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

Authors

Ahmed Khaled Shehata, Department of Hepatology, Gastroenterology, and Infectious diseases, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.Follow
Yasser fouad Fathallah, Department of Hepatology, Gastroenterology, and Infectious diseases, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.
Mohamed Mousa Hegazi, Department of Hepatology, Gastroenterology, and Infectious diseases, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.
Mohamed salah Elfeshawy, Department of Diagnostic radiology, Faculty of Medicine, Al-Azhar University, Cairo , Egypt.

Corresponding Author

Ahmed Khaled Shehata

Document Type

Original Article

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.

Keywords

Pancreatic cancer, Solid Pancreatic Mass, EUS, elastography

How to Cite This Article

Shehata, Ahmed Khaled; Fathallah, Yasser fouad; Hegazi, Mohamed Mousa; and Elfeshawy, Mohamed salah (2023) "Role of EUS in the Diagnosis of Patients with Solid Pancreatic Mass in relation to other imaging modalities," Al-Azhar International Medical Journal: Vol. 4: Iss. 3, Article 38.
DOI: https://doi.org/10.58675/2682-339X.1703