RSS-Feed abonnieren

DOI: 10.1055/a-2389-9085
Pancreatic ultrasound: An update of measurements, reference values, and variations of the pancreas

Abstract
Reliable and reproducible measurement methods have been established, and reference values are used in almost all scientific disciplines. Knowledge of reference values is crucial to distinguish physiological from pathological processes and, therefore, subsequently, for the clinical management of patients. Image storage and documentation of measurements and normal findings should be part of quality assurance in imaging. This paper aims to review the published literature and provide current knowledge of sonographic measurements and reference values of the pancreas. Moreover, the role of clinical influencing factors such as age, gender, constitution, and ethnicity is also analyzed.
Publikationsverlauf
Eingereicht: 11. Oktober 2023
Angenommen nach Revision: 09. August 2024
Artikel online veröffentlicht:
14. Oktober 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
Jennifer Meier, Claudia Lucius, Kathleen Möller, Christian Jenssen, Constantinos Zervides, Anna Maria Gschmack, Yi Dong, David Srivastava, Christoph F. Dietrich. Pancreatic ultrasound: An update of measurements, reference values, and variations of the pancreas. Ultrasound Int Open 2024; 10: a23899085.
DOI: 10.1055/a-2389-9085
-
References
- 1
Moller K,
Jenssen C,
Braden B,
Hocke M,
Hollerbach S,
Ignee A,
Faiss S.
et al.
Pancreatic changes with lifestyle and age: What is normal and what is
concerning?. Endosc Ultrasound 2023; 12: 213-227
MissingFormLabel
- 2
Löhr JM,
Panic N,
Vujasinovic M,
Verbeke C.
The ageing pancreas: a systematic review of the evidence and analysis of the
consequences. Journal of internal medicine 2018; 283: 446-460
MissingFormLabel
- 3
Moller K,
Jenssen C,
Ignee A,
Hocke M,
Faiss S,
Iglesias-Garcia J,
Sun S.
et al.
Pancreatic duct imaging during aging. Endosc Ultrasound 2023; 12: 200-212
MissingFormLabel
- 4
Given LM.
The Sage encyclopedia of qualitative research methods. Sage publications; 2008
MissingFormLabel
- 5
Sienz M,
Ignee A,
Dietrich CF.
Reference values in abdominal ultrasound – liver and liver vessels. Z Gastroenterol
2010; 48: 1141-1152
MissingFormLabel
- 6
Sienz M,
Ignee A,
Dietrich CF.
Reference values in abdominal ultrasound – biliopancreatic system and
spleen. Z Gastroenterol 2011; 49: 845-870
MissingFormLabel
- 7
Sienz M,
Ignee A,
Dietrich CF.
[Sonography today: reference values in abdominal ultrasound: aorta, inferior
vena cava, kidneys]. Z Gastroenterol 2012; 50: 293-315
MissingFormLabel
- 8
Afschrift M,
Mets T,
Verdonk G.
Real-time ultrasonography of the normal pancreas in young adults: advantage of
the erect position. Acta Clin Belg 1979; 34: 32-35
MissingFormLabel
- 9
Alzaid A,
Aideyan O,
Nawaz S.
The size of the pancreas in diabetes mellitus. Diabet Med 1993; 10: 759-763
MissingFormLabel
- 10
Capaccioli L,
Stecco A,
Vanzi E.
Ultrasonographic study on the growth and dimensions of healthy children and
adults organs. Ital J Anat Embryol 2000; 105: 1-50
MissingFormLabel
- 11
Cuntz U,
Frank G,
Lehnert P.
Interrelationships between the size of the pancreas and the weight of patients
with eating disorders. Int J Eat Disord 2000; 27: 297-303
MissingFormLabel
- 12
de Graaff CS,
Taylor KJ,
Simonds BD,
Rosenfield AJ.
Gray-scale echography of the pancreas. Re-evaluation of normal size. Radiology 1978;
129: 157-161
MissingFormLabel
- 13
Dietrich CF,
Chichakli M,
Hirche TO,
Bargon J,
Leitzmann P,
Wagner TO,
Lembcke B.
