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Original Articles
- Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience
- Ahmed Youssef Altonbary, Hazem Hakim, Ahmed Mohamed El-Shamy
- Clin Endosc 2019;52(4):360-364. Published online January 8, 2019
- DOI: https://doi.org/10.5946/ce.2018.160
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Abstract
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PubReader
ePub - Background
/Aims: Endoscopic ultrasound (EUS) has a limited ability to determine the nature of solid pancreatic lesions (SPLs). Most recent ultrasound processors are provided with elastography software, which allows quantification of the tissue hardness. The aim of this study is to evaluate the effectiveness of the elasticity score (ES) and strain ratio (SR) in the differentiation of benign pancreatic lesions from malignant pancreatic lesions.
Methods
The study had a retrospective design; it included 97 patients with SPLs and 19 patients with inflammatory lesions. The ES and SR were determined during the examination; finally, EUS-guided fine needle aspiration was performed.
Results
In this 2-year study, 116 patients were enrolled (97 with malignant lesions and 19 with benign lesions). There were 69 men and 47 women. Their median age was 55.9 years. A cut-off point was detected at SR of 7.75 with a specificity of 99.9%, sensitivity of 90.7%, positive predictive value (PPV) of 99.9%, negative predictive value (NPV) of 67.9%, and accuracy of 92.2%. After adding the ES to the SR, the cut-off point at 7.75 resulted in a specificity of 94.6%, sensitivity of 99%, PPV of 98%, NPV of 98.5%, and accuracy of 97%.
Conclusions
The use of the ES combined with the SR increases the accuracy of differentiation between benign and malignant SPLs and is an effective method for the evaluation of pancreatic masses. -
Citations
Citations to this article as recorded by
- Diagnostic Value of Sound Speed Correction Endoscopic Ultrasound Compared With Other Endoscopic Ultrasound-Assisted Imaging Techniques in Solid Pancreatic Lesions
Dun-Wei Yao, Yi-Han Lu, Hai-Xing Jiang, Min-Zhen Qin, Shan-Yu Qin
Clinical and Translational Gastroenterology.2026; 17(1): e00947. CrossRef - Early Detection of Pancreatic Cancer: Current Advances and Future Opportunities
Zijin Lin, Esther A. Adeniran, Yanna Cai, Touseef Ahmad Qureshi, Debiao Li, Jun Gong, Jianing Li, Stephen J. Pandol, Yi Jiang
Biomedicines.2025; 13(7): 1733. CrossRef - Cystic tumors of the pancreas: Current perspectives on diagnosis and management
Nadica Shumka, Petko I Karagyozov
World Journal of Gastroenterology.2025;[Epub] CrossRef - Endoscopic ultrasound elastography in solid pancreatic lesions: individual and combined performance of strain ratio, fat-lesion strain ratio, and mean strain histogram for diagnosing pancreatic ductal adenocarcinoma
Fangzhou Wang, Jian Ma, Haonan Liu, Cancan Zhou, Jie Hao, Shuai Wu, Jiaoxing Wu, Ruiqi Cao, Zhengyuan Feng, Hao Sun, Zheng Wang, Weikun Qian, Zheng Wu
Clinical and Experimental Medicine.2025;[Epub] CrossRef - Diagnostic performance of endoscopic ultrasound elastography for differential diagnosis of solid pancreatic lesions: A propensity score-matched analysis
In Rae Cho, Seok-Hoo Jeong, Huapyong Kang, Eui Joo Kim, Yeon Suk Kim, Soyoung Jeon, Jae Hee Cho
