KMID : 0359020130460020172
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Korean Journal of Gastrointestinal Endoscopy 2013 Volume.46 No. 2 p.172 ~ p.177
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Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study
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Lee Tae-Hee
Cho Young-Deok Jang Jae-Young Jeong Soung-Won Cha Sang-Woo Cho Joo-Young Choi Hyun-Jong Moon Jong-Ho
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Abstract
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Background/Aims: Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.
Methods: The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.
Results: The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).
Conclusions: EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.
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KEYWORD
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Elasticity imaging techniques, Endosonography, Pancreas
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