Sonographic findings of the hepatobiliary-pancreatic system in adult patients
with cystic fibrosis. J Ultrasound Med 2002; 21: 409-416 quiz 417
MissingFormLabel
- 14
Donovan JE,
Leech SL,
Zucker RA.
Really underage drinkers: alcohol use among elementary students. Alcohol Clin Exp
Res 2004; 28: 341-349
MissingFormLabel
- 15
El-Hodhod MA,
Nassar MF,
Hetta OA,
Gomaa SM.
Pancreatic size in protein energy malnutrition: a predictor of nutritional
recovery. Eur J Clin Nutr 2005; 59: 467-473
MissingFormLabel
- 16
Feigelson J,
Pecau Y,
Poquet M.
Imaging changes in the pancreas in cystic fibrosis: a retrospective evaluation
of 55 cases seen over a period of 9 years. J Pediatr Gastroenterol Nutr 2000; 30:
145-151
MissingFormLabel
- 17
Glaser J,
Stienecker K.
Pancreas and aging: a study using ultrasonography. Gerontology 2000; 46: 93-96
MissingFormLabel
- 18
Haber K,
Freimanis AK,
Asher WM.
Demonstration and dimensional analysis of the normal pancreas with gray-scale
echography. Am J Roentgenol 1976; 126: 624-628
MissingFormLabel
- 19
Jenssen C,
Dietrich CF.
[Endoscopic ultrasound in chronic pancreatitis]. Z Gastroenterol 2005; 43: 737-749
MissingFormLabel
- 20
Ker CG,
Tabata M,
Sheen PC.
Echographic measurement of normal Chinese pancreas. Taiwan Yi Xue Hui Za Zhi 1984;
83: 1094-1104
MissingFormLabel
- 21
Kolmannskog F,
Vatn MH,
Swensen T.
Computer tomography of the abdomen in patients with uncharacteristic abdominal
disturbances. Scand J Gastroenterol 1983; 18: 225-227
MissingFormLabel
- 22
Kratzer W,
Mason RA,
Kachele V.
Prevalence of gallstones in sonographic surveys worldwide. J Clin Ultrasound 1999;
27: 1-7
MissingFormLabel
- 23
Lee JS,
Kim SH,
Jun DW.
Clinical implications of fatty pancreas: correlations between fatty pancreas and
metabolic syndrome. World J Gastroenterol 2009; 15: 1869-1875
MissingFormLabel
- 24
Nakanishi T,
Ogawa H,
Kawamura T.
Comparison of convex and linear transducers for sonographic assessment of the
liver, spleen, and pancreas. Am J Roentgenol 1984; 143: 1110-1112
MissingFormLabel
- 25
Niederau C,
Sonnenberg A,
Müller JE,
Erckenbrecht JF,
Scholten T,
Fritsch WP.
Sonographic measurements of the normal liver, spleen, pancreas, and portal
vein. Radiology 1983; 149: 537-540
MissingFormLabel
- 26
Pochhammer KF,
Szekessy T,
Frentzel-Beyme B.
Craniocaudad extension of the head of the pancreas. Digitale Bilddiagn 1984; 4: 118-120
MissingFormLabel
- 27
Rajan E,
Clain JE,
Levy MJ,
Norton ID,
Wang KK,
Wiersema MJ,
Vazquez-Sequeiros E.
et al.
Age-related changes in the pancreas identified by EUS: a prospective
evaluation. Gastrointest Endosc 2005; 61: 401-406
MissingFormLabel
- 28
Schneider K,
Harms K,
Fendel H.
The increased echogenicity of the pancreas in infants and children: the white
pancreas. Eur J Pediatr 1987; 146: 508-511
MissingFormLabel
- 29
Silva ME,
Vezozzo DP,
Ursich MJ,
Rocha DM,
Cerri GG,
Wajchenberg BL.
Ultrasonographic abnormalities of the pancreas in IDDM and NIDDM patients. Diabetes
Care 1993; 16: 1296-1297
MissingFormLabel
- 30
Vossen CH.