Pancreatology.2023; 23(1): 105. CrossRef - The expanding role of endoscopic ultrasound elastography
Jahnvi Dhar, Jayanta Samanta
Clinical Journal of Gastroenterology.2022; 15(5): 841. CrossRef - Endoscopic ultrasound elastography for malignant pancreatic masses and associated lymph nodes: Critical evaluation of strain ratio cutoff value
Miguel Puga-Tejada, Raquel Del Valle, Roberto Oleas, Maria Egas-Izquierdo, Martha Arevalo-Mora, Jorge Baquerizo-Burgos, Jesenia Ospina, Miguel Soria-Alcivar, Hannah Pitanga-Lukashok, Carlos Robles-Medranda
World Journal of Gastrointestinal Endoscopy.2022; 14(9): 524. CrossRef - Role of Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography in the Diagnosis of Pancreatic Cancer
Yasutaka Ishii, Masahiro Serikawa, Tomofumi Tsuboi, Ryota Kawamura, Ken Tsushima, Shinya Nakamura, Tetsuro Hirano, Ayami Fukiage, Takeshi Mori, Juri Ikemoto, Yusuke Kiyoshita, Sho Saeki, Yosuke Tamura, Sayaka Miyamoto, Kazuaki Chayama
Diagnostics.2021; 11(2): 238. CrossRef - Impact of endoscopic ultrasound elastography in pancreatic lesion evaluation
Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha
Artificial Intelligence in Gastrointestinal Endoscopy.2021; 2(4): 168. CrossRef - Utilidad de la elastografía cuantitativa por ultrasonografía endoscópica (USE), para el diagnóstico de las lesiones sólidas del páncreas (LSP).
Martín Alonso Gómez Zuleta, Oscar Fernando Ruíz Morales, Diego Fernando Cano Rosales
Revista colombiana de Gastroenterología.2021; 36(4): 434. CrossRef
- Diagnostic Value of Sound Speed Correction Endoscopic Ultrasound Compared With Other Endoscopic Ultrasound-Assisted Imaging Techniques in Solid Pancreatic Lesions
- 7,361 View
- 160 Download
- 8 Web of Science
- 10 Crossref
- A Prospective Blinded Study of Endoscopic Ultrasound Elastography in Liver Disease: Towards a Virtual Biopsy
- Allison R. Schulman, Ming V. Lin, Anna Rutherford, Walter W. Chan, Marvin Ryou
- Clin Endosc 2018;51(2):181-185. Published online March 23, 2018
- DOI: https://doi.org/10.5946/ce.2017.095
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Abstract
PDFPubReaderePub
- Background
/Aims: Liver biopsy has traditionally been used for determining the degree of fibrosis, however there are several limitations. Endoscopic ultrasound (EUS) real-time elastography (RTE) is a novel technology that uses image enhancement to display differences in tissue compressibility. We sought to assess whether liver fibrosis index (LFI) can distinguish normal, fatty, and cirrhotic liver tissue.
Methods
A total of 50 patients undergoing EUS were prospectively enrolled. RTE of the liver was performed to synthesize the LFI in each patient. Univariate and multivariable analyses were performed. Chi-square and t-tests were performed for categorical and continuous variables, respectively. A p-value of <0.05 was considered significant.
Results
Abdominal imaging prior to endoscopic evaluation suggested normal tissue, fatty liver, and cirrhosis in 26, 16, and 8 patients, respectively. Patients with cirrhosis had significantly increased mean LFI compared to the fatty liver (3.2 vs. 1.7, p<0.001) and normal (3.2 vs. 0.8, p<0.001) groups. The fatty liver group showed significantly increased LFI compared to the normal group (3.8 vs. 1.4, p<0.001). Multivariable regression analysis suggested that LFI was an independent predictor of group features (p<0.001).
