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Published in: Journal of Medical Ultrasonics 3/2020

01-07-2020 | Ultrasound | Special Feature: Review Article

Endoscopic ultrasonography for the evaluation of pancreatic cystic neoplasms

Authors: Eizaburo Ohno, Yoshiki Hirooka, Hiroki Kawashima, Takuya Ishikawa, Mitsuhiro Fujishiro

Published in: Journal of Medical Ultrasonics | Issue 3/2020

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Abstract

Endoscopic ultrasonography (EUS) is a modality with high spatial resolution that enables comprehensive observation of the entire pancreas and plays an important role in the diagnosis of pancreatic lesions. Recent advances in diagnostic imaging methods such as ultrasound, computed tomography, and magnetic resonance imaging have increased the incidental detection of pancreatic cystic lesions (PCLs). EUS has been recognized as an essential diagnostic method for the detection and evaluation of PCLs. EUS has two important roles: as a detailed (high-resolution) imaging diagnostic method and as an approach for collecting cyst fluid content by EUS-guided fine needle aspiration for pathological diagnosis or biomarker evaluation. Furthermore, in recent years, the usefulness of contrast-enhanced EUS for the differential diagnosis of PCLs or evaluation of grade of malignancy, and a novel imaging technique called needle-based confocal laser endomicroscopy to observe intraductal structures through a needle, has been reported. An understanding of the morphological characteristics of PCLs depicted by ultrasound imaging and of the benefits and limitations of EUS diagnosis in daily practice is needed.
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Metadata
Title
Endoscopic ultrasonography for the evaluation of pancreatic cystic neoplasms
Authors
Eizaburo Ohno
Yoshiki Hirooka
Hiroki Kawashima
Takuya Ishikawa
Mitsuhiro Fujishiro
Publication date
01-07-2020
Publisher
Springer Singapore
Published in
Journal of Medical Ultrasonics / Issue 3/2020
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-019-00980-0

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