Ultrasonographic measurement of the pancreatic body. Its significance in
measuring the normal pancreas. Diagn Imaging Clin Med 1986; 55: 327-329
MissingFormLabel
- 31
Weill F,
Schraub A,
Eisenscher A.
Ultrasonography of the normal pancreas. Success rate and criteria for
normality. Radiology 1977; 123: 417-423
MissingFormLabel
- 32
Zimmermann W,
Frank N,
Weiss-Simon C.
The normal pancreas. Demonstration in the sonogram in relation to age. Fortschr Med
1981; 99: 1178-1182
MissingFormLabel
- 33
Sumi H,
Itoh A,
Kawashima H,
Ohno E,
Itoh Y,
Nakamura Y,
Hiramatsu T.
et al.
Preliminary study on evaluation of the pancreatic tail observable limit of
transabdominal ultrasonography using a position sensor and CT-fusion image. Eur J
Radiol 2014; 83: 1324-1331
MissingFormLabel
- 34
Engjom T,
Pham KD,
Erchinger F,
Haldorsen IS,
Gilja OH,
Dimcevski G,
Havre RF.
Good Agreement Between Transabdominal and Endoscopic Ultrasound of the Pancreas
in Chronic Pancreatitis. Ultraschall Med 2019; 40: 609-617
MissingFormLabel
- 35
Nakao M,
Katayama K,
Fukuda J,
Okagaki S,
Misu K,
Miyazaki S,
Matsuno N.
et al.
Evaluating the ability to detect pancreatic lesions using a special
ultrasonography examination focusing on the pancreas. Eur J Radiol 2017; 91: 10-14
MissingFormLabel
- 36
Moller K,
Jenssen C,
Braden B.
et al.
Comments on and Illustrations of the EFSUMB CEUS Guidelines: Transabdominal and
Endoscopic Ultrasound Features of Intrapancreatic Metastases and the Role of
Multiparametric Imaging and EUS-Guided Sampling in Rare Pancreatic Tumors. Cancers
(Basel) 2023; 15: 2546
MissingFormLabel
- 37
Möller K,
Löwe A,
Jenssen C,
Bhutani MS,
On W,
Everett SM,
Braden B.
et al. Comments and illustrations of the European Federation of Societies for
Ultrasound in Medicine contrast-enhanced ultrasound guidelines. Rare pancreatic
tumors, imaging features on transabdominal ultrasound and EUS with contrast
enhancement. Rare epithelial pancreatic tumors: solid pseudopapillary neoplasm,
acinar cell carcinoma, mixed neuroendocrine-non-neuroendocrine neoplasms, some
rare subtypes of pancreatic adenocarcinoma and pancreatoblastoma. Endosc Ultrasound.
2024 epub in advance.
MissingFormLabel
- 38
Möller K,
Ntovas S,
Hocke M,
On W,
Everett SM,
Braden B,
Jenssen C.
et al. Comments and illustrations of the European Federation of Societies for
Ultrasound in Medicine guidelines. Rare pancreatic tumors, ultrasound and
contrast-enhanced ultrasound features. Malignant mesenchymal tumors. Endosc Ultrasound.
2024 epub in advance.
MissingFormLabel
- 39
Dietrich CF,
Shi L,
Koch J,
Lowe A,
Dong Y,
Cui X,
Worni M.
et al.
Early detection of pancreatic tumors by advanced EUS imaging. Minerva Gastroenterol
(Torino) 2022; 68: 133-143
MissingFormLabel
- 40
Dietrich CF,
Zander T.
[All about the Pancreas]. Praxis (Bern 1994) 2022; 111: 519-524
MissingFormLabel
- 41
Pirri C,
Cui XW,
De Molo C,
Ignee A,
Schreiber-Dietrich DG,
Dietrich CF.
The pancreatic head is larger than often assumed. Z Gastroenterol 2013; 51: 390-394
MissingFormLabel
- 42
Treiber M,
Einwächter H,
Phillip V,
Wagenpfeil S,
Schmid RM,
Lersch C.
