Video illustration on the detection and characterization of a small pancreatic cancer by a combination of conventional endoscopic ultrasound (EUS), contrast enhanced harmonic EUS (CEH-EUS) and elastography

ASVIDE ◽  
2016 ◽  
Vol 3 ◽  
pp. 283-283
Author(s):  
Charing C. N. Chong ◽  
Raymond S. Y. Tang ◽  
John C. T. Wong ◽  
Anthony W. H. Chan ◽  
Anthony Y. B. Teoh
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Ultrasound ◽  
Contrast Enhanced ◽  
Small Pancreatic Cancer

scholarly journals Vascularisation Pattern of Chronic Pancreatitis Compared with Pancreatic Carcinoma: Results from Contrast-Enhanced Endoscopic Ultrasound

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Michael Hocke ◽  
Christoph F. Dietrich
Keyword(s):  
Pancreatic Cancer ◽  
Chronic Pancreatitis ◽  
Pancreatic Carcinoma ◽  
Endoscopic Ultrasound ◽  
Clinical Medicine ◽  
Pancreatic Tissue ◽  
Mechanical Index ◽  
Contrast Enhanced ◽  
Inflammatory Processes ◽  
Doppler Techniques

Discriminating between focal chronic pancreatitis and pancreatic cancer is always a challenge in clinical medicine. Contrast-enhanced endoscopic ultrasound using Doppler techniques can uniquely reveal different vascularisation patterns in pancreatic tissue alterated by chronic inflammatory processes and even allows a discrimination from pancreatic cancer. This paper will describe the basics of contrast-enhanced high mechanical index endoscopic ultrasound (CEHMI EUS) and contrast enhanced low mechanical index endoscopic ultrasound (CELMI EUS) and explain the pathophysiological differences of the vascularisation of chronic pancreatitis and pancreatic carcinoma. Furthermore it will discuss how to use these techniques in daily clinical practice.

scholarly journals Utility of Contrast-Enhanced Harmonic Endoscopic Ultrasonography for Early Diagnosis of Small Pancreatic Cancer

Diagnostics ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 23 ◽  
Author(s):  
Yasunobu Yamashita ◽  
Kensuke Tanioka ◽  
Yuki Kawaji ◽  
Takashi Tamura ◽  
Junya Nuta ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Early Diagnosis ◽  
Endoscopic Ultrasonography ◽  
Multidetector Row Computed Tomography ◽  
Diagnostic Ability ◽  
Contrast Enhanced ◽  
Magnetic Resonance Imaging Mri ◽  
Pancreatic Solid Lesion ◽  
Small Pancreatic Cancer ◽  
Sensitivity Specificity

This study aimed to assess whether contrast-enhanced harmonic endoscopic ultrasonography (CH-EUS), compared to multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI), is useful for early diagnosis of small pancreatic cancer (PC). Between March 2010 and June 2018, all three imaging modalities and surgery were performed for patients with a pancreatic solid lesion measuring ≤20 mm; diagnostic ability was compared among modalities. Fifty-one of 60 patients were diagnosed with PC (PC size in 41 patients: 11–20 mm; 10 patients: ≤10 mm). The sensitivity, specificity, and accuracy of CH-EUS, MDCT, and MRI for PC (11–20 mm) detection were 95%/83%/94%, 78%/83%/79%, and 73%/33%/68%, respectively. The diagnostic ability of CH-EUS was significantly superior compared with MDCT and MRI (p = 0.002 and p = 0.007, respectively). The sensitivity, specificity, and accuracy of CH-EUS, MDCT, and MRI for PC (≤10 mm) detection were 70%/100%/77%, 20%/100%/38%, and 50%/100%/62%, respectively. The diagnostic ability of CH-EUS tended to be superior to that of MDCT (p = 0.025). The sensitivity of MDCT for PC (≤10 mm) detection was significantly lower than that for PC (11–20 mm) detection (20% vs. 78%; p = 0.001). CH-EUS, compared to MDCT and MRI, is useful for diagnosing small PCs.

scholarly journals Contrast-enhanced endoscopic ultrasound in discrimination between focal pancreatitis and pancreatic cancer

2006 ◽  
Vol 12 (2) ◽  
pp. 246 ◽  
Author(s):  
Michael Hocke ◽  
Ewald Schulze ◽  
Peter Gottschalk ◽  
Theodor Topalidis ◽  
Christoph F Dietrich
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Ultrasound ◽  
Contrast Enhanced

Su1310 Contrast Enhanced Endoscopic Ultrasound in Differential Diagnosis between Autoimmune Pancreatitis and Pancreatic Cancer

2016 ◽  
Vol 83 (5) ◽  
pp. AB347
Author(s):  
Min Keun Cho ◽  
Tae Jun Song ◽  
Kwangwoo Nam ◽  
Dongwook Oh ◽  
Do Hyun Park ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Differential Diagnosis ◽  
Endoscopic Ultrasound ◽  
Autoimmune Pancreatitis ◽  
Contrast Enhanced
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