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Diagnostic Endoscopic Ultrasound: Technique, Current Status and Future Directions

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Endoscopic ultrasound (EUS) is now well established as an important tool in clinical practice. From purely diagnostic imaging, it has progressed to include tissue acquisition, which provided the basis for therapeutic procedures. Even as interventional EUS developed, there has been ongoing progress in EUS diagnostic capabilities due to improved imaging systems, better needles for tissue acquisition and development of enhanced imaging functions such as contrast harmonic EUS (CHEUS) and EUS elastography. EUS is well established for differentiation of subepithelial lesions, for T-staging of luminal gastrointestinal and pancreaticobiliary malignancies, for differentiation of benign pancreaticobiliary disorders and for diagnostic tissue acquisition, which can be achieved by EUS-guided fine needle aspiration or by EUS-guided fine needle biopsy using dedicated biopsy needles. This review briefly describes the technique of performing EUS and then discusses its clinical utility in terms of gastrointestinal cancer staging, the evaluation of pancreaticobiliary disorders and tissue acquisition. Enhanced imaging techniques such as CHEUS and EUS elastography are briefly reviewed.

Abstract

Endoscopic ultrasound (EUS) is now well established as an important tool in clinical practice. From purely diagnostic imaging, it has progressed to include tissue acquisition, which provided the basis for therapeutic procedures. Even as interventional EUS developed, there has been ongoing progress in EUS diagnostic capabilities due to improved imaging systems, better needles for tissue acquisition and development of enhanced imaging functions such as contrast harmonic EUS (CHEUS) and EUS elastography. EUS is well established for differentiation of subepithelial lesions, for T-staging of luminal gastrointestinal and pancreaticobiliary malignancies, for differentiation of benign pancreaticobiliary disorders and for diagnostic tissue acquisition, which can be achieved by EUS-guided fine needle aspiration or by EUS-guided fine needle biopsy using dedicated biopsy needles. This review briefly describes the technique of performing EUS and then discusses its clinical utility in terms of gastrointestinal cancer staging, the evaluation of pancreaticobiliary disorders and tissue acquisition. Enhanced imaging techniques such as CHEUS and EUS elastography are briefly reviewed.

참고문헌 (104)

  1. Kohut M, "Accuracy of linear endoscopic ultrasonography in the evaluation of patients with suspected common bile duct stones", Endoscopy, 34, pp.299~303 (2002)[DOI]
  2. Stevens T, "Prospective comparison of radial and linear endoscopic ultrasound for diagnosis of chronic pancreatitis", Endoscopy, 41, pp.836~841 (2009)[DOI]
  3. Kaneko M, "Prospective, randomized, comparative study of delineation capability of radial scanning and curved linear array endoscopic ultrasound for the pancreaticobiliary region", Endosc Int Open, 2, pp.E160~E170 (2014)[DOI]
  4. Kanazawa K, "A comparison of electronic radial and curvilinear endoscopic ultrasonography in the detection of pancreatic malignant tumor", Scand J Gastroenterol, 47, pp.1313~1320 (2012)[DOI]
  5. 공은정, "Endoscopic Ultrasonography in the Diagnosis of Gastric Subepithelial Lesions", Clinical Endoscopy, 49(5), pp.425~433 (2016), 대한소화기내시경학회
  6. Inui K, "Standard imaging techniques in the pancreatobiliary region using radial scanning endoscopic ultrasonography", Dig Endosc, 16(Suppl 1), pp.S118~S133 (2004)[DOI]
  7. Yamao K, "Standard imaging techniques of endoscopic ultrasound-guided fine-needle aspiration using a curved linear array echoendoscope", Dig Endosc, 16(Suppl 1), pp.S180~S205 (2007)
  8. Polkowski M, "Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) technical guideline", Endoscopy, 44, pp.190~206 (2012)[DOI]
  9. Bhatia V, "Endoscopic ultrasonography-guided tissue acquisition: how to achieve excellence", Dig Endosc, 29, pp.417~430 (2017)[DOI]
