Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer

Accumulated evidence has revealed that endoscopic ultrasonography (EUS) has had a great impact on the clinical evaluation of pancreatic cancers. EUS can provide high-resolution images of the pancreas with a quality regarded as far surpassing that achieved on transabdominal ultrasound (US), computed...

Full description

Saved in:
Bibliographic Details
Published in:Journal of gastroenterology 2019-01, Vol.54 (1), p.19-32
Main Authors: Kitano, Masayuki, Yoshida, Takeichi, Itonaga, Masahiro, Tamura, Takashi, Hatamaru, Keiichi, Yamashita, Yasunobu
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cancer
Colorectal Surgery
Computed tomography
Diagnosis
Diagnosis, Differential
Differential diagnosis
Elasticity Imaging Techniques - methods
Endoscopic ultrasonography
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Endoscopy
Endosonography - methods
Gastroenterology
Hepatology
Humans
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical diagnosis
Medicine
Medicine & Public Health
Neoplasm Staging
NMR
Nuclear magnetic resonance
Pancreatic cancer
Pancreatic Diseases - diagnosis
Pancreatic Diseases - pathology
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - pathology
Review
Surgical Oncology
Tomography, X-Ray Computed - methods
Ultrasonic imaging
Ultrasound
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Accumulated evidence has revealed that endoscopic ultrasonography (EUS) has had a great impact on the clinical evaluation of pancreatic cancers. EUS can provide high-resolution images of the pancreas with a quality regarded as far surpassing that achieved on transabdominal ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI). EUS is particularly useful for the detection of small pancreatic lesions, while EUS and its related techniques such as contrast-enhanced EUS (CE-EUS), EUS elastography, and EUS-guided fine needle aspiration (EUS-FNA) are also useful in the differential diagnosis of solid or cystic pancreatic lesions and the staging (T-staging, N-staging, and M-staging) of pancreatic cancers. In the diagnosis of pancreatic lesions, CE-EUS and EUS elastography play a complementary role to conventional EUS. When sampling is performed using EUS-FNA, CE-EUS and EUS elastography provide information on the target lesions. Thus, conventional EUS, CE-EUS, EUS elastography, and EUS-FNA are essential in the clinical investigation of pancreatic cancer.
ISSN:0944-1174
1435-5922
DOI:10.1007/s00535-018-1519-2