Recent Advances in Endosonography—Elastography: Literature Review

Journal of Clinical Medicine

卷:10

Atsushi Irisawa¹  Makoto Iijima¹  Kenichi Goda¹  Ken Kashima¹  Akane Yamabe¹  Yoshitsugu Yoshida¹  Keiichi Tominaga¹  Akira Yamamiya¹  Fumi Sakuma¹  Koki Hoshi¹  Naoya Izawa¹  Takahito Minaguchi¹  Kazunori Nagashima¹  Masamichi Yamaura¹  Yasuhito Kunogi¹ 

[1] Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan;

关键词: autoimmune pancreatitis;    chronic pancreatitis;    endoultrasonography;    gastro-intestinal lesion;    lymph node;    pancreatic solid lesion;   

DOI  :  10.3390/jcm10163739

来源: DOAJ

【 摘 要 】

Ultrasonographic elastography is a modality used to visualize the elastic properties of tissues. Technological advances in ultrasound equipment have supported the evaluation of elastography (EG) in endosonography (EUS). Currently, the usefulness of not only EUS-strain elastography (EUS-SE) but also EUS-shear wave elastography (EUS-SWE) has been reported. We reviewed the literature on the usefulness of EUS-EG for various diseases such as chronic pancreatitis, pancreatic solid lesion, autoimmune pancreatitis, lymph node, and gastrointestinal and subepithelial lesions. The importance of this new diagnostic parameter, “tissue elasticity” in clinical practice might be applied not only to the diagnosis of liver fibrosis but also to the elucidation of the pathogeneses of various gastrointestinal diseases, including pancreatic diseases, and to the evaluation of therapeutic effects. The most important feature of EUS-EG is that it is a non-invasive modality. This is an advantage not found in EUS-guided fine needle aspiration (EUS-FNA), which has made remarkable progress in the field of diagnostics in recent years. Further development of artificial intelligence (AI) is expected to improve the diagnostic performance of EUS-EG. Future research on EUS-EG is anticipated.

【 授权许可】

Unknown