  10. May A, "Accuracy of staging in early oesophageal cancer using high resolution endoscopy and high resolution endosonography: a comparative, prospective, and blinded trial", Gut, 53, pp.634~640 (2004)[DOI]
  11. Goda K, "Magnifying endoscopy with narrow band imaging for predicting the invasion depth of superficial esophageal squamous cell carcinoma", Dis Esophagus, 22, pp.453~460 (2009)[DOI]
  12. Lee MW, "Predicting the invasion depth of esophageal squamous cell carcinoma: comparison of endoscopic ultrasonography and magnifying endoscopy", Scand J Gastroenterol, 49, pp.853~861 (2014)
  13. Ohashi S, "The utility of endoscopic ultrasonography and endoscopy in the endoscopic mucosal resection of early gastric cancer", Gut, 45, pp.599~604 (1999)[DOI]
  14. Yanai H, "A blind comparison of the effectiveness of endoscopic ultrasonography and endoscopy in staging early gastric cancer", Gut, 44, pp.361~365 (1999)[DOI]
  15. Choi J, "Comparison of endoscopic ultrasonography and conventional endoscopy for prediction of depth of tumor invasion in early gastric cancer", Endoscopy, 42, pp.705~713 (2010)[DOI]
  16. Okada K, "Endoscopic ultrasonography is valuable for identifying early gastric cancers meeting expanded-indication criteria for endoscopic submucosal dissection", Surg Endosc, 25, pp.841~848 (2011)[DOI]
  17. Oyama T, "Prediction of the invasion depth of superficial squamous cell carcinoma based on microvessel morphology: magnifying endoscopic classification of the Japan Esophageal Society", Esophagus, 14, pp.105~112 (2017)[DOI]
  18. Gotoda T, "Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers", Gastric Cancer, 3, pp.219~225 (2000)[DOI]
  19. Puli SR, "Staging accuracy of esophageal cancer by endoscopic ultrasound: a meta-analysis and systematic review", World J Gastroenterol, 14, pp.1479~1490 (2008)[DOI]
  20. Thosani N, "Diagnostic accuracy of EUS in differentiating mucosal versus submucosal invasion of superficial esophageal cancers: a systematic review and meta-analysis", Gastrointest Endosc, 75, pp.242~253 (2012)[DOI]
  21. Qumseya BJ, "Diagnostic performance of EUS in predicting advanced cancer among patients with Barrett's esophagus and high-grade dysplasia", early adenocarcinoma: systematic review and meta-analysis, 2015, pp.81, 865~874
  22. Sun F, "Staging accuracy of endoscopic ultrasound for esophageal cancer after neoadjuvant chemotherapy: a meta-analysis and systematic review", Dis Esophagus, 28, pp.757~771 (2015)[DOI]
  23. Mocellin S, "Diagnostic accuracy of endoscopic ultrasonography (EUS) for the preoperative locoregional staging of primary gastric cancer", Cochrane Database Syst Rev, (2) (2015)
  24. Puli SR, "How good is endoscopic ultrasound in differentiating various T stages of rectal cancer? Meta-analysis and systematic review", Ann Surg Oncol, 16, pp.254~265 (2009)[DOI]
  25. Dewitt J, "Comparison of endoscopic ultrasound and computed tomography for the preoperative evaluation of pancreatic cancer: a systematic review", Clin Gastroenterol Hepatol, 4, pp.717~725 (2006)[DOI]
  26. Legmann P, "Pancreatic tumors: comparison of dual-phase helical CT and endoscopic sonography", AJR Am J Roentgenol, 170, pp.1315~1322 (1998)[DOI]
  27. Harinck F, "A multicenter comparative prospective blinded analysis of EUS and MRI for screening of pancreatic cancer in high-risk individuals", Gut, 65, pp.1505~1513 (2016)[DOI]
  28. Puli SR, "Diagnostic accuracy of EUS for vascular invasion in pancreatic and periampullary cancers: a meta-analysis and systematic review", Gastrointest Endosc, 65, pp.788~797 (2007)[DOI]
  29. Snady H, "EUS criteria for vascular invasion: analyzing the metaanalysis", Gastrointest Endosc, 65, pp.798~807 (2007)[DOI]
  30. DeWitt J, "Comparison of endoscopic ultrasonography and multidetector computed tomography for detecting and staging pancreatic cancer", Ann Intern Med, 141, pp.753~763 (2004)[DOI]
  31. Tellez-Avila FI, "Vascular invasion in pancreatic cancer: predictive values for endoscopic ultrasound and computed tomography imaging", Pancreas, 41, pp.636~638 (2012)[DOI]
  32. Nawaz H, "Performance characteristics of endoscopic ultrasound in the staging of pancreatic cancer: a meta-analysis", JOP, 14, pp.484~497 (2013)
