State-of-the-art imaging techniques in endoscopic ultrasound

作     者：Adrian Sftoiu 

作者机构：Department of GastroenterologyResearch Center of Gastroenterology and HepatologyUniversity of Medicine and Pharmacy Craiova 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2011年第17卷第6期

页      面：691-696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] 

基　　金：Supported by "Utility of EUS and OCT for the minimal invasive evaluation of tumour neo-angiogenesis in the patients with digestive cancers" financed by the Romanian Ministry of Educationand Research-National University Research Council UEFISCSU-Ideas Program  No.239/2007 

主　　题：Endoscopic ultrasound Real-time sono-elastography Contrast-enhancement Tridimensional (3D) Hybrid imaging Endoscopic ultrasound-guided fine needle aspiration 

摘      要：Endoscopic ultrasound (EUS) has recently evolved through technological improvement of equipment,with a major clinical impact in digestive and mediastinal ***-of-the-art EUS equipment now includes real-time sono-elastography,which might be useful for a better characterization of lesions and increased accuracy of differential diagnosis (for *** nodes or focal pancreatic lesions).Contrast-enhanced EUS imaging is also available,and is already being used for the differential diagnosis of focal pancreatic *** recent development of low mechanical index contrast harmonic EUS imaging offers hope for improved diagnosis,staging and monitoring of anti-angiogenic *** EUS (3D-EUS) techniques can be applied to enhance the spatial understanding of EUS anatomy,especially for improved staging of tumors,obtained through a better assessment of the relationship with major surrounding *** the progress gained through all these imaging techniques,they cannot replace cytological or histological ***,real-time optical histological diagnosis can be achieved through the use of single-fiber confocal laser endomicroscopy techniques placed under real-time EUS-guidance through a 22G ***,but not least,EUS-assisted natural orifice transluminal endoscopic surgery (NOTES) procedures offer a whole new area of imaging applications,used either for combination of NOTES peritoneoscopy and intraperitoneal EUS,but also for access of retroperitoneal organs through posterior EUS guidance.