Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Pancreatic cancer

Image enhancement by endoscopic ultrasonography-elastography

Elastography has been shown to increase the accuracy of endoscopic ultrasonography for the differential diagnosis of pancreatic masses. Recent data have led to questions about the validity of its use in a routine clinical setting, outside controlled studies. Further improvements of the technique are needed to increase the reproducibility of its results and make it a useful clinical tool.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. National Comprehensive Cancer Network (NCCN). Clinical practice guidelines in oncology (NCCN guidelines®). Pancreatic adenocarcinoma. Version 2 [online], (2012).

  2. Eloubeidi, M. A., Tamhane, A., Varadarajulu, S. & Wilcox, C. M. Frequency of major complications after EUS-guided FNA of solid pancreatic masses: a prospective evaluation. Gastrointest. Endosc. 63, 622–629 (2006).

    Article  Google Scholar 

  3. Fusaroli, P., Saftoiu, A., Mancino, M. G., Caletti, G. & Eloubeidi, M. A. Techniques of image enhancement in EUS (with videos). Gastrointest. Endosc. 74, 645–655 (2011).

    Article  Google Scholar 

  4. Saftoiu, A. & Vilmann, P. Endoscopic ultrasound elastography—a new imaging technique for the visualization of tissue elasticity distribution. J. Gastrointest. Liver Dis. 15, 161–165 (2006).

    Google Scholar 

  5. Janssen, J., Schlörer, E. & Greiner, L. EUS elastography of the pancreas: feasibility and pattern description of the normal pancreas, chronic pancreatitis, and focal pancreatic lesions. Gastrointest. Endosc. 65, 971–978 (2007).

    Article  Google Scholar 

  6. Iglesias-Garcia, J., Larino-Noia, J., Abdulkader, I., Forteza, J. & Dominguez-Munoz, J. E. Quantitative endoscopic ultrasound elastography: an accurate method for the differentiation of solid pancreatic masses. Gastroenterology 139, 1172–1180 (2010).

    Article  Google Scholar 

  7. Dawwas, M. F., Taha, H., Leeds, J. S., Nayar, M. K. & Oppong, K. W. Diagnostic accuracy of quantitative EUS elastography for discriminating malignant from benign solid pancreatic masses: a prospective, single-center study. Gastrointest. Endosc. http://dx.doi.org/10.1016/j.gie.2012.05.034.

  8. Savides, T. J. et al. EUS-guided FNA diagnostic yield of malignancy in solid pancreatic masses: a benchmark for quality performance measurement. Gastrointest. Endosc. 66, 277–282 (2007).

    Article  Google Scholar 

  9. Sa˘ftoiu, A. et al. Accuracy of endoscopic ultrasound elastography used for differential diagnosis of focal pancreatic masses: a multicenter study. Endoscopy 43, 596–603 (2011).

    Article  Google Scholar 

  10. Sa˘ftoiu, A. et al. European EUS Elastography Multicentric Study Group. Efficacy of an artificial neural network-based approach to endoscopic ultrasound elastography in diagnosis of focal pancreatic masses. Clin. Gastroenterol. Hepatol. 10, 84–90 (2012).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohamad A. Eloubeidi.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fusaroli, P., Eloubeidi, M. Image enhancement by endoscopic ultrasonography-elastography. Nat Rev Gastroenterol Hepatol 9, 623–624 (2012). https://doi.org/10.1038/nrgastro.2012.193

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrgastro.2012.193

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing