: Journal of Ultrasound
https://read.qxmd.com/read/38475671/role-of-advanced-endoscopy-in-the-management-of-inflammatory%C3%A2-digestive-diseases-pancreas-and-biliary-tract
#2
REVIEW
Toshiharu Ueki, Toru Maruo, Yoshinori Igarashi, Akira Yamamiya, Keiichi Tominaga, Atsushi Irisawa, Hitoshi Yoshida, Terumi Kamisawa, Mamoru Takenaka, Hiroyuki Isayama
The progress of endoscopic diagnosis and treatment for inflammatory diseases of the biliary tract and pancreas have been remarkable. Endoscopic ultrasonography (EUS) and EUS-elastography are used for the diagnosis of early chronic pancreatitis and evaluation of endocrine and exocrine function in chronic pancreatitis. Notably, extracorporeal shock wave lithotripsy and electrohydraulic shock wave lithotripsy have improved the endoscopic stone removal rate in patients for whom pancreatic stone removal is difficult...
March 12, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://read.qxmd.com/read/38431106/endoscopic-ultrasound-guided-liver-palpation-as-a-screening-tool-for-advanced-fibrosis-and-cirrhosis-in-patients-with-suspected-metabolic-dysfunction-associated-steatotic-liver-disease-a-pilot-study
#3
JOURNAL ARTICLE
Thomas J Wang, Pichamol Jirapinyo, Raj Shah, Kimberly Schuster, Christopher C Thompson, David B Lautz, Laura Doyon, Kenneth Chang, Marvin Ryou
BACKGROUND AND AIMS: Endoscopic liver "palpation" can be performed by indenting the liver surface under endoscopic ultrasound (EUS). Indentation depth is measured with sonographic calipers. We hypothesize that fibrotic livers are more difficult to indent, and indentation can accurately predict liver fibrosis staging. We compared EUS-guided liver palpation to conventional screening modalities in patients with suspected metabolic dysfunction-associated steatotic liver disease (MASLD). METHODS: This was a cross-sectional pilot study...
February 29, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38431102/diagnostic-performance-of-endoscopic-ultrasound-elastography-for-differential-diagnosis-of-gallbladder-polyp
#4
JOURNAL ARTICLE
In Rae Cho, Sang Hyub Lee, Jin Ho Choi, Jung Won Chun, Min Woo Lee, Myeong Hwan Lee, Junyeol Kim, Tae Seung Lee, Woo Hyun Paik, Ji Kon Ryu, Yong-Tae Kim
BACKGROUND AND AIMS: It is difficult to differentiate between neoplastic and non-neoplastic gallbladder (GB) polyps before surgery. Endoscopic ultrasound-elastography (EUS-EG) is a non-invasive complementary diagnostic method. The utility of EUS-EG in the differential diagnosis of GB polyps has not been investigated. We aimed to investigate the diagnostic performance of EUS-EG for the differential diagnosis of GB polyps. METHODS: Patients with GB polyps were prospectively enrolled from June 2020 until November 2022...
February 29, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38229442/role-of-contrast-enhanced-harmonic-endoscopic-ultrasonography-eus-and-eus-elastography-in-pancreatic-lesions
#5
REVIEW
Yasunobu Yamashita, Masayuki Kitano
Pancreatic cancers have a poor prognosis, and their incident rates have risen. Endoscopic ultrasonography (EUS) is an efficient and reliable diagnostic modality for pancreatic lesions, providing high spatial resolution. However, while EUS helps to detect minor pancreatic lesions, nearly all solid pancreatic lesions are hypoechoic, which creates difficulty in making differential diagnoses of pancreatic lesions. When diagnosing pancreatic lesions, the performance of image-enhanced EUS techniques is essential, such as EUS elastography or contrast-enhanced harmonic EUS (CH-EUS)...
January 17, 2024: Clinical Endoscopy
https://read.qxmd.com/read/37899794/diagnostic-endoscopic-ultrasound-in-pancreatology-focus-on-normal-variants-and-pancreatic-masses
#6
REVIEW
Francesco Vitali, Sebastian Zundler, Daniel Jesper, Dane Wildner, Deike Strobel, Luca Frulloni, Markus F Neurath
BACKGROUND: Endoscopic ultrasound (EUS) is a main tool in gastroenterology for both diagnosis and exclusion of pancreatic pathology. It allows minimally invasive assessment of various diseases or anatomic variations affecting the pancreas also with the help of new Doppler technologies, elastography, contrast-enhanced imaging including post hoc image processing with quantification analyses, three-dimensional reconstruction, and artificial intelligence. EUS also allows interventional direct access to the pancreatic parenchyma and the retroperitoneal space, to the pancreatic duct, pancreatic masses, cysts, and vascular structures...
