1.Feasibility of Newly Developed Endoscopic Ultrasound with Zone Sonography Technology for Diagnosis of Pancreatic Diseases.
Yoshiki HIROOKA ; Akihiro ITOH ; Hiroki KAWASHIMA ; Eizaburo OHNO ; Yuya ITOH ; Yosuke NAKAMURA ; Takeshi HIRAMATSU ; Hiroyuki SUGIMOTO ; Hajime SUMI ; Daijiro HAYASHI ; Naoki OHMIYA ; Ryoji MIYAHARA ; Masanao NAKAMURA ; Kohei FUNASAKA ; Masatoshi ISHIGAMI ; Yoshiaki KATANO ; Hidemi GOTO
Gut and Liver 2013;7(4):486-491
BACKGROUND/AIMS: To confirm the feasibility of using newly developed endoscopic ultrasound (EUS) with Zone sonography(TM) technology (ZST; Fujifilm Corp.). METHODS: Seventy-five patients with pancreatic disorders were enrolled: 45 with intraductal papillary mucinous neoplasm; 15 with ductal carcinoma; five with neuroendocrine tumors; three with serous cystic neoplasms; and seven with simple cysts. The endoscopes used were EG-530UR2 and EG-530UT2 (Fujifilm Corp.). Two items were evaluated: visualization depth among four frequencies and image quality after automatic adjustment of sound speed (AASS), assessed using a 5-scale Likert scale by two endosonographers blinded to disease status. Because sound speed could be manually controlled, besides AASS, image quality at sound speeds of 1,440 and 1,600 m/sec were also assessed. RESULTS: In all cases, sufficient images were obtained in the range of 3 cm from the EUS probe. Judgments of image quality before AASS were 3.49+/-0.50, 3.65+/-0.48, respectively. After AASS, A and B scored 4.36+/-0.48 and 4.40+/-0.49 (p<0.0001). There were significant differences in the data before and after AASS and plus 60 m/sec, but no significant difference between the datasets were seen after AASS and at sound speeds manually set for minus 100 m/sec. CONCLUSIONS: EUS with ZST was shown to be feasible in this preliminary experiment. Further evaluation of this novel technology is necessary and awaited.
Endoscopes
;
Endosonography
;
Humans
;
Judgment
;
Mucins
;
Pancreatic Diseases
Result Analysis
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