Interobserver Reliability of Endoscopic Ultrasonography: Literature Review

Yamamiya, Akira; Irisawa, Atsushi; Kashima, Ken; Kunogi, Yasuhito; Nagashima, Kazunori; Minaguchi, Takahito; Izawa, Naoya; Yamabe, Akane; Hoshi, Koki; Tominaga, Keiichi; Iijima, Makoto; Goda, Kenichi

doi:10.3390/diagnostics10110953

Cited by 9 publications

(6 citation statements)

References 89 publications

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“…However, the interobserver reliability (IOR) of the EUS findings in the diagnosis of CP has been previously discussed, and the IOR of the EUS findings based on the Rosemont classification is not necessarily high [ 18 , 19 ]. We observed similar results in the literature review of the IOR of the EUS findings in the diagnosis of CP [ 20 ]. The use of diagnostic criteria that have been shown to have high IOR may lead to a highly accurate final diagnosis.…”

Section: Introductionsupporting

confidence: 85%

Interobserver Reliability of the Endoscopic Ultrasound Criteria for the Diagnosis of Early Chronic Pancreatitis: Comparison between the 2009 and 2019 Japanese Diagnostic Criteria

et al. 2021

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In 2009, diagnostic criteria for early chronic pancreatitis (DCECP2009) were proposed by the Japan Pancreas Society. This study aimed to evaluate the interobserver reliability (IOR) of endoscopic ultrasound (EUS) criteria for diagnosis of early chronic pancreatitis (ECP) between DCECP2009 and 2019 diagnostic criteria for ECP (DCECP2019) to assess the validity of the revision from the perspective of EUS findings. Among patients who underwent a detailed observation of the pancreas by EUS at our institution between January 2018 and March 2019, EUS images of 97 patients were extracted. Images were reviewed by 12 gastrointestinal endoscopy experts (eight pancreatologists, group A and four nonpancreatologists, group B). The overall kappa (K)-values for the IOR of the DCECP2009 EUS criteria were 0.424 and 0.563:0.231 for groups A:B, whereas the overall K-values for the DCECP2019 criteria were 0.618, and 0.733:0.442 for groups A:B. Regarding changes in the final diagnosis of ECP based on clinical features and EUS findings, 20 cases were definite ECP, 53 were probable ECP, and 24 were normal according to DCECP2009. In contrast, seven were definite ECP, 19 were probable ECP, and 71 were normal according to DECEP2019. IOR of DCECP2019 was higher than that of DCECP2009, which indicates an improvement in precision.

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Section: Introductionsupporting

confidence: 85%

Interobserver Reliability of the Endoscopic Ultrasound Criteria for the Diagnosis of Early Chronic Pancreatitis: Comparison between the 2009 and 2019 Japanese Diagnostic Criteria

et al. 2021

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“…2 However, the interobserver reliability (IOR) of the EUS findings in the diagnosis of ECP has been previously discussed. 3,4 Therefore, we evaluated the IOR of EUS criteria for diagnosis of ECP comparing DCECP2009 and DCECP2019. 3 The overall K-value for the IOR of EUS criteria in DCECP2009 was 0.424, and that of DCECP2019 was 0.618.…”

Section: Endoscopic Diagnosis and Treatment Of Chronic Pancreatitismentioning

confidence: 99%

Role of advanced endoscopy in the management of inflammatory digestive diseases (pancreas and biliary tract)

