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First case report of pancreatic angiomyolipoma diagnosed by EUS-guided fine-needle biopsy 首例通过 EUS 引导下细针活检确诊的胰腺血管肌脂肪瘤病例报告
Pub Date : 2024-07-16 DOI: 10.1097/eus.0000000000000065
F. Vara-Luiz, M. Patita, P. Pinto-Marques, I. Mendes, Ana Ramos Canastra
{"title":"First case report of pancreatic angiomyolipoma diagnosed by EUS-guided fine-needle biopsy","authors":"F. Vara-Luiz, M. Patita, P. Pinto-Marques, I. Mendes, Ana Ramos Canastra","doi":"10.1097/eus.0000000000000065","DOIUrl":"https://doi.org/10.1097/eus.0000000000000065","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EUS-guided hepaticojejunostomy for biliary obstruction in near-total gastrectomy with Roux-en-Y: Trials and tribulations (with videos) EUS 引导下的肝空肠吻合术治疗 Roux-en-Y 近全胃切除术中的胆道梗阻:考验与磨难(附视频)
Pub Date : 2024-07-16 DOI: 10.1097/eus.0000000000000067
Jeong Hoon Kim, Jade Wang, K. Hassan, Reem Z. Sharaiha, S. Mahadev, Kartik Sampath
{"title":"EUS-guided hepaticojejunostomy for biliary obstruction in near-total gastrectomy with Roux-en-Y: Trials and tribulations (with videos)","authors":"Jeong Hoon Kim, Jade Wang, K. Hassan, Reem Z. Sharaiha, S. Mahadev, Kartik Sampath","doi":"10.1097/eus.0000000000000067","DOIUrl":"https://doi.org/10.1097/eus.0000000000000067","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EUS-assisted preoperative diagnosis of immunoglobulin G4–related cholecystitis mimicking gallbladder cancer in a Mirizzi syndrome case 在一例米利兹综合征病例中,通过 EUS 辅助对模仿胆囊癌的免疫球蛋白 G4 相关性胆囊炎进行术前诊断
Pub Date : 2024-02-05 DOI: 10.1097/eus.0000000000000050
Xiao-Chao Wu, L. Miao, Su-Min Zhu, Kai-Xuan Wang
{"title":"EUS-assisted preoperative diagnosis of immunoglobulin G4–related cholecystitis mimicking gallbladder cancer in a Mirizzi syndrome case","authors":"Xiao-Chao Wu, L. Miao, Su-Min Zhu, Kai-Xuan Wang","doi":"10.1097/eus.0000000000000050","DOIUrl":"https://doi.org/10.1097/eus.0000000000000050","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139803000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EUS-assisted preoperative diagnosis of immunoglobulin G4–related cholecystitis mimicking gallbladder cancer in a Mirizzi syndrome case 在一例米利兹综合征病例中,通过 EUS 辅助对模仿胆囊癌的免疫球蛋白 G4 相关性胆囊炎进行术前诊断
Pub Date : 2024-02-05 DOI: 10.1097/eus.0000000000000050
Xiao-Chao Wu, L. Miao, Su-Min Zhu, Kai-Xuan Wang
{"title":"EUS-assisted preoperative diagnosis of immunoglobulin G4–related cholecystitis mimicking gallbladder cancer in a Mirizzi syndrome case","authors":"Xiao-Chao Wu, L. Miao, Su-Min Zhu, Kai-Xuan Wang","doi":"10.1097/eus.0000000000000050","DOIUrl":"https://doi.org/10.1097/eus.0000000000000050","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EUS-guided pancreaticojejunostomy under gel immersion for pancreaticojejunal anastomotic stricture (with video) 凝胶浸泡下的 EUS 引导胰空肠吻合术治疗胰空肠吻合口狭窄(附视频)
Pub Date : 2024-02-05 DOI: 10.1097/eus.0000000000000045
Y. Kuraishi, K. Hara, S. Haba, Takamichi Kuwahara, Nozomi Okuno
{"title":"EUS-guided pancreaticojejunostomy under gel immersion for pancreaticojejunal anastomotic stricture (with video)","authors":"Y. Kuraishi, K. Hara, S. Haba, Takamichi Kuwahara, Nozomi Okuno","doi":"10.1097/eus.0000000000000045","DOIUrl":"https://doi.org/10.1097/eus.0000000000000045","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139863365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EUS-guided pancreaticojejunostomy under gel immersion for pancreaticojejunal anastomotic stricture (with video) 凝胶浸泡下的 EUS 引导胰空肠吻合术治疗胰空肠吻合口狭窄(附视频)
Pub Date : 2024-02-05 DOI: 10.1097/eus.0000000000000045
Y. Kuraishi, K. Hara, S. Haba, Takamichi Kuwahara, Nozomi Okuno
{"title":"EUS-guided pancreaticojejunostomy under gel immersion for pancreaticojejunal anastomotic stricture (with video)","authors":"Y. Kuraishi, K. Hara, S. Haba, Takamichi Kuwahara, Nozomi Okuno","doi":"10.1097/eus.0000000000000045","DOIUrl":"https://doi.org/10.1097/eus.0000000000000045","url":null,"abstract":"","PeriodicalId":503969,"journal":{"name":"Endoscopic Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139803218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A risk-scoring model based on endobronchial ultrasound multimodal imaging for predicting metastatic lymph nodes in lung cancer patients 基于支气管内超声多模态成像预测肺癌患者转移性淋巴结的风险评分模型
Pub Date : 2024-02-01 DOI: 10.1097/eus.0000000000000051
Zhihong Huang, Lei Wang, Junxiang Chen, Xinxin Zhi, Jiayuan Sun