Conclusions
LFI computed from RTE images significantly correlates with abdominal imaging and can distinguish normal, fatty, and cirrhotic-appearing livers; therefore, LFI may play an important role in patients with chronic liver disease. -
Citations
Citations to this article as recorded by- Endoscopic Ultrasound-based Shear Wave Elastography for Detection of Advanced Liver Disease
Jad AbiMansour, Jerry Yung-Lun Chin, Jyotroop Kaur, Eric J. Vargas, Barham K. Abu Dayyeh, Ryan Law, Vishal Garimella, Michael J. Levy, Andrew C. Storm, Ross Dierkhising, Alina Allen, Sudhakar Venkatesh, Vinay Chandrasekhara
Journal of Clinical Gastroenterology.2025; 59(3): 256. CrossRef - The Role of Endoscopic Ultrasound in Assessing Portal Hypertension: A State‐of‐the‐Art Literature Review and Evolving Perspectives
Fabrizio Termite, Federica Borrelli de Andreis, Antonio Liguori, Antonio Gasbarrini, Fabia Attili, Cristiano Spada, Luca Miele
Liver International.2025;[Epub] CrossRef - EUS-guided shear wave elastography for fibrosis screening in patients with obesity and metabolic dysfunction–associated steatotic liver disease: a pilot study (with video)
Thomas J. Wang, Pichamol Jirapinyo, Raj Shah, Kimberly Schuster, David J. Papke, Christopher C. Thompson, Laura Doyon, David B. Lautz, Marvin Ryou
Gastrointestinal Endoscopy.2025; 101(2): 456. CrossRef - Interventional Endoscopic Ultrasonography: Advances in Application
Haidar Khan, Sharon Slomovich, Neal C. Shah, Frank Gress
Journal of Clinical Medicine.2025; 14(10): 3286. CrossRef - The Benign Liver EUS Optimal Core Study (BLOCs)
Neil R. Sharma, Harishankar Gopakumar, Harshit Khara, Abhilash Perisetti, Saurabh Gupta, Mariajose Rojas DeLeon, Marzena Muller, Christina Zelt, Mindy Flanagan, Ashley Rumple, Amitpal Johal, Bradley Confer, Jiahong Li, Meir Mizrahi, Ann Chen, Kefu Li, Moh
Journal of Clinical Gastroenterology.2025;[Epub] CrossRef - Endoscopic Management of Portal Hypertension and Varices
Samuel Tanner, Allison R. Schulman
Techniques in Vascular and Interventional Radiology.2025; : 101053. CrossRef - Endohepatology: Current perspectives and future directions
Ahmad Najdat Bazarbashi, Allison R. Schulman
Hepatology Communications.2025;[Epub] CrossRef - Practical Applications of Endoscopic Ultrasound-Guided Elastography: Core Principles, Techniques, and Pitfalls
Nikhil Sonthalia, Awanish Tewari, Akash Roy, Uday C. Ghoshal, Mahesh K. Goenka
Journal of Digestive Endoscopy.2025; 16(04): 220. CrossRef - Endo-hepatology: Bridging the gap between lumen and liver
Walaa Abdelhamed, Mohamed El-Kassas
World Journal of Gastroenterology.2025;[Epub] CrossRef - Endohepatology: The endoscopic armamentarium in the hand of the hepatologist
Ahmed Alwassief, Said Al-Busafi, Qasim L. Abbas, Khalid Al Shamusi, Sarto C. Paquin, Anand V. Sahai
Saudi Journal of Gastroenterology.2024; 30(1): 4. CrossRef - Preliminary Study on the Evaluation of Liver Fibrosis Using Endoscopic Ultrasound Elastography and Transabdominal Ultrasound Transient Elastography Combined with Strain Ratio
Dun-Wei Yao, Hai-Xing Jiang, Shan-Yu Qin
Hepatitis Monthly.2024;[Epub] CrossRef - Endoscopic ultrasound-guided tissue acquisition for the diagnosis of focal liver lesion
