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超声内镜弹性成像技术的最新应用进展
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Abstract:
超声内镜弹性成像(endoscopic ultrasound-elastography, EUS-EG)融合了超声内镜技术和弹性成像技术，其最大的特点在于无创性。这是超声内镜引导下细针穿刺(EUS-guided fine needle aspiration, EUS-FNA)所不具备的优势。由于超声内镜能够清晰观察病变组织结构和血流动力学改变，因此可以提供精确、直观而又有价值的信息，从而帮助医生做出准确判断。现阶段，超声内镜弹性成像技术除了超声内镜应变弹性成像(EUS-strain-elastography, EUS-SE)技术之外，还涵盖了超声内镜剪切波弹性成像(EUS-shear wave elastography, EUS-SWE)技术。超声内镜弹性成像技术在各类疾病的检测上已经取得了很大的突破，对于这项技术的未来研究将是充满期待。由于其具有较高的特异性及敏感性，因此可作为一种新的无创性检查方法用于临床多种疾病相关指标的检测。本文全面回顾了近年来超声内镜弹性成像技术在慢性胰腺炎(CP)、自身免疫性胰腺炎(AIP)、胰腺实性病变(PSL)、淋巴结病以及胃肠道上皮下病变(GI-SEL)的最新研究进展并进行了全面综述。
Endoscopic ultrasound-elastography (EUS-EG) combines ultrasound endoscopy technique and the elastography technique, and its most important feature is its non-invasive nature. This is the ad-vantage that EUS-guided fine needle aspiration (EUS-FNA) does not have. Since ultrasound endos-copy can clearly observe the structure of diseased tissues and hemodynamic changes, it can provide precise, intuitive and valuable information, which can help doctors make accurate judgments. At this stage, ultrasound endoscopic elastography technique covers ultrasound endoscopic shear wave elastography (EUS-SWE) technique in addition to ultrasound endoscopic strainelastography (EUS-strain-elastography, EUS-SE) technique. EUS-shear wave elastography (EUS-SWE) has made great breakthroughs in the detection of various diseases, and the future research of this technology will be full of expectations. Because of its high specificity and sensitivity, it can be used as a new noninvasive examination method for the detection of a variety of disease-related indicators in clini-cal practice. In this paper, we comprehensively review the latest research progress of ultrasound endoscopic elastography in chronic pancreatitis (CP), autoimmune pancreatitis (AIP), pancreatic solid lesions (PSL), lymphadenopathy, and gastrointestinal subepithelial lesions (GI-SEL) in recent years to provide a comprehensive overview.
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