  33. Soriano A, "Preoperative staging and tumor resectability assessment of pancreatic cancer: prospective study comparing endoscopic ultrasonography, helical computed tomography, magnetic resonance imaging, and angiography", Am J Gastroenterol, 99, pp.492~501 (2004)[DOI]
  34. Tse F, "EUS: a metaanalysis of test performance in suspected choledocholithiasis", Gastrointest Endosc, 67, pp.235~244 (2008)[DOI]
  35. Garrow D, "Endoscopic ultrasound: a meta-analysis of test performance in suspected biliary obstruction", Clin Gastroenterol Hepatol, 5, pp.616~623 (2007)[DOI]
  36. Sugiyama M, "Endoscopic ultrasonography for diagnosing choledocholithiasis: a prospective comparative study with ultrasonography and computed tomography", Gastrointest Endosc, 45, pp.143~146 (1997)[DOI]
  37. Giljaca V, "Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones", Cochrane Database Syst Rev, (2) (2015)
  38. Romagnuolo J, "Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary disease", Ann Intern Med, 139, pp.547~557 (2003)[DOI]
  39. Verma D, "EUS vs MRCP for detection of choledocholithiasis", Gastrointest Endosc, 64, pp.248~254 (2006)[DOI]
  40. Zidi SH, "Use of magnetic resonance cholangiography in the diagnosis of choledocholithiasis: prospective comparison with a reference imaging method", Gut, 44, pp.118~122 (1999)[DOI]
  41. Sugiyama M, "Magnetic resonance cholangiography using half-Fourier acquisition for diagnosing choledocholithiasis", Am J Gastroenterol, 93, pp.1886~1890 (1998)[DOI]
  42. Boraschi P, "Choledocolithiasis: diagnostic accuracy of MR cholangiopancreatography: three-year experience", Magn Reson Imaging, 17, pp.1245~1253 (1999)[DOI]
  43. ASGE Standards of Practice Committee, "The role of endoscopy in the evaluation of suspected choledocholithiasis", Gastrointest Endosc, 71, pp.1~9 (2010)[DOI]
  44. Lachter J, "Linear EUS for bile duct stones", Gastrointest Endosc, 51, pp.51~54 (2000)[DOI]
  45. Conwell DL, "Comparison of endoscopic ultrasound chronic pancreatitis criteria to the endoscopic secretinstimulated pancreatic function test", Dig Dis Sci, 52, pp.1206~1210 (2007)[DOI]
  46. Catalano MF, "EUS-based criteria for the diagnosis of chronic pancreatitis: the Rosemont classification", Gastrointest Endosc, 69, pp.1251~1261 (2009)[DOI]
  47. Stevens T, "Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis", Gastrointest Endosc, 71, pp.519~526 (2010)[DOI]
  48. Del Pozo D, "Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: interobserver agreement in same day back-to-back procedures", Pancreatology, 12, pp.284~287 (2012)[DOI]
  49. Petrone MC, "Pancreatic abnormalities detected by endoscopic ultrasound (EUS) in patients without clinical signs of pancreatic disease: any difference between standard and Rosemont classification scoring?", Pancreatology, 14, pp.227~230 (2014)[DOI]
  50. D'Souza SL, "EUS diagnostic criteria for chronic pancreatitis: a comparison of conventional versus rosemont criteria", Dig Dis Sci, 60, pp.3782~3787 (2015)[DOI]
  51. Song MH, "EUS in the evaluation of pancreatic cystic lesions", Gastrointest Endosc, 57, pp.891~896 (2003)[DOI]
  52. Koito K, "Solitary cystic tumor of the pancreas: EUS-pathologic correlation", Gastrointest Endosc, 45, pp.268~276 (1997)[DOI]
  53. O'Toole D, "Macrocystic pancreatic cystadenoma: the role of EUS and cyst fluid analysis in distinguishing mucinous and serous lesions", Gastrointest Endosc, 59, pp.823~829 (2004)[DOI]
  54. Brugge WR, "Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study", Gastroenterology, 126, pp.1330~1336 (2004)[DOI]
  55. Kim KW, "Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysis", Ann Surg, 259, pp.72~81 (2014)[DOI]
  56. Tanaka M, "Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas", Pancreatology, 17, pp.738~753 (2017)[DOI]
  57. Fernandez-del Castillo C, "Incidental pancreatic cysts: clinicopathologic characteristics and comparison with symptomatic patients", Arch Surg, 138, pp.427~434 (2003)[DOI]
  58. ASGE Standards of Practice Committee, "The role of endoscopy in the diagnosis and treatment of cystic pancreatic neoplasms", Gastrointest Endosc, 84, pp.1~9 (2016)[DOI]