Endobronchial ultrasound (EBUS) imaging is a valuable tool for predicting lymph node (LN) metastasis in lung cancer patients. This study aimed to develop a risk-scoring model based on EBUS multimodal imaging (grayscale, Doppler mode, elastography) to predict LN metastasis in lung cancer patients. This retrospective study analyzed 350 metastatic LNs in 314 patients with lung cancer and 124 reactive LNs in 96 patients with nonspecific inflammation. The sonographic findings were compared with the final pathology results and clinical follow-up. Univariate and multivariate logistic regression analyses were performed to evaluate the independent risk factors of metastatic LNs. According to the β coefficients of corresponding indicators in logistic regression analysis, a risk-scoring model was established. Receiver operating characteristic curve was applied to evaluate the predictive capability of model. Multivariate analysis showed that short axis >10 mm, distinct margin, absence of central hilar structure, presence of necrosis, nonhilar vascularity, and elastography score 4 to 5 were independent predictors of metastatic LNs. Both short axis and margin were scored 1 point, and the rest of independent predictors were scored 2 points. The combination of 3 EBUS modes had the highest area under the receiver operating characteristic and accuracy of 0.884 (95% confidence interval, 0.846–0.922) and 87.55%, respectively. The risk stratification was as follows: 0 to 2 points, malignancy rate of 11.11%, low suspicion; 3 to 10 points, malignancy rate of 86.77%, high suspicion. The risk-scoring model based on EBUS multimodal imaging can effectively evaluate metastatic LNs in lung cancer patients to support clinical decision making.
支气管内超声(EBUS)成像是预测肺癌患者淋巴结(LN)转移的重要工具。本研究旨在开发一种基于 EBUS 多模态成像(灰度、多普勒模式、弹性成像)的风险评分模型,以预测肺癌患者的淋巴结转移。 这项回顾性研究分析了 314 名肺癌患者的 350 个转移性 LN 和 96 名非特异性炎症患者的 124 个反应性 LN。声像图结果与最终病理结果和临床随访结果进行了比较。进行了单变量和多变量逻辑回归分析,以评估转移性 LN 的独立风险因素。根据逻辑回归分析中相应指标的β系数,建立了风险评分模型。应用接收者操作特征曲线评价模型的预测能力。 多变量分析表明,短轴>10毫米、边缘明显、无中央肝门结构、存在坏死、无肝门血管、弹性成像评分4至5分是转移性LN的独立预测指标。短轴和边缘均得 1 分,其余独立预测因子得 2 分。三种 EBUS 模式的组合具有最高的接收者操作特征下面积和准确率,分别为 0.884(95% 置信区间,0.846-0.922)和 87.55%。风险分层如下0 至 2 分,恶性率为 11.11%,低度怀疑;3 至 10 分,恶性率为 86.77%,高度怀疑。 基于 EBUS 多模态成像的风险评分模型可有效评估肺癌患者的转移性 LN,为临床决策提供支持。
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引用次数: 0
A risk-scoring model based on endobronchial ultrasound multimodal imaging for predicting metastatic lymph nodes in lung cancer patients 基于支气管内超声多模态成像预测肺癌患者转移性淋巴结的风险评分模型
Pub Date : 2024-02-01 DOI: 10.1097/eus.0000000000000051
Zhihong Huang, Lei Wang, Junxiang Chen, Xinxin Zhi, Jiayuan Sun
Endobronchial ultrasound (EBUS) imaging is a valuable tool for predicting lymph node (LN) metastasis in lung cancer patients. This study aimed to develop a risk-scoring model based on EBUS multimodal imaging (grayscale, Doppler mode, elastography) to predict LN metastasis in lung cancer patients. This retrospective study analyzed 350 metastatic LNs in 314 patients with lung cancer and 124 reactive LNs in 96 patients with nonspecific inflammation. The sonographic findings were compared with the final pathology results and clinical follow-up. Univariate and multivariate logistic regression analyses were performed to evaluate the independent risk factors of metastatic LNs. According to the β coefficients of corresponding indicators in logistic regression analysis, a risk-scoring model was established. Receiver operating characteristic curve was applied to evaluate the predictive capability of model. Multivariate analysis showed that short axis >10 mm, distinct margin, absence of central hilar structure, presence of necrosis, nonhilar vascularity, and elastography score 4 to 5 were independent predictors of metastatic LNs. Both short axis and margin were scored 1 point, and the rest of independent predictors were scored 2 points. The combination of 3 EBUS modes had the highest area under the receiver operating characteristic and accuracy of 0.884 (95% confidence interval, 0.846–0.922) and 87.55%, respectively. The risk stratification was as follows: 0 to 2 points, malignancy rate of 11.11%, low suspicion; 3 to 10 points, malignancy rate of 86.77%, high suspicion. The risk-scoring model based on EBUS multimodal imaging can effectively evaluate metastatic LNs in lung cancer patients to support clinical decision making.