Alina Tantău, Cosmina Sutac, Anamaria Pop, Marcel Tantău
World Journal of Radiology.2024; 16(4): 72. CrossRef - Discrepancy Between Endoscopic Ultrasound-Guided Elastography and Transient Elastrography in Assessing Liver Stiffness of Morbidly Obese Patients
J. Buathong, P. Mekaroonkamol, P. Somvanapanich, P. Piyaket, K. Tiankanon, W. Ridtitid, P. Kongkam, S. Udomsawaengsup, S. Treeprasertsuk
Endoscopy.2024; 56(S 02): S46. CrossRef - Comparative accuracy of endosonographic shear wave elastography and transcutaneous liver stiffness measurement: a pilot study
Divyanshoo R. Kohli, Daniel Mettman, Nevene Andraws, Erin Haer, Jaime Porter, Ozlem Ulusurac, Steven Ullery, Madhav Desai, Mohammad S. Siddiqui, Prateek Sharma
Gastrointestinal Endoscopy.2023; 97(1): 35. CrossRef - The Role of Endoscopic Ultrasound in Hepatology
Saleh A. Alqahtani, Floriane Ausloos, Ji Seok Park, Sunguk Jang
Gut and Liver.2023; 17(2): 204. CrossRef - Distinct ways to perform a liver biopsy: The core technique setups and updated understanding of these modalities
Chao Sun, Xingliang Zhao, Lei Shi, Xiaofei Fan, Xiaolong Qi
Endoscopic Ultrasound.2023; 12(6): 437. CrossRef - Future Directions in EndoHepatology
Ahmad Najdat Bazarbashi, Lolwa Al-Obaid, Marvin Ryou
Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(1): 98. CrossRef - The role of endoscopic ultrasound for portal hypertension in liver cirrhosis
Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha, Rino A. Gani, Laurentius A. Lesmana
Journal of Medical Ultrasonics.2022; 49(3): 359. CrossRef - Endoscopic Ultrasound-Guided Liver Biopsy: Where Do We Stand?
Enad Dawod, Jose Nieto, Sammy Saab
American Journal of Gastroenterology.2022; 117(2): 205. CrossRef - Utilidad del índice de fibrosis hepática (IFH) medido durante la ultrasonografía endoscópica en la evaluación del parénquima pancreático
Martín Alonso Gómez Zuleta, Oscar Fernando Ruíz Morales, Eddy Johanna Buitrago Laguado
Revista colombiana de Gastroenterología.2022; 37(1): 10. CrossRef - Endohepatology – current status
Jerome C. Edelson, Natalie E. Mitchell, Don C. Rockey
Current Opinion in Gastroenterology.2022; 38(3): 216. CrossRef - The expanding role of endoscopic ultrasound elastography
Jahnvi Dhar, Jayanta Samanta
Clinical Journal of Gastroenterology.2022; 15(5): 841. CrossRef - Diagnostic and interventional EUS in hepatology: An updated review
Vaneet Jearth, Sridhar Sundaram, Surinder Singh Rana
Endoscopic Ultrasound.2022; 11(5): 355. CrossRef - Enhanced EUS imaging (with videos)
Kumar Krishnan, Manoop S. Bhutani, Harry R. Aslanian, Joshua Melson, Udayakumar Navaneethan, Rahul Pannala, Mansour A. Parsi, Allison R. Schulman, Amrita Sethi, Shelby Sullivan, Guru Trikudanathan, Arvind J. Trindade, Rabindra R. Watson, John T. Maple, Da
Gastrointestinal Endoscopy.2021; 93(2): 323. CrossRef - Real-Time Tissue Elastography to Evaluate Hepatic Hypoxic-Ischemic Injury Caused by Brain Death
Guoying Zhang, Ying Tang, Huimin Yu, Weina Kong, Yun Chen, Yang Liu, Jingwen Zhao
Ultrasound Quarterly.2021; 37(2): 138. CrossRef - Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?