  59. Thornton GD, "Endoscopic ultrasound guided fine needle aspiration for the diagnosis of pancreatic cystic neoplasms: a metaanalysis", Pancreatology, 13, pp.48~57 (2013)[DOI]
  60. ASGE Standards of Practice Committee, "Role of EUS", Gastrointest Endosc, 66, pp.425~434 (2007)[DOI]
  61. Micames CG, "Endoscopic ultrasound-guided fine-needle aspiration for non-small cell lung cancer staging: a systematic review and metaanalysis", Chest, 131, pp.539~548 (2007)[DOI]
  62. Puli SR, "How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass? A metaanalysis and systematic review", Pancreas, 42, pp.20~26 (2013)[DOI]
  63. Bang JY, "Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions", Endoscopy, 45, pp.445~450 (2013)[DOI]
  64. Wallace MB, "Randomized controlled trial of EUS-guided fine needle aspiration techniques for the detection of malignant lymphadenopathy", Gastrointest Endosc, 54, pp.441~447 (2001)[DOI]
  65. Puri R, "Randomized controlled trial of endoscopic ultrasound-guided fine-needle sampling with or without suction for better cytological diagnosis", Scand J Gastroenterol, 44, pp.499~504 (2009)[DOI]
  66. Lee JK, "A prospective, comparative trial to optimize sampling techniques in EUS-guided FNA of solid pancreatic masses", Gastrointest Endosc, 77, pp.745~751 (2013)[DOI]
  67. Nakai Y, "Slow pull versus suction in endoscopic ultrasound-guided fine-needle aspiration of pancreatic solid masses", Dig Dis Sci, 59, pp.1578~1585 (2014)[DOI]
  68. Attam R, ""Wet suction technique (WEST)": a novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions", Gastrointest Endosc, 81, pp.1401~1407 (2015)[DOI]
  69. Erickson RA, "Factors predicting the number of EUS-guided fine-needle passes for diagnosis of pancreatic malignancies", Gastrointest Endosc, 51, pp.184~190 (2000)[DOI]
  70. Klapman JB, "Clinical impact of on-site cytopathology interpretation on endoscopic ultrasoundguided fine needle aspiration", Am J Gastroenterol, 98, pp.1289~1294 (2003)[DOI]
  71. Kulesza P, "Endoscopic ultrasound-guided fine-needle aspiration: sampling, pitfalls, and quality management", Clin Gastroenterol Hepatol, 5, pp.1248~1254 (2007)[DOI]
  72. Pellise Urquiza M, "Endoscopic ultrasound-guided fine needle aspiration: predictive factors of accurate diagnosis and cost-minimization analysis of on-site pathologist", Gastroenterol Hepatol, 30, pp.319~324 (2007)[DOI]
  73. Turner BG, "Diagnosis of pancreatic neoplasia with EUS and FNA: a report of accuracy", Gastrointest Endosc, 71, pp.91~98 (2010)[DOI]
  74. LeBlanc JK, "Optimal number of EUSguided fine needle passes needed to obtain a correct diagnosis", Gastrointest Endosc, 59, pp.475~481 (2004)[DOI]
  75. Affolter KE, "Needle size has only a limited effect on outcomes in EUS-guided fine needle aspiration: a systematic review and meta-analysis", Dig Dis Sci, 58, pp.1026~1034 (2013)[DOI]
  76. Madhoun MF, "The diagnostic accuracy of 22-gauge and 25-gauge needles in endoscopic ultrasoundguided fine needle aspiration of solid pancreatic lesions: a metaanalysis", Endoscopy, 45, pp.86~92 (2013)[DOI]
  77. Wee E, "Endoscopic ultrasound guided fine-needle aspiration of lymph nodes and solid masses: factors influencing the cellularity and adequacy of the aspirate", J Clin Gastroenterol, 46, pp.487~493 (2012)[DOI]
  78. Rong L, "Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions", Dig Endosc, 24, pp.358~363 (2012)[DOI]
  79. Ang TL, "A prospective randomized study of the difference in diagnostic yield between endoscopic ultrasound-guided fine-needle aspiration (EUSFNA) needles with and without a side port in pancreatic masses", Endosc Int Open, 3, pp.329~333 (2015)[DOI]
  80. Ishiwatari H, "Randomized trial comparing a side-port needle and standard needle for EUS-guided histology of pancreatic lesions", Gastrointest Endosc, 84, pp.670~678 (2016)[DOI]
  81. Iglesias-Garcia J, "Feasibility and yield of a new EUS histology needle: results from a multicenter, pooled, cohort study", Gastrointest Endosc, 73, pp.1189~1196 (2011)[DOI]
  82. DeWitt J, "Comparison of EUS-guided tissue acquisition using two different 19-gauge core biopsy needles: a multicenter, prospective, randomized, and blinded study", Endosc Int Open, 3, pp.471~478 (2015)[DOI]