October 2023: Visceral Medicine
https://read.qxmd.com/read/37771875/role-of-endoscopic-ultrasound-and-endoscopic-ultrasound-guided-tissue-acquisition-in-diagnosing-hepatic-focal-lesions
#7
JOURNAL ARTICLE
Hussein Hassan Okasha, Hanane Delsa, Abdelmoneim Alsawaf, Ahmed Morad Hashim, Hani M Khattab, Dalia Abdelfatah, Abeer Abdellatef, Amr Albitar
BACKGROUND: Endoscopic ultrasonography (EUS) has become an established method in diagnostic and therapeutic procedures in gastroenterology; however, it has recently gained a growing role in hepatology. AIM: To evaluate the role of EUS features, strain elastography (SE), and EUS-tissue acquisition in diagnosing hepatic focal lesions (HFLs) that could affect further management. METHODS: This cross-sectional study included 215 patients with pancreatic, biliary, or gastrointestinal malignancies referred for EUS examination...
September 20, 2023: World Journal of Methodology
https://read.qxmd.com/read/37731066/assessment-of-the-level-iii-of-inoue-by-preoperative-endoscopic-ultrasound-and-elastography-a-novel-approach-to-predict-a-periarterial-divestment-technique-in-borderline-resectable-br-or-locally-advanced-la-pancreatic-adenocarcinoma-how-i%C3%A2-do%C3%A2-it
#8
JOURNAL ARTICLE
Piero Alberti, Elizabeth Pando, Monder Abu-Suboh, Miquel Masachs, Xavier Merino, Maite Salcedo, Teresa Macarulla, Joaquin Balsells, Ramon Charco
BACKGROUND: Periarterial divestment is a surgical technique to approach borderline resectable (BR) or locally advanced (LA) pancreatic ductal adenocarcinoma (PDAC) with arterial involvement. There are no reports in the literature regarding the role of endoscopic ultrasound and elastography (EUS-EG) in exploring the integrity of Inoue's level III and its correlation with the periarterial divestment technique feasibility. Our research is aimed at exploring the role of EUS-EG in this scenario...
September 21, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37584779/the-diagnostic-accuracy-of-endoscopic-ultrasound-shear-wave-elastography-in-multiple-pancreatic-regions-for-chronic-pancreatitis-based-on-the-rosemont-criteria
#9
JOURNAL ARTICLE
Shuhei Shintani, Osamu Inatomi, Kosuke Hiroe, Yuki Tomozawa, Akitoshi Inoue, Hidenori Kimura, Atsushi Nishida, Yoshihisa Tsuji, Yoshiyuki Watanabe, Akira Andoh
PURPOSE: Although endoscopic ultrasound (EUS) has been widely used for diagnosing chronic pancreatitis (CP), the assessment of fibrosis using the Rosemont criteria (RC) is generally subjective. Shear wave elastography using EUS (EUS-SWE) has been advocated as an objective approach to evaluating pancreatic fibrosis; however, it is unknown which pancreatic region should be selected for measurement. This study aims to compare the diagnostic accuracy in diagnosing CP by measurement site. METHODS: Fifty patients with CP or suspected CP who underwent EUS-SWE were retrospectively analyzed...
August 16, 2023: Journal of Medical Ultrasonics
https://read.qxmd.com/read/37568927/clinical-applications-of-endobronchial-ultrasound-ebus-scope-challenges-and-opportunities
#10
REVIEW
Davide Biondini, Mariaenrica Tinè, Umberto Semenzato, Matteo Daverio, Francesca Scalvenzi, Erica Bazzan, Graziella Turato, Marco Damin, Paolo Spagnolo
Endobronchial Ultrasound (EBUS) has been widely used to stage lung tumors and to diagnose mediastinal diseases. In the last decade, this procedure has evolved in several technical aspects, with new tools available to optimize tissue sampling and to increase its diagnostic yield, like elastography, different types of needles and, most recently, miniforceps and cryobiopsy. Accordingly, the indications for the use of the EBUS scope into the airways to perform the Endobronchial Ultrasound-TransBronchial Needle Aspiration (EBUS-TBNA) has also extended beyond the endobronchial and thoracic boundaries to sample lesions from the liver, left adrenal gland and retroperitoneal lymph nodes via the gastroesophageal tract, performing the Endoscopic UltraSound with Bronchoscope-guided Fine Needle Aspiration (EUS-B-FNA)...
