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线性内镜超声:纵隔检查中的当前用途和未来展望。

Linear endoscopic ultrasound: Current uses and future perspectives in mediastinal examination.

机构信息

Department of Gastroenterology and Hepatology, King Abdulaziz National Guard Hospital, Ahsa 36428, Saudi Arabia.

Department of Internal Medicine, Zamzam University College, School of Medicine, Khartoum 11113, Sudan.

出版信息

World J Gastroenterol. 2024 Sep 7;30(33):3803-3809. doi: 10.3748/wjg.v30.i33.3803.

DOI:10.3748/wjg.v30.i33.3803
PMID:39351425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11438627/
Abstract

This editorial elaborates on the current and future applications of linear endoscopic ultrasound (EUS) a substantial diagnostic and therapeutic modality for various anatomical regions. The scope of endosonographic assessment is broad and, among other factors, allows for the evaluation of the mediastinal anatomy and related pathologies, such as mediastinal lymphadenopathy and the staging of central malignant lung lesions. Moreover, EUS assessment has proven more accurate in detecting small lesions missed by standard imaging examinations, such as computed tomography or magnetic resonance imaging. We focus on its current uses in the mediastinum, including lung and esophageal cancer staging, as well as evaluating mediastinal lymphadenopathy and submucosal lesions. The editorial also explores future perspectives of EUS in mediastinal examination, including ultrasound-guided therapies, artificial intelligence integration, advancements in mediastinal modalities, and improved diagnostic approaches for various mediastinal lesions.

摘要

这篇社论详细阐述了线性内镜超声(EUS)的当前和未来应用,EUS 是一种用于各种解剖区域的重要诊断和治疗方式。超声内镜评估的范围很广,除其他因素外,它还可以评估纵隔解剖结构和相关疾病,如纵隔淋巴结病和中央型恶性肺部病变的分期。此外,EUS 评估在检测标准影像学检查(如计算机断层扫描或磁共振成像)遗漏的小病变方面更具准确性。我们重点介绍其在纵隔中的当前应用,包括肺癌和食管癌的分期,以及评估纵隔淋巴结病和黏膜下病变。社论还探讨了 EUS 在纵隔检查中的未来前景,包括超声引导治疗、人工智能集成、纵隔方式的进步以及各种纵隔病变的改进诊断方法。

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本文引用的文献

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Diagnostic and therapeutic role of endoscopic ultrasound in liver diseases: A systematic review and meta-analysis.内镜超声在肝脏疾病中的诊断和治疗作用:系统评价和荟萃分析。
World J Gastroenterol. 2024 Feb 21;30(7):742-758. doi: 10.3748/wjg.v30.i7.742.
2
Futures perspectives and therapeutic applications.未来展望与治疗应用。
Best Pract Res Clin Gastroenterol. 2022 Sep-Dec;60-61:101816. doi: 10.1016/j.bpg.2022.101816. Epub 2022 Dec 20.
3
Practical approach to linear EUS examination of the mediastinum.纵隔线性超声内镜检查的实用方法。
Endosc Ultrasound. 2021 Nov-Dec;10(6):406-413. doi: 10.4103/EUS-D-21-00019.
4
Assessment and Prediction of Response to Neoadjuvant Chemotherapy in Breast Cancer: A Comparison of Imaging Modalities and Future Perspectives.乳腺癌新辅助化疗反应的评估与预测:影像学模态比较及未来展望
Cancers (Basel). 2021 Jul 14;13(14):3521. doi: 10.3390/cancers13143521.
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The Role of Artificial Intelligence in Endoscopic Ultrasound for Pancreatic Disorders.人工智能在胰腺疾病内镜超声检查中的作用
Diagnostics (Basel). 2020 Dec 24;11(1):18. doi: 10.3390/diagnostics11010018.
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Endoscopic ultrasound-guided fiducial marker placement in pancreatic cancer: A systematic review and meta-analysis.内镜超声引导下胰腺癌 fiducial 标志物置入:一项系统评价和荟萃分析。
World J Gastrointest Endosc. 2020 Aug 16;12(8):231-240. doi: 10.4253/wjge.v12.i8.231.
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Endobronchial Ultrasound for the Diagnosis of Centrally Located Lung Tumors: A Systematic Review and Meta-Analysis.支气管内超声诊断中央型肺部肿瘤:系统评价和荟萃分析。
Respiration. 2020;99(5):441-450. doi: 10.1159/000500363. Epub 2019 Nov 15.
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Reporting of artificial intelligence prediction models.人工智能预测模型的报告。
Lancet. 2019 Apr 20;393(10181):1577-1579. doi: 10.1016/S0140-6736(19)30037-6.
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Focused ultrasound: tumour ablation and its potential to enhance immunological therapy to cancer.聚焦超声:肿瘤消融及其增强癌症免疫治疗的潜力。
Br J Radiol. 2018 Feb;91(1083):20170641. doi: 10.1259/bjr.20170641. Epub 2018 Jan 17.
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World J Gastrointest Endosc. 2017 Oct 16;9(10):499-505. doi: 10.4253/wjge.v9.i10.499.