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Published in: International Journal of Colorectal Disease 3/2006

01-04-2006 | Original Article

Echo-enhanced ultrasound—a new imaging modality for the differentiation of pancreatic lesions

Authors: Steffen Rickes, Peter Malfertheiner

Published in: International Journal of Colorectal Disease | Issue 3/2006

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Abstract

Introduction

Echo-enhanced ultrasound is a newly available mode of imaging for differential diagnosis of pancreatic tumours. Ductal carcinomas are often hypovascularised compared with the surrounding tissue. Neuroendocrine tumours, on the other hand, are hypervascularised lesions. Tumours associated with pancreatitis have a different vascularisation pattern depending on inflammation and necrosis. Cystadenomas frequently have many vessels along the fibrotic strands.

Results

Data from prospective studies have demonstrated, on the basis of these imaging criteria, that the sensitivity and specificity of echo-enhanced sonography for differentiation of pancreatic masses are ≥85 and ≥90%, respectively.

Conclusions

Pancreatic tumours have a different vascularisation pattern in echo-enhanced ultrasound. These characteristics can be used with high diagnostic accuracy for differential diagnosis.
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Metadata
Title
Echo-enhanced ultrasound—a new imaging modality for the differentiation of pancreatic lesions
Authors
Steffen Rickes
Peter Malfertheiner
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 3/2006
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-004-0725-y

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