Do we need contrast agents for EUS

Published on Nov 1, 2020in Endoscopic ultrasound4.489
· DOI :10.4103/EUS.EUS_20_20
Adrian Saftoiu29
Estimated H-index: 29
(University of Medicine and Pharmacy of Craiova),
Bertrand Napoleon28
Estimated H-index: 28
+ 26 AuthorsChristoph F. Dietrich74
Estimated H-index: 74
(HUST: Huazhong University of Science and Technology)
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Abstract
We recently introduced a series of articles that dealt with controversies in EUS. In Part I, the authors discussed which clinical information is necessary prior to EUS and whether other imaging modalities are required before embarking on EUS examinations. Part II focuses on technical details and controversies about the use of EUS in special situations. In this article, important practical issues regarding the application of contrast-enhanced EUS in various clinical settings are raised and controversially discussed from different points of view.
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Pancreatic neuroendocrine neoplasms (PanNENs) are relatively rare, but their incidence has increased significantly in the last decades. Precise diagnosis and prognostic stratification are crucial for proper patient management. Endoscopic ultrasound (EUS) is the modality of choice for diagnosis of solid pancreatic tumors, showing a higher tumor detection rate than other imaging modalities, especially for small size lesions. EUS also serves as a guide for preoperative sampling and other interventi...
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#1Silvia CarraraH-Index: 20
#1Silvia CarraraH-Index: 12
Last. Alessandro Repici (Humanitas University)H-Index: 71
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Babu P. Mohan (UofU: University of Utah)H-Index: 3
Last. Pietro Fusaroli (UNIBO: University of Bologna)H-Index: 28
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OBJECTIVES It is still unclear whether endoscopic ultrasound (EUS) contrast-enhanced fine-needle aspiration (CH-EUS-FNA) determines superior results in comparison to standard EUS-FNA in tissue acquisition of pancreatic masses. Aim of this meta-analysis was to compare the diagnostic outcomes of these two techniques. METHODS We searched the PubMed/Medline and Embase database through October 2020 and identified 6 studies, of which 2 randomized controlled trials (recruiting 701 patients). We perform...
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