  83. Mitri RD, "Performance of a new needle for endoscopic ultrasound-guided fine-needle biopsy in patients with pancreatic solid lesions: a retrospective multicenter study", Endosc Ultrasound (2017)
  84. Jovani M, "Novel fork-tip needles versus standard needles for EUS-guided tissue acquisition from solid masses of the upper GI tract: a matched cohort study", Scand J Gastroenterol, 52, pp.784~787 (2017)[DOI]
  85. Mukai S, "An animal experimental study to assess the core tissue acquisition ability of endoscopic ultrasound-guided histology needles", Endosc Ultrasound, 7, pp.263~269 (2018)[DOI]
  86. Khan MA, "A meta-analysis of endoscopic ultrasound-fine-needle aspiration compared to endoscopic ultrasound-fine-needle biopsy: diagnostic yield and the value of onsite cytopathological assessment", Endosc Int Open, 5, pp.E363~E375 (2017)[DOI]
  87. Bang JY, "A meta-analysis comparing ProCore and standard fine-needle aspiration needles for endoscopic ultrasound-guided tissue acquisition", Endoscopy, 48, pp.339~349 (2016)
  88. Kim GH, "Comparison of 22-gauge aspiration needle with 22-gauge biopsy needle in endoscopic ultrasonography-guided subepithelial tumor sampling", Scand J Gastroenterol, 49, pp.347~354 (2014)[DOI]
  89. Hedenstrom P, "High clinical impact and diagnostic accuracy of EUS-guided biopsy sampling of subepithelial lesions: a prospective, comparative study", Surg Endosc, 32, pp.1304~1313 (2018)[DOI]
  90. El Chafic AH, "Comparison of FNA and fine-needle biopsy for EUSguided sampling of suspected GI stromal tumors", Gastrointest Endosc, 86, pp.510~515 (2017)[DOI]
  91. ASGE Standards of Practice Committee, "Adverse events associated with EUS and EUS with FNA", Gastrointest Endosc, 77, pp.839~843 (2013)[DOI]
  92. Wang KX, "Assessment of morbidity and mortality associated with EUS-guided FNA: a systematic review", Gastrointest Endosc, 73, pp.283~290 (2011)[DOI]
  93. Zhu H, "Assessment of morbidity and mortality associated with endoscopic ultrasound-guided fine-needle aspiration for pancreatic cystic lesions: a systematic review and meta-analysis", Dig Endosc, 29, pp.667~675 (2017)[DOI]
  94. Seicean A, "Maximizing the endosonography: the role of contrast harmonics, elastography and confocal endomicroscopy", World J Gastroenterol, 23, pp.25~41 (2017)[DOI]
  95. Imazu H, "Novel quantitative perfusion analysis with contrast-enhanced harmonic EUS for differentiation of autoimmune pancreatitis from pancreatic carcinoma", Scand J Gastroenterol, 47, pp.853~860 (2012)[DOI]
  96. Gong TT, "Contrast-enhanced EUS for differential diagnosis of pancreatic mass lesions: a meta-analysis", Gastrointest Endosc, 76, pp.301~309 (2012)[DOI]
  97. Kamata K, "Contrast-enhanced harmonic endoscopic ultrasonography for differential diagnosis of pancreatic cysts", Endoscopy, 48, pp.35~41 (2016)[DOI]
  98. Sakamoto H, "Estimation of malignant potential of GI stromal tumors by contrast-enhanced harmonic EUS (with videos)", Gastrointest Endosc, 73, pp.227~237 (2011)[DOI]
  99. Imazu H, "Contrast-enhanced harmonic endoscopic ultrasonography in the differential diagnosis of gallbladder wall thickening", Dig Dis Sci, 59, pp.1909~1916 (2014)[DOI]
  100. Miyata T, "Contrast-enhanced harmonic endoscopic ultrasonography for assessment of lymph node metastases in pancreatobiliary carcinoma", World J Gastroenterol, 22, pp.3381~3391 (2016)[DOI]
  101. Ying L, "Clinical utility of endoscopic ultrasound elastography for identification of malignant pancreatic masses: a meta-analysis", J Gastroenterol Hepatol, 28, pp.1434~1443 (2013)[DOI]
  102. Larsen MH, "Endoscopic ultrasound, endoscopic sonoelastography, and strain ratio evaluation of lymph nodes with histology as gold standard", Endoscopy, 44, pp.759~766 (2012)[DOI]
  103. Itoh Y, "Quantitative analysis of diagnosing pancreatic fibrosis using EUS-elastography (comparison with surgical specimens)", J Gastroenterol, 49, pp.1183~1192 (2014)[DOI]
  104. Xu W, "EUS elastography for the differentiation of benign and malignant lymph nodes: a meta-analysis", Gastrointest Endosc, 74, pp.1001~1009 (2011)[DOI]

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