August 1, 2023: Diagnostics
https://read.qxmd.com/read/37554973/role-of-endoscopic-ultrasound-in-predicting-solid-pancreatic-lesions-using-strain-ratio-and-elastography
#11
JOURNAL ARTICLE
Kiran Bajaj, Taha Yaseen, Abbas Ali Tasneem, Syed Mudassir Laeeq, Ali Khalid, Nasir Hasan Luck, Nasir Mehmood, Sandeep Kumar, Muhammad Qaiser Panezai, Danish Kumar, Nadir Sattar, Nida Rasool, Reeaa Kumari
BACKGROUND: Despite advancement in imaging techniques, the diagnosis of solid pancreatic lesions (SPLs) remains challenging. The latest advancement in elastography permits the quantitative measurements of the average elasticity of a lesion. Therefore, our main aim of this study was to determine the utility of endoscopic ultrasound-guided elastography (EUS-EG) and strain ratio (EUS-SR) in predicting SPLs. MATERIALS AND METHODS: This cross-sectional study was performed at the Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation...
2023: Euroasian Journal of Hepato-Gastroenterology
https://read.qxmd.com/read/37523602/endoscopic-ultrasound-guided-shear-wave-elastography-is-safe-with-high-feasibility-and-reproducibility-when-used-in-the-pancreas-findings-from-a-prospective-cohort
#12
JOURNAL ARTICLE
Yazan Abboud, Katherine Kim, Jamil S Samaan, Clara Chen, Daniel Lew, Jenan Ghaith, Wendy Caldera, Mohamad Othman El Helou, Kenneth H Park, Quin Liu, Kapil Gupta, Rabindra Watson, Simon K Lo, Stephen J Pandol, Srinivas Gaddam
OBJECTIVES: The aim of this study was to assess the safety, feasibility, and reproducibility of endoscopic ultrasound shear wave elastography (EUS-SWE) in the pancreas. METHODS: This is a prospective registry of consecutive patients undergoing clinically indicated EUS. Ten readings of SWE velocities (Vs [distance/time, m/s]) were obtained in the head (HOP), body, and tail of pancreas to quantify tissue stiffness. Each Vs score was accompanied by a reliability measurement VsN (%) with VsN >50% considered reliable...
February 1, 2023: Pancreas
https://read.qxmd.com/read/37510744/the-latest-advancements-in-diagnostic-role-of-endosonography-of-pancreatic-lesions
#13
REVIEW
Jagoda Oliwia Rogowska, Łukasz Durko, Ewa Malecka-Wojciesko
Endosonography, a minimally invasive imaging technique, has revolutionized the diagnosis and management of pancreatic diseases. This comprehensive review highlights the latest advancements in endosonography of the pancreas, focusing on key technological developments, procedural techniques, clinical applications and additional techniques, which include real-time elastography endoscopic ultrasound, contrast-enhanced-EUS, EUS-guided fine-needle aspiration or EUS-guided fine-needle biopsy. EUS is well established for T-staging and N-staging of pancreaticobiliary malignancies, for pancreatic cyst discovery, for identifying subepithelial lesions (SEL), for differentiation of benign pancreaticobiliary disorders or for acquisition of tissue by EUS-guided fine-needle aspiration or EUS-guided fine-needle biopsy...
July 12, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37501507/apolipoprotein-a2-isoforms-associated-with-exocrine-pancreatic-insufficiency-in-early-chronic-pancreatitis
#14
JOURNAL ARTICLE
Seiji Futagami, Shuhei Agawa, Ken Nakamura, Yoshiyuki Watanabe, Mayu Habiro, Rie Kawawa, Hiroshi Yamawaki, Rina Tsushima, Kumiko Kirita, Teppei Akimoto, Nobue Ueki, Tanabe Tomohide, Norio Itokawa, Nami Suzuki, Yutaka Naito, Keiko Takeuchi, Ayumi Kashiro, Ryu Ohta, Satoshi Mizutani, Nobuhiko Taniai, Hiroshi Yoshida, Katsuhiko Iwakiri, Kazufumi Honda
BACKGROUND AND AIM: Apolipoprotein A2 (apoA2) isoforms have been reported to undergo the aberrant processing in pancreatic cancer and pancreatic risk populations compared with that in healthy subjects. This study aimed to clarify whether apoA2 isoforms were as useful as N-benzoyl-p-aminobenzoic acid (BT-PABA) test for exocrine pancreatic dysfunction markers in patients with early chronic pancreatitis (ECP). METHODS: Fifty consecutive patients with functional dyspepsia with pancreatic enzyme abnormalities (FD-P) (n = 18), with ECP (n = 20), and asymptomatic patients with pancreatic enzyme abnormalities (AP-P) (n = 12) based on the Rome IV classification and the Japan Pancreatic Association were enrolled in this study...