Tajana Pavic, Ivana Mikolasevic, Dominik Kralj, Nina Blazevic, Anita Skrtic, Ivan Budimir, Ivan Lerotic, Davor Hrabar
Diagnostics.2021; 11(11): 2021. CrossRef - Role of endoscopic ultrasound in the field of hepatology: Recent advances and future trends
Jahnvi Dhar, Jayanta Samanta
World Journal of Hepatology.2021; 13(11): 1459. CrossRef - Endoscopic ultrasound in chronic liver disease
Brian M Fung, Alexander P Abadir, Armen Eskandari, Michael J Levy, James H Tabibian
World Journal of Hepatology.2020; 12(6): 262. CrossRef - A State-of-the-Art Review on the Evolving Utility of Endoscopic Ultrasound in Liver Diseases Diagnosis
Wisam Sbeit, Anas Kadah, Mahmud Mahamid, Rinaldo Pellicano, Amir Mari, Tawfik Khoury
Diagnostics.2020; 10(8): 512. CrossRef - Comparison of EUS-guided versus percutaneous and transjugular approaches for the performance of liver biopsies
Asim Shuja, Ahmad Alkhasawneh, Andre Fialho, Andrea Fialho, Amal Shukri, Ciel Harris, Carmen Smotherman, Miguel Malespin, Silvio W. de Melo
Digestive and Liver Disease.2019; 51(6): 826. CrossRef - Endoscopic Ultrasound Real-Time Elastography in Liver Disease
Jeong Eun Song, Dong Wook Lee, Eun Young Kim
Clinical Endoscopy.2018; 51(2): 118. CrossRef
- Endoscopic Ultrasound-based Shear Wave Elastography for Detection of Advanced Liver Disease
- 9,682 View
- 161 Download
- 30 Web of Science
- 31 Crossref
Case Report
- Primary Fallopian Tube Carcinoma Diagnosed with Endoscopic Ultrasound Elastography with Fine Needle Biopsy
- Eui Bae Kim, Tae Hee Lee, Jeong Sig Kim, In Ho Choi
- Clin Endosc 2014;47(5):464-468. Published online September 30, 2014
- DOI: https://doi.org/10.5946/ce.2014.47.5.464
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Abstract
PDFPubReaderePub
Primary fallopian tube carcinoma (PFTC) is a rare gynecological cancer that is very difficult to diagnose preoperatively. Here, we report the case of a 66-year-old female patient with PFTC that was diagnosed preoperatively on the basis of the characteristic features on endoscopic ultrasound (EUS) elastography and fine needle biopsy (FNB). EUS showed a sausage-shaped hypoechoic mass, 8 cm in size, with irregular margins and heterogeneous internal echoes extending to both adnexa. EUS elastography revealed that the mass had a blue color pattern, representing hard stiffness, and a heterogeneous green/red color pattern distributed outside the tumor, representing intermediate stiffness. Histopathologic analysis of the FNB and operative specimens confirmed the diagnosis of fallopian tube carcinoma. This is the first reported case of a combined EUS elastography and FNB of an adnexal mass leading to a preoperative diagnosis of fallopian tube carcinoma.
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Citations
Citations to this article as recorded by- The clinical impact of ultrasound contrast agents in EUS: a systematic review according to the levels of evidence
Pietro Fusaroli, Bertrand Napoleon, Rodica Gincul, Christine Lefort, Laurent Palazzo, Maxime Palazzo, Masayuki Kitano, Kosuke Minaga, Giancarlo Caletti, Andrea Lisotti
Gastrointestinal Endoscopy.2016; 84(4): 587. CrossRef
- The clinical impact of ultrasound contrast agents in EUS: a systematic review according to the levels of evidence
- 11,092 View
- 69 Download
- 2 Web of Science
- 1 Crossref
Original Article
- Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study
- Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon
- Clin Endosc 2013;46(2):172-177. Published online March 31, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.2.172
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Abstract
PDFPubReaderePub
Background/Aims Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.
Methods The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.
Results The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (
p <0.0001).Conclusions EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.