支气管内超声(EBUS)成像是预测肺癌患者淋巴结(LN)转移的重要工具。本研究旨在开发一种基于 EBUS 多模态成像(灰度、多普勒模式、弹性成像)的风险评分模型,以预测肺癌患者的淋巴结转移。 这项回顾性研究分析了 314 名肺癌患者的 350 个转移性 LN 和 96 名非特异性炎症患者的 124 个反应性 LN。声像图结果与最终病理结果和临床随访结果进行了比较。进行了单变量和多变量逻辑回归分析,以评估转移性 LN 的独立风险因素。根据逻辑回归分析中相应指标的β系数,建立了风险评分模型。应用接收者操作特征曲线评价模型的预测能力。 多变量分析表明,短轴>10毫米、边缘明显、无中央肝门结构、存在坏死、无肝门血管、弹性成像评分4至5分是转移性LN的独立预测指标。短轴和边缘均得 1 分,其余独立预测因子得 2 分。三种 EBUS 模式的组合具有最高的接收者操作特征下面积和准确率,分别为 0.884(95% 置信区间,0.846-0.922)和 87.55%。风险分层如下0 至 2 分,恶性率为 11.11%,低度怀疑;3 至 10 分,恶性率为 86.77%,高度怀疑。 基于 EBUS 多模态成像的风险评分模型可有效评估肺癌患者的转移性 LN,为临床决策提供支持。
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引用次数: 0
EUS–guided radiofrequency ablation of solid pancreatic lesions: An updated review EUS 引导下的胰腺实变射频消融术:最新综述
Pub Date : 2024-02-01 DOI: 10.1097/eus.0000000000000036
A. Ofosu, Daryl Ramai, Amanda D Morgan, Christina Chan, Douglas G. Adler, Ali Siddiqui
Recent years have brought to light newly developed therapeutic modalities for the treatment of premalignant and malignant pancreatic lesions. The role of EUS–guided radiofrequency ablation (EUS-RFA) as a treatment modality for malignant pancreatic lesions is still under evaluation. Several animal studies and human studies have demonstrated the safety and efficacy of EUS-RFA in the management of premalignant and malignant pancreatic lesions. EUS-RFA therapy can potentially ablate these lesions safely and with minimally invasive techniques. In this article, we provide an updated review of the application of EUS-RFA of pancreatic lesions. We also review the clinical efficacy and safety of this technique and future directions.
近年来,治疗胰腺恶性和恶性病变的新疗法层出不穷。EUS 引导下射频消融(EUS-RFA)作为一种治疗胰腺恶性病变的方法,其作用仍在评估之中。一些动物实验和人体实验已经证明了 EUS-RFA 在治疗胰腺恶性和恶性病变方面的安全性和有效性。EUS-RFA 疗法有可能以微创技术安全地消融这些病灶。在本文中,我们对 EUS-RFA 在胰腺病变中的应用进行了最新综述。我们还回顾了这项技术的临床疗效和安全性以及未来的发展方向。
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引用次数: 0
EUS–guided radiofrequency ablation of solid pancreatic lesions: An updated review EUS 引导下的胰腺实变射频消融术:最新综述
Pub Date : 2024-02-01 DOI: 10.1097/eus.0000000000000036
A. Ofosu, Daryl Ramai, Amanda D Morgan, Christina Chan, Douglas G. Adler, Ali Siddiqui
Recent years have brought to light newly developed therapeutic modalities for the treatment of premalignant and malignant pancreatic lesions. The role of EUS–guided radiofrequency ablation (EUS-RFA) as a treatment modality for malignant pancreatic lesions is still under evaluation. Several animal studies and human studies have demonstrated the safety and efficacy of EUS-RFA in the management of premalignant and malignant pancreatic lesions. EUS-RFA therapy can potentially ablate these lesions safely and with minimally invasive techniques. In this article, we provide an updated review of the application of EUS-RFA of pancreatic lesions. We also review the clinical efficacy and safety of this technique and future directions.
近年来,治疗胰腺恶性和恶性病变的新疗法层出不穷。EUS 引导下射频消融(EUS-RFA)作为一种治疗胰腺恶性病变的方法,其作用仍在评估之中。一些动物实验和人体实验已经证明了 EUS-RFA 在治疗胰腺恶性和恶性病变方面的安全性和有效性。EUS-RFA 疗法有可能以微创技术安全地消融这些病灶。在本文中,我们对 EUS-RFA 在胰腺病变中的应用进行了最新综述。我们还回顾了这项技术的临床疗效和安全性以及未来的发展方向。
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引用次数: 0
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Endoscopic Ultrasound
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