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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 80 - 88 (9page)
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초록· 키워드
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Background/Aims: Recent studies have revealed that contrast-enhanced harmonic endoscopic ultrasonography (CEH-EUS) isbeneficial in the differential diagnosis of malignant neoplasms of the pancreas and gallbladder from benign masses, in terms ofthe evaluation of microvasculature and real-time perfusion. In this study, we aimed to prove the clinical value of CEH-EUS in thedifferential diagnosis of pancreatic and gallbladder masses by direct comparison with that of conventional EUS. Methods: We reviewed the sonographic images and medical information of 471 patients who underwent conventional EUS andCEH-EUS for the diagnosis of pancreatic and gallbladder masses at a single medical center (Severance Hospital, Seoul, Korea)between March 2010 and March 2016. Results: The enhancement pattern of CEH-EUS of the pancreatic solid masses showed higher sensitivity and specificity indifferentiating pancreatic adenocarcinoma and neuroendocrine tumors (82.0% and 87.9% for pancreatic adenocarcinoma and 81.1%and 90.9% for neuroendocrine tumors, respectively), and the area under the receiver operating characteristic curves was higherthan that of conventional EUS. The enhancement texture of CEH-EUS of the gallbladder masses showed a higher sensitivity indifferentiating malignant masses than that of conventional EUS; however, the difference between the areas under the receiver operatingcharacteristic curves was not statistically significant. Conclusions: CEH-EUS can complement conventional EUS in the diagnosis of pancreatic and gallbladder masses, in terms of thelimitations of the latter.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
DeWitt J / 2004 / Comparison of endoscopic ultrasonography and multidetector computed tomography for detecting and staging pancreatic cancer / Ann Intern Med 141:753~763
Ngamruengphong S / 2010 / EUS and survival in patients with pancreatic cancer: a population-based study / Gastrointest Endosc 72:78~83
Khashab MA / 2011 / EUS is still superior to multidetector computerized tomography for detection of pancreatic neuroendocrine tumors / Gastrointest Endosc 73:691~696
Ishikawa T / 2010 / Usefulness of EUS combined with contrast-enhancement in the differential diagnosis of malignant versus benign and preoperative localization of pancreatic endocrine tumors / Gastrointest Endosc 71:951~959
Sakamoto H / 2008 / Utility of contrast-enhanced endoscopic ultrasonography for diagnosis of small pancreatic carcinomas / Ultrasound Med Biol 34:525~532
Ngamruengphong S / 2010 / EUS and survival in patients with pancreatic cancer: a population-based study / Gastrointest Endosc 72:78~83
Khashab MA / 2011 / EUS is still superior to multidetector computerized tomography for detection of pancreatic neuroendocrine tumors / Gastrointest Endosc 73:691~696
Ishikawa T / 2010 / Usefulness of EUS combined with contrast-enhancement in the differential diagnosis of malignant versus benign and preoperative localization of pancreatic endocrine tumors / Gastrointest Endosc 71:951~959
Sakamoto H / 2008 / Utility of contrast-enhanced endoscopic ultrasonography for diagnosis of small pancreatic carcinomas / Ultrasound Med Biol 34:525~532
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