Is the size of the pancreas useful in diagnosing chronic pancreatitis? An
ultrasound based, retrospective study. Pancreatology 2016; 16: 819-823
MissingFormLabel
- 43
Aghdassi AA,
Schauer B,
Duscha D,
Ittermann T,
Pickartz T,
Budde C,
Simon P.
et al.
Comparability of size measurements of the pancreas in magnetic resonance imaging
and transabdominal ultrasound. Clin Anat 2020; 33: 431-439
MissingFormLabel
- 44
De Molo C,
Cui XW,
Pirri C,
Ignee A,
Hocke M,
Schreiber-Dietrich DG,
Dietrich CF.
Pancreas mobile. Z Gastroenterol 2013; 51: 1165-1170
MissingFormLabel
- 45
Sirli R,
Sporea I.
Ultrasound examination of the normal pancreas. Med Ultrason 2010; 12: 62-65
MissingFormLabel
- 46
Khammas ASA,
Mahmud R.
Ultrasonographic Measurements of the Liver, Gallbladder Wall Thickness, Inferior
Vena Cava, Portal Vein and Pancreas in an Urban Region, Malaysia. J Med Ultrasound
2021; 29: 26-31
MissingFormLabel
- 47
Almutairi FF.
Preliminary Investigation of Normal Pancreas Elasticity using Point Shear Wave
Elastography. Curr Med Imaging 2023; 19: 1444-1448
MissingFormLabel
- 48
Agabi JO,
Akhigbe AO.
Comparative sonographic evaluation of the anteroposterior dimensions of the
pancreas in diabetics and nondiabetics. Niger J Clin Pract 2016; 19: 175-181
MissingFormLabel
- 49
Syed AB,
Mahal RS,
Schumm LP,
Dachman AH.
Pancreas size and volume on computed tomography in normal adults. Pancreas 2012; 41:
589-595
MissingFormLabel
- 50
Wachsberg RH.
Respiratory variation of extrahepatic bile duct diameter during
ultrasonography. J Ultrasound Med 1994; 13: 617-621
MissingFormLabel
- 51
Cuntz U,
Frank G,
Lehnert P,
Fichter M.
Interrelationships between the size of the pancreas and the weight of patients
with eating disorders. Int J Eat Disord 2000; 27: 297-303
MissingFormLabel
- 52
Jenssen C,
Pietsch C,
Gottschalk U,
Barreiros AP,
Teufel A,
Cui XW,
Dietrich CF.
[Abdominal ultrasonography in patients with diabetes mellitus. Part 1:
Liver]. Z Gastroenterol 2015; 53: 306-319
MissingFormLabel
- 53
Dietrich CF,
Braden B.
Sonographic assessments of gastrointestinal and biliary functions. Best Pract Res
Clin Gastroenterol 2009; 23: 353-367
MissingFormLabel
- 54
Dietrich CF,
Bekkali NL,
Burmeister S,
Dong Y,
Everett SM,
Hocke M,
Ignee A.
et al.
Controversies in ERCP: Indications and preparation. Endosc Ultrasound 2022; 11: 186-200
MissingFormLabel
- 55
Dietrich CF,
Bekkali NL,
Burmeister S,
Dong Y,
Everett SM,
Hocke M,
Ignee A.
et al.
Controversies in ERCP: Technical aspects. Endosc Ultrasound 2022; 11: 27-37
MissingFormLabel
- 56
Wang Q,
Swensson J,
Hu M,
Cui E,
Tirkes T,
Jennings SG,
Akisik F.
Distribution and correlation of pancreatic gland size and duct diameters on MRCP
in patients without evidence of pancreatic disease. Abdom Radiol (NY) 2019; 44: 967-975
MissingFormLabel
- 57
Beyer G,
Kasprowicz F,
Hannemann A,
Aghdassi A,
Thamm P,
Volzke H,
Lerch MM.
et al.
Definition of age-dependent reference values for the diameter of the common bile
duct and pancreatic duct on MRCP: a population-based, cross-sectional cohort
study. Gut 2023; 72: 1738-1744
MissingFormLabel
- 58
Fujisawa T,
Isayama H,
Gunji T,
Sato H,
Matsuhashi N.
