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Journal of Medical Ultrasonics

, Volume 42, Issue 2, pp 151–174 | Cite as

JSUM ultrasound elastography practice guidelines: pancreas

  • Yoshiki HirookaEmail author
  • Takamichi Kuwahara
  • Atsushi Irisawa
  • Fumihide Itokawa
  • Hiroki Uchida
  • Naoki Sasahira
  • Natsuko Kawada
  • Yuya Itoh
  • Tsuyoshi Shiina
Review Article

Abstract

Ultrasound elastography is a relatively new diagnostic technique for measuring the elasticity (hardness) of tissue. Eleven years have passed since the debut of elastography. Various elastography devices are currently being marketed by manufacturers under different names. Pancreatic elastography can be used not only with transabdominal ultrasonography but also with endoscopic ultrasonography, but some types of elastography are difficult to perform for the pancreas. These guidelines aim to classify the various types of elastography into two major categories depending on the differences in the physical quantity (strain, shear wave), and to present the evidence for pancreatic elastography and how to use pancreatic elastography in the present day. But the number of reports on ultrasound elastography for the pancreas is still small, and there are no reports on some elastography devices for the pancreas. Therefore, these guidelines do not recommend methods of imaging and analysis by elastography device.

Keywords

Pancreas Strain Shear wave Elasticity imaging Elastography 

Notes

Acknowledgments

We express our deep gratitude to those who kindly cooperated with us in the making of this paper and provided us with advice as well as images, including: Dr. Takashi Kumada and Dr. Katsuhiko Otobe (Ogaki Municipal Hospital); Dr. Yoshihiko Tachi, Dr. Tadashi Iida, and Dr. Katsumi Nakano (Komaki Municipal Hospital); Ms. Akiko Tonomura and Ms. Chisato Torisawa (Hitachi Aloka); Mr. Masahiro Saito (Siemens); Mr. Shunichiro Tanigawa (GE); Mr. Masahiko Yano (Toshiba); Ms. Yukako Tsubone and Mr. Hiroyuki Maeda (Olympus); and Mr. Masahiro Kozaki (Philips).

Conflict of interest

None.

Ethical standard

Human rights statements and informed consent: All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

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Copyright information

© The Japan Society of Ultrasonics in Medicine 2014

Authors and Affiliations

  • Yoshiki Hirooka
    • 1
    Email author
  • Takamichi Kuwahara
    • 2
  • Atsushi Irisawa
    • 3
  • Fumihide Itokawa
    • 4
  • Hiroki Uchida
    • 5
  • Naoki Sasahira
    • 6
  • Natsuko Kawada
    • 7
  • Yuya Itoh
    • 8
  • Tsuyoshi Shiina
    • 9
  1. 1.Department of EndoscopyNagoya University HospitalNagoyaJapan
  2. 2.Department of Gastroenterology and HepatologyNagoya University Graduate School of MedicineNagoyaJapan
  3. 3.Department of GastroenterologyFukushima Medical University Aizu Medical CenterAizuJapan
  4. 4.Department of Gastroenterology and HepatologyTokyo Medical UniversityTokyoJapan
  5. 5.Department of GastroenterologyOkazaki City HospitalOkazakiJapan
  6. 6.Department of GastroenterologyJapan Community Health care Organization Tokyo Takanawa HospitalTokyoJapan
  7. 7.Department of HepatopancreatobiliaryKanazawa Medical UniversityIshikawaJapan
  8. 8.Department of GastroenterologyToyota Kosei HospitalToyotaJapan
  9. 9.Department of Human Health Sciences, Graduate School of MedicineKyoto UniversityKyotoJapan

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