内镜超声波在癌症分期中的作用
Harry R Aslanian1, Thiruvengadam Muniraj1, Anil Nagar1
1Department of Medicine, Section Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Gastrointestinal endoscopy clinics of North America
|November 16, 2023
概括
内镜超声波 (EUS) 通过准确评估局部瘤,有助于确定胃肠癌的阶段. 将EUS与成像和细针吸收 (FNA) 结合起来,可以改善诊断并降低医疗保健成本.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 精确的癌症分期对于胃肠道 (GI) 恶性瘤的有效治疗计划至关重要.
- 传统的成像方法在精确评估局部区域瘤传播的程度方面存在局限性.
研究的目的:
- 审查内镜超声波 (EUS) 在胃肠道癌的分期中的实用性.
- 评估EUS引导细针吸收 (FNA) 在提高诊断准确度方面的作用.
主要方法:
- 审查关于EUS用于胃肠道癌症分期的现有文献.
- 对EUS性能进行分析,与地方区域分期的横截面成像相比.
- 评估EUS引导的FNA对诊断产量的影响.
主要成果:
- 与横截面成像相比,EUS在局部区域瘤分期方面表现出色.
- 在检测远程转移时,EUS的灵敏度有限.
- 精细针吸收 (FNA) 显著提高诊断准确性,并提供组织诊断.
结论:
- 欧盟消化系统 (EUS) 是一种有价值的工具,可以在肠道癌症的局部区域分期.
- 将EUS与横截面成像相结合,可以确保全面的分期.
- 通过EUS准确的分期可以减少不必要的程序和医疗保健支出.
相关概念视频
Ultrasound II: Endoscopic Ultrasound and FibroScan
115
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
115
Endoscopic Procedures I: Esophagogastroduodenoscopy
127
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
127
Ultrasonography
4.5K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.5K
Endoscopic Procedures II: Colonoscopy
107
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
107
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
210
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
210
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
87
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
87