Prevalence Rate and Predictive Factors of Pancreatic Diseases in Cases with
Pancreatic Duct Dilatation: A Cross-sectional Study of a Large, Healthy Japanese
Population. Intern Med 2020; 59: 769-777
MissingFormLabel
- 59
Weinrebe W,
Kreppenhofer S,
Dietrich CF.
[Geriatric ultrasound: Prospective evaluation of ultrasound as extended
screening in acute geriatric patients]. Z Gerontol Geriatr. 2023 56. 647-652
MissingFormLabel
- 60
Frohlich E,
Beller K,
Muller R,
Herrmann M,
Debove I,
Klinger C,
Pauluschke-Frohlich J.
et al.
Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a
Portable Handheld Ultrasound Device. Ultraschall Med 2020; 41: 308-316
MissingFormLabel
- 61
Nuernberg D,
Jenssen C,
Frohlich E,
Ignee A,
Mathis G,
Dietrich CF.
[Ultrasound in palliative care medicine, Part II]. Z Gastroenterol 2017; 55: 582-591
MissingFormLabel
- 62
Nurnberg D,
Jenssen C,
Cui X,
Ignee A,
Dietrich CF.
[Ultrasound in palliative care medicine]. Z Gastroenterol 2015; 53: 409-416
MissingFormLabel
- 63
Wastl D,
Lowe A,
Dietrich CF.
Echoscopy in scanning cardiac diseases in critical care medicine. Med Klin Intensivmed
Notfmed. 2023 118. 293-300
MissingFormLabel
- 64
Wastl D,
Lowe A,
Dietrich CF.
Echoscopy in scanning abdominal diseases in a critical care setting. Med Klin Intensivmed
Notfmed. 2023 118. 228-235
MissingFormLabel
- 65
Dietrich CF,
Braden B,
Burmeister S,
Aabakken L,
Arciadacono PG,
Bhutani MS,
Gotzberger M.
et al. How to perform EUS-guided biliary drainage. Endosc Ultrasound. 2022 11. 342-354
MissingFormLabel
- 66
Dietrich CF,
Braden B,
Jenssen C.
EUS-guided drainage of fluid collections. In: Testoni PA, Inoue H, Wallace MB,
eds. Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and
Therapeutic Endoscopy. Springer; 2021. in press.
MissingFormLabel
- 67
Dietrich CF,
Braden B,
Jenssen C.
Interventional endoscopic ultrasound. Curr Opin Gastroenterol. 2021 37. 449-461
MissingFormLabel
- 68
Hocke M,
Burmeister S,
Braden B,
Jenssen C,
Arcidiacono PG,
Iglesias-Garcia J,
Ignee A.
et al.
Controversies in EUS-guided treatment of walled-off necrosis. Endosc Ultrasound 2022;
11: 442-457
MissingFormLabel
- 69
Marks WM,
Filly RA,
Callen PW.
Ultrasonic evaluation of normal pancreatic echogenicity and its relationship to
fat deposition. Radiology 1980; 137: 475-479
MissingFormLabel
- 70
Worthen NJ,
Beabeau D.
Normal pancreatic echogenicity: relation to age and body fat. AJR Am J Roentgenol
1982; 139: 1095-1098
MissingFormLabel
- 71
Jeong HT,
Lee MS,
Kim MJ.
Quantitative analysis of pancreatic echogenicity on transabdominal sonography:
correlations with metabolic syndrome. J Clin Ultrasound 2015; 43: 98-108
MissingFormLabel
- 72
Wiersema MJ,
Wiersema LM.
Endosonography of the Pancreas: Normal Variation Versus Changes of Early Chronic
Pancreatitis. Gastrointestinal Endoscopy Clinics of North America 1995; 5: 487-496
MissingFormLabel
- 73
Donald JJ,
Shorvon PJ,
Lees WR.
A hypoechoic area within the head of the pancreas--a normal variant. Clin Radiol 1990;
41: 337-338
MissingFormLabel
- 74
Atri M,
Nazarnia S,
Mehio A,
Reinhold C,
Bret PM.
