Paratore Mattia, Garcovich Matteo, Ainora Maria Elena, Del Vecchio Livio Enrico, Cuccia Giuseppe, Riccardi Laura, Pompili Maurizio, Gasbarrini Antonio, Zocco Maria Assunta
Medicina Interna e Gastroenterologia, CEMAD Digestive Disease Center, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Medicina Interna e del Trapianto di Fegato, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Diagnostics (Basel). 2023 Jul 4;13(13):2266. doi: 10.3390/diagnostics13132266.
Ultrasound imaging is the first-line investigation for patients with abdominal symptoms, as it effectively depicts the gastrointestinal tract and enables the diagnosis of multiple pathological conditions. Among different recent ultrasound technological advancements, elastography enables the evaluation of various tissue characteristics, such as neoplastic transformation or fibroinflammatory status. In recent years, ultrasound elastography has been utilized extensively for the study of liver diseases and in numerous other clinical settings, including gastrointestinal diseases. Current guidelines suggest the use of transabdominal ultrasound elastography to characterize bowel wall lesions, to assess gastrointestinal contractility, to diagnose and grade chronic pancreatitis; however, no specific indications are provided. In the present paper, we summarize the evidence concerning the application of different ultrasound elastography modalities in gastrointestinal non-liver diseases.
超声成像对于有腹部症状的患者是一线检查手段，因为它能有效地显示胃肠道并有助于诊断多种病理状况。在近期不同的超声技术进展中，弹性成像能够评估各种组织特征，如肿瘤转化或纤维炎症状态。近年来，超声弹性成像已广泛应用于肝脏疾病研究及许多其他临床领域，包括胃肠道疾病。目前的指南建议使用经腹超声弹性成像来鉴别肠壁病变、评估胃肠蠕动、诊断和分级慢性胰腺炎；然而，未给出具体的适应证。在本文中，我们总结了不同超声弹性成像模式在胃肠道非肝脏疾病应用方面的证据。
