Ultrasound of the pancreas: update and controversies

Martínez-Noguera, Antonio; Montserrat, Enric; Torrubia, Sofía; Monill, J M; Estrada, Paul

doi:10.1007/s003300101003

Cited by 30 publications

(16 citation statements)

References 30 publications

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“…Gorelick [5,6,14].CT, which is often considered to be the gold standard in the local assessment of pancreatic cancer, is also helpful in evaluating nodal status. Chen [9,12,18]. Our results showed relatively low accuracy rates for routine US (72.5%), Doppler US (80.0%), and CT (82.5 %).…”

Section: Discussioncontrasting

confidence: 65%

The value of imaging techniques in the staging of pancreatic cancer

et al. 2004

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Section: Discussioncontrasting

confidence: 65%

The value of imaging techniques in the staging of pancreatic cancer

et al. 2004

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“…IOUS has also been used successfully to guide biopsies, fine-needle aspirations [17,18] and therapeutic procedures, such as thermoablation, cryoablation, or alcohol injections [5,19].…”

Section: Discussionmentioning

confidence: 99%

Is intraoperative ultrasound (IOUS) still useful for the detection of liver metastases?

D’Onofrio

Gallotti

Martone

et al. 2009

Journal of Ultrasound

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KEYWORDSLiver; Metastases; Ultrasound; Computed tomography; Magnetic resonance; Intraoperative ultrasound.Abstract Purpose: To evaluate the clinical impact of intraoperative ultrasound (IOUS) in the detection of liver metastases during the years, as compared with those of other imaging modalities. Materials and methods: All IOUS scans performed for detection of liver metastases from 2000 to 2006 were retrospectively reviewed and compared with the results of preoperative imaging modalities: Ultrasound (US), Computed Tomography (CT), and/or Magnetic Resonance (MR). The number of cases in which IOUS and preoperative imaging studies produced discordant results, in terms of presence/absence of focal liver lesions, was calculated per year. Statistical analysis was performed using the McNemar test. A p value < 0.05 was considered statistically significant. Results: Eighty-three IOUS scans performed in 2000e2003 were reviewed, and discordance with preoperative imaging findings was found in 19/83 (23%) cases. Of the 42 IOUS scans done during the 2004e2006 period, 10/42 (24%) showed discordance with preoperative studies. All metastases diagnosed with imaging studies were pathologically confirmed. The number of discordant cases in the two periods were not significantly different (p Z 0.2). Conclusion: IOUS is still useful in the detection of liver metastases. Its decreased use is probably due to the improved accuracy of preoperative imaging modalities.Sommario Scopo: Valutare l'impatto clinico negli anni dell'ecografia intraoperatoria (IOUS) nella identificazione delle metastasi epatiche rispetto alle altre metodiche di imaging. Materiali e metodi: risultati delle ecografie intraoperatorie effettuate per l'identificazione delle metastasi epatiche in un periodo compreso tra gli anni 2000 e 2006 sono stati retrospettivamente revisionati e comparati con le metodiche di imaging preoperatorio: Ecografia (US), Tomografia Computerizzata (TC) e/o Risonanza Magnetica (RM). Tutti i casi sono stati patologicamente provati. Sono stati calcolati per anno i casi discordanti in termini di presenza/assenza di lesione focale epatica. Il confronto statistico è stato effettuato con il test di McNemar. Un valore del p < 0,05 è stato considerato statisticamente significativo. Risultati: Nel triennio 2000e2003, i dati di 83 pazienti sono stati revisionati e i casi discordanti sono stati 19/83 (23%). Nel triennio 2004e2006, i dati di 42 pazienti sono stati revisionati e i casi discordanti sono stati 10/42 (24%). Non vi è stata differenza statisticamente significativa (p Z 0,2) circa il numero di casi discordanti nei due periodi. L'esame patologico ha confermato la presenza di metastasi in tutti i casi. Conclusioni: L'ecografia intraoperatoria (IOUS) risulta una metodica di imaging tuttora utile nella identificazione delle metastasi epatiche. La riduzione del suo impiego negli anni è probabilmente dovuta alla maggiore accuratezza diagnostica dell'imaging preoperatorio. ª

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“…49 US can be performed easily at patient's bedside and demonstrates good values of sensitivity and specificity in the assessment of AP (67 and 100%, respectively). 50 Furthermore, US is useful in the follow-up of the patients, revealing local complications such as abscesses, necrosis, peripancreatic fluid, pseudocysts, abscesses and vascular disease (venous thrombosis and pseudoaneurysms).…”

Section: Role Of Ultrasound In Acute Pancreatitismentioning

confidence: 99%

The management of the patient with acute pancreatitis: from evidence to clinical practice

Cenci

Restuccia

Gnerre³

et al. 2017

Ital J Med

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Acute pancreatitis is an inflammatory disorder of the pancreas characterized by abdominal pain and elevation of pancreatic enzymes in the blood. The pathogenesis is complex and partly unknown and the evolution is often unpredictable. Many efforts have been made to define this disease and its complications and to classify different grades of severity in order to formulate prognostic scores that could guide the physician in choosing the optimal therapeutic setting and procedures. The management of the patient with pancreatitis is not always optimal and differs among internist, gastroenterologist or surgeon. We think that a patient with clinical suspicion of acute pancreatitis is admitted to medical or surgical department depending on the availability of beds and not according to evidence-based medicine. The aim of this monograph is to identify the optimal management of patients with acute pancreatitis admitted to hospital.

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Ultrasound of the pancreas: update and controversies

Cited by 30 publications

References 30 publications

The value of imaging techniques in the staging of pancreatic cancer

The value of imaging techniques in the staging of pancreatic cancer

Is intraoperative ultrasound (IOUS) still useful for the detection of liver metastases?

The management of the patient with acute pancreatitis: from evidence to clinical practice

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