Ueki,

Maruo,

Igarashi

et al. 2024

Digestive Endoscopy

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The progress of endoscopic diagnosis and treatment for inflammatory diseases of the biliary tract and pancreas have been remarkable. Endoscopic ultrasonography (EUS) and EUS‐elastography are used for the diagnosis of early chronic pancreatitis and evaluation of endocrine and exocrine function in chronic pancreatitis. Notably, extracorporeal shock wave lithotripsy and electrohydraulic shock wave lithotripsy have improved the endoscopic stone removal rate in patients for whom pancreatic stone removal is difficult. Studies have reported the use of self‐expanding metal stents for stent placement for pancreatic duct stenosis and EUS‐guided pancreatic drainage for refractory pancreatic duct strictures. Furthermore, EUS‐guided drainage using a double‐pigtailed plastic stent has been performed for the management of symptomatic pancreatic fluid collection after acute pancreatitis. Recently, lumen‐apposing metal stents have led to advances in the treatment of walled‐off necrosis after acute pancreatitis. EUS‐guided biliary drainage is an alternative to refractory endoscopic biliary drainage and percutaneous transhepatic biliary drainage for the treatment of acute cholangitis. The placement of an inside stent followed by switching to uncovered self‐expanding metal stents in difficult‐to‐treat cases has been proposed for acute cholangitis by malignant biliary obstruction. Endoscopic transpapillary gallbladder drainage is an alternative to percutaneous transhepatic gallbladder drainage for severe and some cases of moderate acute cholecystitis. EUS‐guided gallbladder drainage has been reported as an alternative to percutaneous transhepatic gallbladder drainage and endoscopic transpapillary gallbladder drainage. However, it is important to understand the advantages and disadvantages of each drainage method and select the optimal drainage method for each case.

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Section: Diagnosis Of Cp Using Eusmentioning

confidence: 99%

“…Some reports have compared the diagnostic performance of conventional methods with that of the Rosemont classification, but no significant differences in the correct diagnosis rates are clear, partly because of interobserver reliability (IOR) and the complexity of the Rosemont classification. [24][25][26][27]30,31 In recent years, EUS-elastography (EUS-EG) has become available, further improving the ability of EUS to diagnose fibrosis in CP. [32][33][34][35][36][37][38][39][40] Actually, EUS-EG is a more objective method to diagnose fibrosis of the pancreas using EUS.…”

Section: Diagnosis Of Cp Using Eusmentioning

confidence: 99%

Diagnosing chronic pancreatitis by endoscopic ultrasound assessing the association between ultrasound and pathological findings: A narrative review

et al. 2022

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Endoscopic ultrasound (EUS) is widely recognized for its non‐invasiveness and for its usefulness in chronic pancreatitis (CP) diagnosis, including early CP. Although it is desirable to obtain a definitive diagnosis of CP by tissue sampling with EUS‐guided fine needle aspiration, histopathological changes in CP are heterogeneous in terms of the extent and the distribution of lesions. Therefore, histopathological diagnosis of appropriate tissue sampling by EUS‐fine needle aspiration is expected to be difficult. Furthermore, it is virtually impossible to match EUS images with pathological sections, making direct contrast between EUS findings and pathology difficult. This narrative review presents a discussion of the diagnosis of CP/early CP by EUS, particularly assessing the association between ultrasound and pathological findings. Recently, the histological corroboration and correlation of EUS findings related to CP have been clarified by surgical specimens, including those obtained from animal studies. Furthermore, remarkable advances have occurred in the objective and quantitative diagnosis of pancreatic fibrosis by EUS‐elastography. Future technological advances in EUS are expected to improve the accuracy of diagnosis of pancreatic fibrosis at earlier stages.

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Interobserver Reliability of Endoscopic Ultrasonography: Literature Review

Cited by 9 publications

References 89 publications

Interobserver Reliability of the Endoscopic Ultrasound Criteria for the Diagnosis of Early Chronic Pancreatitis: Comparison between the 2009 and 2019 Japanese Diagnostic Criteria

Interobserver Reliability of the Endoscopic Ultrasound Criteria for the Diagnosis of Early Chronic Pancreatitis: Comparison between the 2009 and 2019 Japanese Diagnostic Criteria

Role of advanced endoscopy in the management of inflammatory digestive diseases (pancreas and biliary tract)

Diagnosing chronic pancreatitis by endoscopic ultrasound assessing the association between ultrasound and pathological findings: A narrative review

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