Endoscopic ultrasound features of chronic pancreatitis: A pictorial review
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Endoscopic ultrasound features of chronic pancreatitis : A pictorial review. / Rana, Surinder Singh; Vilmann, Peter.
In: Endoscopic Ultrasound, Vol. 4, No. 1, 2015, p. 10-4.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Endoscopic ultrasound features of chronic pancreatitis
T2 - A pictorial review
AU - Rana, Surinder Singh
AU - Vilmann, Peter
PY - 2015
Y1 - 2015
N2 - As endoscopic ultrasound (EUS) is the most sensitive imaging modality for diagnosing pancreatic disorders, it can demonstrate subtle alterations in the pancreatic parenchymal and ductal structure even before traditional imaging and functional testing demonstrate any abnormality. In spite of this fact and abundant literature, the exact role of EUS in the diagnosis of chronic pancreatitis (CP) is still not established. The EUS features to diagnose CP have evolved over a period from a pure qualitative approach to more advanced and complicated scoring systems incorporating multiple parenchymal and ductal EUS features. The rosemont criteria have attempted to define precisely each EUS criterion and thus have good inter-observer agreement. However, initial studies have failed to demonstrate any significant improvement in the inter-observer variability and further validation studies are needed to define the exact role of these criteria. The measurement of strain ratio using quantitative EUS elastography and thus allowing quantification of pancreatic fibrosis seems to be a promising new technique.
AB - As endoscopic ultrasound (EUS) is the most sensitive imaging modality for diagnosing pancreatic disorders, it can demonstrate subtle alterations in the pancreatic parenchymal and ductal structure even before traditional imaging and functional testing demonstrate any abnormality. In spite of this fact and abundant literature, the exact role of EUS in the diagnosis of chronic pancreatitis (CP) is still not established. The EUS features to diagnose CP have evolved over a period from a pure qualitative approach to more advanced and complicated scoring systems incorporating multiple parenchymal and ductal EUS features. The rosemont criteria have attempted to define precisely each EUS criterion and thus have good inter-observer agreement. However, initial studies have failed to demonstrate any significant improvement in the inter-observer variability and further validation studies are needed to define the exact role of these criteria. The measurement of strain ratio using quantitative EUS elastography and thus allowing quantification of pancreatic fibrosis seems to be a promising new technique.
U2 - 10.4103/2303-9027.151314
DO - 10.4103/2303-9027.151314
M3 - Review
C2 - 25789279
VL - 4
SP - 10
EP - 14
JO - Endoscopic Ultrasound
JF - Endoscopic Ultrasound
SN - 2226-7190
IS - 1
ER -
ID: 162695933