Hypoechogenic embryologic ventral aspect of the head and uncinate process of the
pancreas: in vitro correlation of US with histopathologic findings. Radiology 1994;
190: 441-444
MissingFormLabel
- 75
Kawamoto S,
Siegelman SS,
Bluemke DA,
Hruban RH,
Fishman EK.
Focal fatty infiltration in the head of the pancreas: evaluation with
multidetector computed tomography with multiplanar reformation imaging. J Comput Assist
Tomogr 2009; 33: 90-95
MissingFormLabel
- 76
Lee JE,
Shin SS,
Kim SJ,
Heo SH,
Lim HS,
Kim JW,
Jeong YY.
A pictorial review of diagnostic pitfalls of developmental anomalies and
variants in pancreatic imaging. Clin Imaging 2018; 48: 32-39
MissingFormLabel
- 77
Bernard J,
Sahel J,
Giovannini M,
Sarles H.
Pancreas divisum is a probable cause of acute pancreatitis: a report of 137
cases. Pancreas 1990; 5: 248-254
MissingFormLabel
- 78
Bret PM,
Reinhold C,
Taourel P,
Guibaud L,
Atri M,
Barkun AN.
Pancreas divisum: evaluation with MR cholangiopancreatography. Radiology 1996; 199:
99-103
MissingFormLabel
- 79
Yu J,
Turner MA,
Fulcher AS,
Halvorsen RA.
Congenital anomalies and normal variants of the pancreaticobiliary tract and the
pancreas in adults: part 2, pancreatic duct and pancreas. American Journal of Roentgenology
2006; 187: 1544-1553
MissingFormLabel
- 80
Orellana-Donoso M,
Milos-Brandenberg D,
Benavente-Urtubia A,
Guerra-Loyola J,
Bruna-Mejias A,
Nova-Baeza P,
Becerra-Farfán Á.
et al.
Incidence and Clinical Implications of Anatomical Variations in the Pancreas and
Its Ductal System: A Systematic Review and Meta-Analysis. Life (Basel) 2023; 13: 1710
MissingFormLabel
- 81
Dimitriou I,
Katsourakis A,
Nikolaidou E,
Noussios G.
The main anatomical variations of the pancreatic duct system: review of the
literature and its importance in surgical practice. Journal of clinical medicine research
2018; 10: 370
MissingFormLabel
- 82
Di Serafino M,
Vitale V,
Severino R,
Barbuto L,
Vezzali N,
Ferro F,
Rossi E.
et al.
Pediatric ultrasonography of the pancreas: normal and abnormal findings. J Ultrasound
2019; 22: 261-272
MissingFormLabel
- 83
Zyromski NJ,
Sandoval JA,
Pitt HA,
Ladd AP,
Fogel EL,
Mattar WE,
Sandrasegaran K.
et al.
Annular Pancreas: Dramatic Differences Between Children and Adults. Journal of the
American College of Surgeons 2008; 206: 1019-1025
MissingFormLabel
- 84
Sandrasegaran K,
Patel A,
Fogel EL,
Zyromski NJ,
Pitt HA.
Annular Pancreas in Adults. American Journal of Roentgenology 2009; 193: 455-460
MissingFormLabel
- 85
Rondelli F,
Bugiantella W,
Stella P,
Boni M,
Mariani E,
Crusco F,
Sanguinetti A.
et al.
Symptomatic annular pancreas in adult: Report of two different presentations and
treatments and review of the literature. International Journal of Surgery Case Reports
2016; 20: 21-24
MissingFormLabel
- 86
Pandrowala S,
Parray A,
Chaudhari V,
Shrikhande SV,
Bhandare MS.
Portal Annular Pancreas (PAP): an Underestimated Devil in Pancreatic
Surgery-Systematic Review of Literature and Case Report. J Gastrointest Surg 2021;
25: 1332-1339
MissingFormLabel
- 87
Harnoss JM,
Harnoss JC,
Diener MK,
Contin P,
Ulrich AB,
Büchler MW,
Schmitz-Winnenthal FH.
Portal annular pancreas: a systematic review of a clinical challenge. Pancreas 2014;
43: 981-986
MissingFormLabel
- 88
Mittal S,
Jindal G,
Mittal A,
Singal R,
Singal S.
