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A Novel Endoscopic Ultrasonography Imaging Technique for Depicting Microcirculation in Pancreatobiliary Lesions without the Need for Contrast-Enhancement: A Prospective Exploratory Study
- Source :
- Diagnostics, Volume 11, Issue 11, Pages: 2018, Diagnostics, Vol 11, Iss 2018, p 2018 (2021)
- Publication Year :
- 2021
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2021.
-
Abstract
- Detective flow imaging endoscopic ultrasonography (DFI-EUS) provides a new method to image and detect fine vessels and low-velocity blood flow without using ultrasound contrast agents. The aim of this study was to evaluate the utility of DFI-EUS for pancreatobiliary lesions and lymph nodes. Between January 2019 and January 2020, 53 patients who underwent DFI-EUS, e-FLOW EUS, and contrast-enhanced EUS were enrolled. The ability of DFI-EUS and e-FLOW EUS to detect vessels was compared with that of contrast-enhanced EUS. This article describes the DFI technique along with our first experience of its use for vascular assessment of pancreatobiliary lesions. Vessels were imaged in 34 pancreatic solid lesions, eight intraductal papillary mucinous neoplasms (IPMNs), seven gall bladder lesions, and four swollen lymph nodes. DFI-EUS (91%) was significantly superior to e-FLOW EUS (53%) with respect to detection of vessels (p < 0.001) and for discrimination of mural nodules from mucous clots in IPMN and gallbladder lesions from sludge (p = 0.046). Thus, DFI-EUS has the potential to become an essential tool for diagnosis and vascular assessment of various diseases.
- Subjects :
- medicine.medical_specialty
Medicine (General)
Clinical Biochemistry
Endoscopic ultrasonography
Article
Microcirculation
contrast-enhanced endoscopic ultrasonography
R5-920
medicine
doppler endoscopic ultrasonography
novel technique
business.industry
Gallbladder
Ultrasound
Blood flow
Swollen lymph nodes
vessel detection
digestive system diseases
medicine.anatomical_structure
pancreatobiliary lesion
Radiology
Imaging technique
Lymph
medicine.symptom
business
detective flow imaging endoscopic ultrasonography
Subjects
Details
- Language :
- English
- ISSN :
- 20754418
- Database :
- OpenAIRE
- Journal :
- Diagnostics
- Accession number :
- edsair.doi.dedup.....57173d96616150ba2de4b9bc132b5c86
- Full Text :
- https://doi.org/10.3390/diagnostics11112018