Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: Interobserver agreement in same day back-to-back procedures

Pozo, David; Poves, Elvira; Tabernero, Susana; Beceiro, Inmaculada; Moral, I.; Villafruela, Mónica; Sanz, Clara; Borrego, Gloria

doi:10.1016/j.pan.2012.03.054

Cited by 28 publications

(16 citation statements)

References 18 publications

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“…Overall agreement between the two expert endosonographers was 83 % and rated as almost perfect. This is somewhat better than described in previous reports where a moderate to substantial agreement was described 24 25 26 (kappa-values of 0.46, 0.65 and agreement of 68 %, respectively). Our high interobserver agreement might be explained by the fact that our two reviewers are highly trained and experienced endosonographers.…”

Section: Discussioncontrasting

confidence: 64%

Evolution of features of chronic pancreatitis during endoscopic ultrasound-based surveillance of individuals at high risk for pancreatic cancer

et al. 2018

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Background and study aims During endoscopic ultrasound (EUS)-based pancreatic ductal adenocarcinoma (PDAC)-surveillance in asymptomatic individuals, features of chronic pancreatitis (CP) are often detected. Little is known about the prevalence and progression of these features. The aim of this study was to quantify these features, assess the interobserver agreement, assess possible associated factors, and assess the natural course during 3 years of follow-up. Patients and methods Two experienced endosonographers reviewed anonymized sequential EUS videos of participants in PDAC surveillance that were obtained in 2012 and 2015 for features of CP. Descriptives, agreement analyses, univariate and multivariate analyses for possible risk factors, and repeated measures analyses to assess intra-individual changes over time were performed. Results A total of 42 EUS videos of 21 participants were reviewed. Any feature of CP was present in 86 % (2012) and 81 % (2015) of participants, with a mean of 2.5 features per individual. The overall interobserver agreement was almost perfect at 83 %. No baseline factors were significantly associated with features of CP. Features did not change over time, except for hyperechoic foci without shadowing, which decreased intra-individually (β = – 1.6, P = 0.005). Conclusions This blinded study shows features of CP to be highly prevalent in individuals at high risk of developing pancreatic cancer. No baseline factors were associated with presence of these features. CP features did not increase intra-individually over a 3-year period. Longer follow-up and pathological examination of pancreatic resection specimens will be essential to learn whether EUS detection and follow-up of these CP features bear clinical relevance.

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Section: Discussioncontrasting

confidence: 64%

Evolution of features of chronic pancreatitis during endoscopic ultrasound-based surveillance of individuals at high risk for pancreatic cancer

et al. 2018

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“…The Rosemont criteria provide the endoscopist with a solid diagnostic basis, although the classification appears complex because it requires calculation of main and side criteria. Interestingly, a Canadian study showed that the initial impression of an experienced endoscopist could have the same diagnostic value as the calculation of the Rosemont criteria and concluded that the calculation does not have to be performed in clinical practice [ 50 ]. Similar changes in the pancreatic parenchyma can be seen in the early stages of autoimmune pancreatitis, as described in the next section.…”

Section: Diagnostic Endoscopic Ultrasoundmentioning

confidence: 99%

Present status and perspectives of endosonography 2017 in gastroenterology

Hocke

Braden

Jenssen³

et al. 2018

Korean J Intern Med

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Endoscopic ultrasound has become an essential tool in modern gastroenterology and abdominal surgery. Compared with all other endoscopic methods, it has the most potential for innovation and its future looks bright. Thus, we compiled this summary of established and novel applications of endoscopic ultrasound methods to inform the reader about what is already possible and where future developments will lead in improving patient care further. This review is structured in four parts. The first section reports on developments in diagnostic endoscopic ultrasound, the second looks at semi-invasive endoscopic ultrasound, and the third discusses advances in therapeutic endoscopic ultrasound. An overview on the future prospects of endoscopic ultrasound methods concludes this article.

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“… 46 Moderate to substantial inter-observer agreement can be achieved with these criteria. 47 , 48 The Rosemont criteria have been compared to conventional EUS criteria and found to be more stringent, and thus may reduce the false positive diagnostic rates in context of early chronic pancreatitis. 49 , 50 Defining the sensitivity of EUS criteria is challenging as a true gold standard comparator has been difficult to identify because pancreatic function tests, pancreatography, and histology may not recognize mild or moderate chronic pancreatitis.…”

Section: Outcome Data For Diagnostic Eusmentioning

confidence: 99%

Diagnostic Endoscopic Ultrasound: Technique, Current Status and Future Directions

Kwek

Wang

2018

Gut and Liver

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Endoscopic ultrasound (EUS) is now well established as an important tool in clinical practice. From purely diagnostic imaging, it has progressed to include tissue acquisition, which provided the basis for therapeutic procedures. Even as interventional EUS developed, there has been ongoing progress in EUS diagnostic capabilities due to improved imaging systems, better needles for tissue acquisition and development of enhanced imaging functions such as contrast harmonic EUS (CHEUS) and EUS elastography. EUS is well established for differentiation of subepithelial lesions, for T-staging of luminal gastrointestinal and pancreaticobiliary malignancies, for differentiation of benign pancreaticobiliary disorders and for diagnostic tissue acquisition, which can be achieved by EUS-guided fine needle aspiration or by EUS-guided fine needle biopsy using dedicated biopsy needles. This review briefly describes the technique of performing EUS and then discusses its clinical utility in terms of gastrointestinal cancer staging, the evaluation of pancreaticobiliary disorders and tissue acquisition. Enhanced imaging techniques such as CHEUS and EUS elastography are briefly reviewed.

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Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: Interobserver agreement in same day back-to-back procedures

Cited by 28 publications

References 18 publications

Evolution of features of chronic pancreatitis during endoscopic ultrasound-based surveillance of individuals at high risk for pancreatic cancer

Evolution of features of chronic pancreatitis during endoscopic ultrasound-based surveillance of individuals at high risk for pancreatic cancer

Present status and perspectives of endosonography 2017 in gastroenterology

Diagnostic Endoscopic Ultrasound: Technique, Current Status and Future Directions

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