Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma

Pancreatic ductal adenocarcinoma (PDAC) is the most common (90%) type of solid pancreatic neoplasm. Due to its late presentation and poor survival rate, early diagnosis and timely treatment is of utmost importance for better clinical outcomes. Endoscopic ultrasound provides high-resolution images of...

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Main Authors: Abhirup Chatterjee, Jimil Shah
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/1/78
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author Abhirup Chatterjee
Jimil Shah
author_facet Abhirup Chatterjee
Jimil Shah
author_sort Abhirup Chatterjee
collection DOAJ
description Pancreatic ductal adenocarcinoma (PDAC) is the most common (90%) type of solid pancreatic neoplasm. Due to its late presentation and poor survival rate, early diagnosis and timely treatment is of utmost importance for better clinical outcomes. Endoscopic ultrasound provides high-resolution images of the pancreas and has excellent sensitivity in the diagnosis of even small (<2 cm) pancreatic lesions. Apart from imaging, it also has an advantage of tissue acquisition (EUS fine-needle aspiration, FNA; or fine-needle biopsy, FNB) for definitive diagnoses. EUS-guided tissue acquisition plays a crucial role in genomic and molecular studies, which in today’s era of personalized medicine, are likely to become important components of PDAC management. With the use of better needle designs and technical advancements, EUS has now become an indispensable tool in the management of PDAC. Lastly, artificial intelligence for the detection of pancreatic lesions and newer automated needles for tissue acquisition will obviate observer dependency in the near future, resulting in the wider dissemination and adoption of this technology for improved outcomes in patients with PDAC.
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spelling doaj.art-8bf1d0d747d94c38bc46f99732374e232024-01-10T14:53:54ZengMDPI AGDiagnostics2075-44182023-12-011417810.3390/diagnostics14010078Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal AdenocarcinomaAbhirup Chatterjee0Jimil Shah1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaPancreatic ductal adenocarcinoma (PDAC) is the most common (90%) type of solid pancreatic neoplasm. Due to its late presentation and poor survival rate, early diagnosis and timely treatment is of utmost importance for better clinical outcomes. Endoscopic ultrasound provides high-resolution images of the pancreas and has excellent sensitivity in the diagnosis of even small (<2 cm) pancreatic lesions. Apart from imaging, it also has an advantage of tissue acquisition (EUS fine-needle aspiration, FNA; or fine-needle biopsy, FNB) for definitive diagnoses. EUS-guided tissue acquisition plays a crucial role in genomic and molecular studies, which in today’s era of personalized medicine, are likely to become important components of PDAC management. With the use of better needle designs and technical advancements, EUS has now become an indispensable tool in the management of PDAC. Lastly, artificial intelligence for the detection of pancreatic lesions and newer automated needles for tissue acquisition will obviate observer dependency in the near future, resulting in the wider dissemination and adoption of this technology for improved outcomes in patients with PDAC.https://www.mdpi.com/2075-4418/14/1/78PDACEUSfine-needle aspiration (FNA)fine-needle biopsy (FNB)precision medicinepancreatic carcinoma
spellingShingle Abhirup Chatterjee
Jimil Shah
Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
Diagnostics
PDAC
EUS
fine-needle aspiration (FNA)
fine-needle biopsy (FNB)
precision medicine
pancreatic carcinoma
title Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
title_full Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
title_fullStr Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
title_full_unstemmed Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
title_short Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
title_sort role of endoscopic ultrasound in diagnosis of pancreatic ductal adenocarcinoma
topic PDAC
EUS
fine-needle aspiration (FNA)
fine-needle biopsy (FNB)
precision medicine
pancreatic carcinoma
url https://www.mdpi.com/2075-4418/14/1/78
work_keys_str_mv AT abhirupchatterjee roleofendoscopicultrasoundindiagnosisofpancreaticductaladenocarcinoma
AT jimilshah roleofendoscopicultrasoundindiagnosisofpancreaticductaladenocarcinoma