Partial annular pancreas. Proc (Bayl Univ Med Cent) 2016; 29: 402-403
MissingFormLabel
- 89
Vassallo L,
Fasciano M,
Lingua G,
Marchisio FG,
Versiero M,
Talenti A.
Pancreas bifidum: an extremely rare cause of acute pancreatitis. Radiology Case Reports
2022; 17: 3490-3494
MissingFormLabel
- 90
Shim JR,
Park S-J,
Park HM,
Lee EC,
Han S-S.
Are you prepared for pancreas bifidum? A case report. Annals of Surgical Treatment
and Research 2018; 94: 49-51
MissingFormLabel
- 91
Deflandre C,
Gillard R.
Acute Pancreatitis with Pancreas Bifidum Mimicking Duodenitis on Computed
Tomography. J Belg Soc Radiol. 2023; 107: 10
MissingFormLabel
- 92
Uomo G,
Manes G,
DʼAnna L,
Laccetti M,
Di Gaeta S,
Rabitti PG.
Fusion and duplication variants of pancreatic duct system. Clinical and
pancreatographic evaluation. Int J Pancreatol 1995; 17: 23-28
MissingFormLabel
- 93
Ferraioli G,
Barr RG,
Farrokh A,
Radzina M,
Cui XW,
Dong Y,
Rocher L.
et al.
How to perform shear wave elastography. Part II. Med Ultrason 2022; 24: 196-210
MissingFormLabel
- 94
Dietrich CF,
Bibby E,
Jenssen C,
Saftoiu A,
Iglesias-Garcia J,
Havre RF.
EUS elastography: How to do it?. Endosc Ultrasound 2018; 7: 20-28
MissingFormLabel
- 95
Wang Y,
Tian XF,
Cheng J,
Xu XL,
Cao JY,
Dong Y,
Dietrich CF.
Normal value of virtual touch imaging quantification elastography in
measurements of pancreas. Clin Hemorheol Microcirc.. 2024 87. 427-436
MissingFormLabel
- 96
Dietrich CF,
Shi L,
Wei Q,
Dong Y,
Cui XW,
Löwe A,
Worni M.
et al.
What does liver elastography measure? Technical aspects and methodology. Minerva Gastroenterol
(Torino) 2021; 67: 129-140
MissingFormLabel
- 97
Cosgrove D,
Piscaglia F,
Bamber J,
Bojunga J,
Correas JM,
Gilja OH,
Klauser AS.
et al.
EFSUMB guidelines and recommendations on the clinical use of ultrasound
elastography. Part 2: Clinical applications. Ultraschall Med 2013; 34: 238-253
MissingFormLabel
- 98
Bamber J,
Cosgrove D,
Dietrich CF,
Fromageau J,
Bojunga J,
Calliada F,
Cantisani V.
et al.
EFSUMB guidelines and recommendations on the clinical use of ultrasound
elastography. Part 1: Basic principles and technology. Ultraschall Med 2013; 34: 169-184
MissingFormLabel
- 99
Kersting S,
Konopke R,
Kersting F,
Volk A,
Distler M,
Bergert H,
Saeger HD.
et al.
Quantitative perfusion analysis of transabdominal contrast-enhanced
ultrasonography of pancreatic masses and carcinomas. Gastroenterology 2009; 137: 1903-1911
MissingFormLabel
- 100
Sidhu PS,
Cantisani V,
Dietrich CF,
Gilja OH,
Saftoiu A,
Bartels E,
Bertolotto M.
et al.
The EFSUMB Guidelines and Recommendations for the Clinical Practice of
Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017
(Long Version). Ultraschall Med 2018; 39: e2-e44
MissingFormLabel
- 101
Kitano M,
Yamashita Y,
Kamata K,
Ang TL,
Imazu H,
Ohno E,
Hirooka Y.
et al.
The Asian Federation of Societies for Ultrasound in Medicine and Biology
(AFSUMB) Guidelines for Contrast-Enhanced Endoscopic Ultrasound. Ultrasound Med Biol
2021; 47: 1433-1447
MissingFormLabel