Endoscopic ultrasonography: Enhancing diagnostic accuracy

Best Pract Res Clin Gastroenterol. 2022 Sep-Dec:60-61:101808. doi: 10.1016/j.bpg.2022.101808. Epub 2022 Nov 20.

Abstract

Endoscopic ultrasound (EUS) is an essential technique for the management of several diseases. Over the years, new technologies have been developed because to improve and overcome certain limitations related to EUS guided tissue acquisition. Among these new methods, EUS guided elastography and contrast enhanced EUS has arisen as the most widely recognized and available. We will review in this manuscript the different techniques of elastography and contrast enhancement. Nowadays, there are well establish indications for advance imaging, mainly for supporting the management of pancreatic diseases (diagnosis of chronic pancreatitis and differential diagnosis of solid and cystic pancreatic tumors) and characterization of lymph nodes. However, there are more data on new potential indications for the near future.

Keywords: Advance imaging; Contrast enhancement; Diagnosis; Elastography; Endoscopic ultrasound.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Endosonography / methods
  • Humans
  • Pancreatic Diseases* / pathology
  • Pancreatic Neoplasms* / diagnostic imaging
  • Pancreatic Neoplasms* / pathology
  • Pancreatitis, Chronic* / diagnostic imaging
  • Pancreatitis, Chronic* / pathology