Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities
Shehata, A., Fathallah, Y., Hegazi, M., Elfeshawy, M. (2644). Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities. EKB Journal Management System, 2023(1), -. doi: 10.58675/2682-339X.1703
Ahmed Khaled Shehata; Yasser fouad Fathallah; Mohamed Mousa Hegazi; Mohamed salah Elfeshawy. "Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities". EKB Journal Management System, 2023, 1, 2644, -. doi: 10.58675/2682-339X.1703
Shehata, A., Fathallah, Y., Hegazi, M., Elfeshawy, M. (2644). 'Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities', EKB Journal Management System, 2023(1), pp. -. doi: 10.58675/2682-339X.1703
Shehata, A., Fathallah, Y., Hegazi, M., Elfeshawy, M. Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities. EKB Journal Management System, 2644; 2023(1): -. doi: 10.58675/2682-339X.1703

Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities

Al-Azhar International Medical Journal
Volume 2023, Issue 1, January 2023  XML
DOI: 10.58675/2682-339X.1703
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Authors
Ahmed Khaled Shehata1; Yasser fouad Fathallah1; Mohamed Mousa Hegazi1; Mohamed salah Elfeshawy2
1Department of Hepatology, Gastroenterology, and Infectious diseases, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.
2Department of Diagnostic radiology, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.
Abstract
Background: Death from solid pancreatic lesions (SPL) is rather common, ranking as the fourth-leading cause of cancer-related mortality worldwide. The use of endoscopic ultrasonography (EUS) as a diagnostic technique in PC has increased in recent years. Aim: The purpose of this study is to compare EUS to other imaging modalities for the identification of individuals with solid pancreatic lesions (SPL). Patients and methods: This study conducted on fifty patients who are presented by solid pancreatic mass. All participants underwent full history taking, clinical assessment, laboratory investigation, CT, MRI, endoscopic ultrasound (EUS) and Endoscopic ultrasound fine-needle aspiration (EUS-FNA). Results: Regarding CT, MRI and EUS finding of biliary pancreatic system, EUS has a higher significant dilated CBD (42%), CBD diameter (7.58 ± 3.31), dilated IHBR (44%) and detection of SPL (100%). Receiver operating curve (ROC) was used to determine the cutoff value of EUS strain ratio in diagnosis of patients with malignant pancreatic mass. Our ROC results revealed that strain ratio cutoff value is more than 73.42 and the area under the ROC curve is equal to 0.973. The sensitivity value of EUS was 93.3% and the specificity was 90.0%. Conclusion: Finally, we conclude that EUS is an effective noninvasive approach for measuring SPL. The diagnostic work up of SPL should involve EUS elastography.
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