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Citations
Citations to this article as recorded by- Imaging Surveillance of High Risk-Patients for Early Detection of Pancreatic Cancer
Mostafa Alnoury, Hashim R. Mehdi, Atif Zaheer
Seminars in Roentgenology.2025; 60(1): 44. CrossRef - Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
Takamichi KUWAHARA, Kazuo HARA, Nobumasa MIZUNO, Shin HABA, Nozomi OKUNO
Choonpa Igaku.2022; 49(3): 275. CrossRef - Recent Advances in Endosonography—Elastography: Literature Review
Akira Yamamiya, Atsushi Irisawa, Koki Hoshi, Akane Yamabe, Naoya Izawa, Kazunori Nagashima, Takahito Minaguchi, Masamichi Yamaura, Yoshitsugu Yoshida, Ken Kashima, Yasuhito Kunogi, Fumi Sakuma, Keiichi Tominaga, Makoto Iijima, Kenichi Goda
Journal of Clinical Medicine.2021; 10(16): 3739. CrossRef - Pancreatic cancer in 2021: What you need to know to win
Valeria Tonini, Manuel Zanni
World Journal of Gastroenterology.2021; 27(35): 5851. CrossRef - Endoscopic ultrasonography elastography in the diagnosis of intrapancreatic ectopic spleen: A case report
Nan Ge, Si-Yu Sun
World Journal of Clinical Cases.2020; 8(9): 1729. CrossRef - Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
Takamichi Kuwahara, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Nozomi Okuno
Journal of Medical Ultrasonics.2020; 47(3): 413. CrossRef - Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer
Masayuki Kitano, Takeichi Yoshida, Masahiro Itonaga, Takashi Tamura, Keiichi Hatamaru, Yasunobu Yamashita
Journal of Gastroenterology.2019; 54(1): 19. CrossRef - Early Detection of Pancreatic Cancer: Opportunities and Challenges
Aatur D. Singhi, Eugene J. Koay, Suresh T. Chari, Anirban Maitra
Gastroenterology.2019; 156(7): 2024. CrossRef - Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience
Ahmed Youssef Altonbary, Hazem Hakim, Ahmed Mohamed El-Shamy
Clinical Endoscopy.2019; 52(4): 360. CrossRef - Elastography of the Pancreas, Current View
Christoph F. Dietrich, Michael Hocke
Clinical Endoscopy.2019; 52(6): 533. CrossRef - Endoscopic ultrasound elastography in the diagnosis of pancreatic masses: A meta-analysis
Binglan Zhang, Fuping Zhu, Pan Li, Shishi Yu, Yajing Zhao, Minmin Li
Pancreatology.2018; 18(7): 833. CrossRef - Endoscopic ultrasound (EUS) elastography and strain ratio, could it help in differentiating malignant from benign pancreatic lesions?
Hussein Hassan Okasha, Reem Ezzat Mahdy, Shaimaa Elkholy, Mohamed Sayed Hassan, Ahmed Nabil El-Mazny, Kareem Essam Eldin Hadad, Moustafa Saeed, Mohamed El-Nady, Osama Soliman Elbalky, Asem Ashraf, Amr Abo El-Magd, Abeer Awad
Medicine.2018; 97(36): e11689. CrossRef - Differentiation of Pancreatic Masses via Endoscopic Ultrasound Strain Ratio Elastography Using Adjacent Pancreatic Tissue as the Reference
Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
Pancreas.2017; 46(3): 347. CrossRef - Endoscopic ultrasound elastography for solid pancreatic lesions
Tanyaporn Chantarojanasiri, Pradermchai Kongkam
World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506. CrossRef - New Imaging Techniques
Julio Iglesias-García, Jose Lariño-Noia, Juan Enrique Domínguez-Muñoz
Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 551. CrossRef - Maximizing the endosonography: The role of contrast harmonics, elastography and confocal endomicroscopy
Andrada Seicean, Ofelia Mosteanu, Radu Seicean
World Journal of Gastroenterology.2017; 23(1): 25. CrossRef - Prospective cohort study comparing transient EUS guided elastography to EUS-FNA for the diagnosis of solid pancreatic mass lesions
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Pancreatology.2016; 16(1): 110. CrossRef - Elasticity of the tibial nerve assessed by sonoelastography was reduced before the development of neuropathy and further deterioration associated with the severity of neuropathy in patients with type 2 diabetes
Fukashi Ishibashi, Miki Taniguchi, Rie Kojima, Asami Kawasaki, Aiko Kosaka, Harumi Uetake
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Woo Jin Lee
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- 8,882 View
- 60 Download
- 19 Crossref
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