Endoscopic Ultrasound Real-Time Elastography in Liver Disease

Song, JooSeok; Lee, Dong Hoon; Kim, Eun Young

doi:10.5946/ce.2018.049

Cited by 9 publications

(12 citation statements)

References 16 publications

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“…Elastography modalities currently in use are transient elastography (FibroScan), 2-dimensional shearwave elastography (SWE), acoustic radiation force impulse (ARFI) imaging, real-time elastography (RTE), and magnetic resonance (MR) imaging elastography. RTE is different from other ultrasound elastography techniques because it can measure heartbeat-induced strain, which allows relatively objective qualitative and semiquantitative results [5][6][7][8][9][10].…”

Section: Eus Elastographymentioning

confidence: 99%

“…However, there are some limitations in terms of FibroScan use, such as the applicability of its measurements with a transabdominal approach in obese patients, those with ascites, or in those with narrow intercostal spaces. In addition, FibroScan has lower applicability in discriminating between intermediate stages of fibrosis [6][7][8][9][10][11].…”

Section: Eus Elastographymentioning

confidence: 99%

“…Additionally, transabdominal elastography is usually performed over the right lobe of the liver; therefore, the association of elastography findings with histological findings is affected by variability between the right and left lobes of the liver [6][7][8][9][10][11][12]. On the other hand, EUS processors have the capability to carry out elastography both in the right and left lobes of the liver.…”

Section: Eus Elastographymentioning

confidence: 99%

“…On the other hand, EUS processors have the capability to carry out elastography both in the right and left lobes of the liver. The use of EUS elastography is not limited by obesity (i.e., body mass index) or by ascites [8][9][10][11][12]. According to some authors, it is a reasonable idea that EUS RTE could be more sensitive than transabdominal RTE in terms of the liver fibrosis stage.…”

Section: Eus Elastographymentioning

confidence: 99%

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Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

et al. 2021

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As the burden of liver disease in the general populace steadily increases, so does the need for both advanced diagnostic and treatment options. Endoscopic ultrasound is a reliable diagnostic and therapeutic method that has an established role, foremost in pancreatobiliary pathology. This paper aims to summarize the growing role of endoscopic ultrasound in hepatology based on the search of the current literature. A number of applications of endoscopic ultrasound are reviewed, including both noninvasive methods and tissue acquisition in focal and diffuse liver disease, portal hypertension measurement, detection and management of gastric and esophageal varices, treatment of focal liver lesions and staging of pancreatobiliary malignancies, treatment of cystic and solid liver lesions, as well as liver abscess drainage. Both hepatologists and endoscopists should be aware of the evolving role of endoscopic ultrasound in liver disease. The inherent invasive nature of endoscopic examination limits its use to a targeted population identified using noninvasive methods. Endoscopic ultrasound is one the most versatile methods in gastroenterology, allowing immediate access with detection, sampling, and treatment of digestive tract pathology. Further expansion of its use in hepatology is immanent.

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Section: Eus Elastographymentioning

confidence: 99%

Section: Eus Elastographymentioning

confidence: 99%

Section: Eus Elastographymentioning

confidence: 99%

Section: Eus Elastographymentioning

confidence: 99%

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Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

et al. 2021

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“…In stages 2 (F2) and 3 (F3) of fibrosis, the sensitivity is 84.7% and 78.3%, with a specificity of 92% and 81% respectively. And in stage F4 (advanced fibrosis) reaches a sensitivity of 91.2%, with a specificity of 80% [83,84].…”

Section: Hepatic Elastographymentioning

confidence: 99%

An Updated Review on the Epidemiology, Pathophysiology, Etiology and Diagnosis of Liver Cirrhosis

Gy¹,

Sh²,

Cm³

2019

Preprint

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Liver cirrhosis is a chronic disease that is characterized by the presence of fibrosis and regeneration of nodules in the liver whose consequences are the development of portal hypertension and liver failure. Cirrhosis arises from a wide variety of chronic diseases, which progresses slowly after years or decades. Liver cirrhosis is a public health problem. It is usually associated with viral hepatitis, consumption of alcohol, metabolic syndrome, autoimmune processes, storage diseases, toxic substances, and medications. Cirrhosis is the fourteenth most common cause of death in adults throughout the world, the fourth in Europe and the ninth in the United States. The prevalence of this disease is underestimated because it is symptomatic it is not diagnosed in initial stages, and it usually goes to the decompensated stage at a rate of 5 to 7% per year. We review here the epidemiology, pathophysiology, etiology, and diagnosis of liver cirrhosis.

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