Endoscopic Ultrasound for Detection of Liver Metastasis: Hope or Hype?

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY Journal of Digestive Endoscopy Pub Date : 2021-06-03 DOI:10.1055/s-0041-1728234
A. Singh, S. Rana
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Abstract

Abstract Transabdominal ultrasonography, contrast-enhanced computed tomography, and magnetic resonance imaging (MRI) are the common diagnostic tests for the detection of hepatic lesions. Use of enhanced and advanced MRI technique, that is, diffusion weighted MRI and hepatocyte-specific contrast agents, has further improved the accuracy of detection of metastatic liver lesions ≤10 mm in diameter. However, even with these advanced imaging modalities sensitivity is low for lesions smaller than 10 mm when compared with standard intraoperative ultrasound. Endoscopic ultrasound (EUS) is an emerging imaging modality with resolution sufficient to detect and sample lesions as small as 5 mm in diameter. In this news and views, we have discussed the role of standard and enhanced EUS for the detection of metastatic liver lesions.
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内镜超声检测肝转移:希望还是炒作?
摘要经腹部超声检查、增强计算机断层扫描和磁共振成像(MRI)是检测肝脏病变的常见诊断测试。使用增强和先进的MRI技术,即扩散加权MRI和肝细胞特异性造影剂,进一步提高了直径≤10mm的转移性肝病变的检测准确性。然而,即使使用这些先进的成像模式,与标准术中超声相比,小于10mm的病变的灵敏度也很低。内窥镜超声(EUS)是一种新兴的成像方式,其分辨率足以检测和采样直径小至5毫米的病变。在这篇新闻和观点中,我们讨论了标准和增强EUS在检测转移性肝损伤中的作用。
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来源期刊
Journal of Digestive Endoscopy
Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
自引率
28.60%
发文量
35
审稿时长
22 weeks
期刊介绍: The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.
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