Chronic and acute pancreatitis elastography – current knowledge
 
More details
Hide details
1
Department of Radiology and Nuclear Medicine, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland / Katedra Radiologii i Medycyny Nuklearnej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w Katowicach
 
2
Individual Specialist Medical Practice Maciej Cebula, Katowice, Poland / Indywidualna Specjalistyczna Praktyka Lekarska Maciej Cebula, Katowice
 
 
Corresponding author
Agnieszka M. Sepioł   

Katedra Radiologii i Medycyny Nuklearnej, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w Katowicach, ul. Medyków 14, 40-752 Katowice
 
 
Ann. Acad. Med. Siles. 2023;77:82-86
 
KEYWORDS
TOPICS
ABSTRACT
This paper is a review of available studies concerning the topic of ultrasound elastography as a modality for diagnosing chronic or acute pancreatitis. Twenty-eight articles published between 2004 and 2022 containing keywords related to elastography and acute and chronic pancreatitis were reviewed using databases and search engines such as PubMed, Scopus, Google Scholar and Web of Science. Acute and chronic pancreatitis increase the stiffness of the pancreatic parenchyma, which can be measured using strain or shear wave elastography. Numerous studies have shown promising results, and it seems that it is possible to use elastography as a routine technique in the diagnosis of chronic or acute pancreatitis. Nevertheless, certain limitations such as age or body weight, should be considered when performing elastography.
FUNDING
The author(s) received no financial support for the research, authorship, and/or publication of this article.
CONFLICT OF INTEREST
The author(s) declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
 
REFERENCES (28)
1.
Kawada N., Tanaka S. Elastography for the pancreas: Current status and future perspective. World J. Gastroenterol. 2016; 22(14): 3712–3724, doi: 10.3748/wjg.v22.i14.3712.
 
2.
Hirooka Y., Itoh A., Hashimoto S., Kawashima H., Hara K., Kanamori A. et al. Utility of EUS: Elastography in the diagnosis of pancreatic diseases. Gastrointest. Endosc. 2005; 61(5): AB282, doi: 10.1016/S0016-5107(05)01447-1.
 
3.
Shiina T. JSUM ultrasound elastography practice guidelines: basics and terminology. J. Med. Ultrason. (2001) 2013; 40(4): 309–323, doi: 10.1007/S10396-013-0490-Z.
 
4.
Dietrich C.F., Barr R.G., Farrokh A., Dighe M., Hocke M., Jenssen C. et al. Strain elastography – how to do it? Ultrasound Int. Open 2017; 3(4): E137–E149, doi: 10.1055/S-0043-119412.
 
5.
Hirooka Y., Kuwahara T., Irisawa A., Itokawa F., Uchida H., Sasahira N. et al. JSUM ultrasound elastography practice guidelines: pancreas. J. Med. Ultrason. (2001) 2015; 42(2): 151–174, doi: 10.1007/S10396-014-0571-7.
 
6.
Gallotti A., D’Onofrio M., Pozzi Mucelli R. Acoustic Radiation Force Impulse (ARFI) technique in ultrasound with Virtual Touch tissue quantification of the upper abdomen. Radiol. Med. 2010; 115(6): 889–897, doi: 10.1007/S11547-010-0504-5.
 
7.
Ozturk M., Çalışkan E., Bayramoglu Z., Adaletli I. Normative values of pancreas stiffness by shear wave elastography in healthy children and adolescents. J. Med. Ultrason. (2001) 2020; 47(4): 583–589, doi: 10.1007/S10396-020-01039-1.
 
8.
Stumpf S., Jaeger H., Graeter T., Oeztuerk S., Schmidberger J., Haenle M.M. et al. Influence of age, sex, body mass index, alcohol, and smoking on shear wave velocity (p-SWE) of the pancreas. Abdom. Radiol. 2016; 41(7): 1310–1316, doi: 10.1007/s00261-016-0661-7.
 
9.
Chantarojanasiri T., Hirooka Y., Kawashima H., Ohno E., