Enhanced endoscopic ultrasound imaging for pancreatic lesions: The road to artificial intelligence
作者机构：Digestive Endoscopy UnitDivision of GastroenterologyHumanitas Research Hospital and UniversityMilan 20800Italy Department of Gastroenterology and HepatologyQueen ElizabethKota Kinabalu 88200SabahMalaysia Section of GastroenterologyDepartment of Medical SciencesUniversity of FoggiaFoggia 71122Italy Department of Immunology and InflammationHumanitas Clinical and Research HospitalRozzano 20089Italy Digestive Endoscopy UnitDivision of GasteroenterologyHumanitas Mater DominiCastellanza 21053Italy
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2022年第28卷第29期
页 面：3814-3824页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Pancreatic ductal adenocarcinoma Pancreatic cancer Endoscopic ultrasound Contrast-enhanced endoscopic ultrasound Endoscopic ultrasound contrast agents Endoscopic ultrasound elastography Artificial intelligence Fractal analysis Endoscopy Imaging
摘 要：Early detection of pancreatic cancer has long eluded clinicians because of its insidious nature and *** metastatic or locally invasive when symptomatic,most patients are deemed *** those who are symptomatic,multi-modal imaging modalities evaluate and confirm pancreatic ductal *** asymptomatic patients,detected pancreatic lesions can be either solid or *** clinical implications of identifying small asymptomatic solid pancreatic lesions(SPLs)of2 cm are tantamount to a better *** accurate detection of SPLs undoubtedly promotes higher life expectancy when resected early,driving the development of existing imaging tools while promoting more comprehensive screening *** imaging tool that has matured in its reiterations and received many image-enhancing adjuncts is endoscopic ultrasound(EUS).It carries significant importance when risk stratifying cystic lesions and has substantial diagnostic value when combined with fine needle aspiration/biopsy(FNA/FNB).Adjuncts to EUS imaging include contrast-enhanced harmonic EUS and EUS-elastography,both having improved the specificity of FNA and *** review intends to compile all existing enhancement modalities and explore ongoing research around the most promising of all adjuncts in the field of EUS imaging,artificial intelligence.
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