July 27, 2023: Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/37444495/using-endoscopy-in-the-diagnosis-of-pancreato-biliary-cancers
#15
REVIEW
Julia Chaves, Michael Fernandez Y Viesca, Marianna Arvanitakis
Pancreatic cancer and cholangiocarcinoma are life threatening oncological conditions with poor prognosis and outcome. Pancreatic cystic lesions are considered precursors of pancreatic cancer as some of them have the potential to progress to malignancy. Therefore, accurate identification and classification of these lesions is important to prevent the development of invasive cancer. In the biliary tract, the accurate characterization of biliary strictures is essential for providing appropriate management and avoiding unnecessary surgery...
June 28, 2023: Cancers
https://read.qxmd.com/read/37443568/eus-guided-diagnosis-of-gastric-subepithelial-lesions-what-is-new
#16
REVIEW
Thomas Vasilakis, Dimitrios Ziogas, Georgios Tziatzios, Paraskevas Gkolfakis, Eleni Koukoulioti, Christina Kapizioni, Konstantinos Triantafyllou, Antonio Facciorusso, Ioannis S Papanikolaou
Gastric subepithelial lesions (SELs) are intramural lesions that arise underneath the gastric mucosa. SELs can be benign, but can also be malignant or have malignant potential. Therefore, correct diagnosis is crucial. Endosonography has been established as the diagnostic gold standard. Although the identification of some of these lesions can be carried out immediately, solely based on their echo characteristics, for certain lesions histological examination is necessary. Sometimes histology can be inconclusive, especially for smaller lesions...
June 26, 2023: Diagnostics
https://read.qxmd.com/read/37424737/radiological-parameters-to-predict-pancreatic-texture-current-evidence-and-future-perspectives
#17
REVIEW
Raja Kalayarasan, Mandalapu Himaja, Ananthakrishnan Ramesh, Kathirvel Kokila
Preoperative prediction of the postoperative pancreatic fistula risk is critical in the current era of minimally invasive pancreatic surgeries to tailor perioperative management, thereby minimizing postoperative morbidity. Pancreatic duct diameter can be readily measured by any routine imaging used to diagnose pancreatic disease. However, radiological evaluation of pancreatic texture, an important determinant of pancreatic fistula, has not been widely used to predict the risk of postoperative pancreatic fistula...
June 28, 2023: World Journal of Radiology
https://read.qxmd.com/read/37378299/editorial-advancing-in-the-endoscopic-ultrasound-diagnosis-of-pancreatobiliary-diseases
#18
EDITORIAL
Pietro Fusaroli, Mamoru Takenaka, Yasunobu Yamashita
No abstract text is available yet for this article.
2023: Frontiers in Medicine
https://read.qxmd.com/read/37238280/approach-to-pancreatic-head-mass-in-the-background-of-chronic-pancreatitis
#19
REVIEW
Sidharth Harindranath, Sridhar Sundaram
Chronic pancreatitis (CP) is a known risk factor for pancreatic cancer. CP may present with an inflammatory mass, and differentiation from pancreatic cancer is often difficult. Clinical suspicion of malignancy dictates a need for further evaluation for underlying pancreatic cancer. Imaging modalities remain the mainstay of evaluation for a mass in background CP; however, they have their shortcomings. Endoscopic ultrasound (EUS) has become the go-to investigation. Adjunct modalities such as contrast-harmonic EUS and EUS elastography, as well as EUS-guided sampling using newer-generation needles are useful in differentiating inflammatory from malignant masses in the pancreas...
May 19, 2023: Diagnostics
https://read.qxmd.com/read/37238170/endoscopic-ultrasound-eus-guided-elastography
#20
REVIEW
Julio Iglesias-Garcia, Daniel de la Iglesia-Garcia, Jose Lariño-Noia, Juan Enrique Dominguez-Muñoz
Endoscopic ultrasound (EUS) is an essential technique for the management of several diseases. Over the years, new technologies have been developed to improve and overcome certain limitations related to EUS-guided tissue acquisition. Among these new methods, EUS-guided elastography, which is a real-time method for the evaluation of tissue stiffness, has arisen as one of the most widely recognized and available. At present, there are available two different systems to perform an elastographic evaluation: strain elastography and shear wave elastography...
May 10, 2023: Diagnostics
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