Mondal Utpal, Henkes Nichole, Patel Sandeep, Rosenkranz Laura
From the Division of Gastroenterology and Nutrition, Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Pancreas. 2016 Aug;45(7):929-33. doi: 10.1097/MPA.0000000000000595.
Elastography is a newer technique for the assessment of tissue elasticity using ultrasound. Cancerous tissue is known to be stiffer (hence, less elastic) than corresponding healthy tissue, and as a result, could be identified in an elasticity-based imaging. Ultrasound elastography has been used in the breast, thyroid, and cervix to differentiate malignant from benign neoplasms and to guide or avoid unnecessary biopsies. In the liver, elastography has enabled a noninvasive and reliable estimate of fibrosis. Endoscopic ultrasound has become a robust diagnostic and therapeutic tool for the management of pancreatic diseases. The addition of elastography to endoscopic ultrasound enabled further characterization of pancreas lesions, and several European and Asian studies have reported encouraging results. The current clinical role of endoscopic ultrasound elastography in the management of pancreas disorders and related literature are reviewed.
弹性成像术是一种利用超声评估组织弹性的新技术。众所周知，癌组织比相应的健康组织更硬（即弹性更小），因此可以在基于弹性的成像中被识别出来。超声弹性成像术已用于乳腺、甲状腺和子宫颈，以区分恶性肿瘤和良性肿瘤，并指导或避免不必要的活检。在肝脏中，弹性成像术能够对纤维化进行无创且可靠的评估。内镜超声已成为用于胰腺疾病管理的强大诊断和治疗工具。在内镜超声中加入弹性成像术能够进一步对胰腺病变进行特征描述，并且一些欧洲和亚洲的研究已经报告了令人鼓舞的结果。本文对内镜超声弹性成像术在胰腺疾病管理中的当前临床作用及相关文献进行综述。
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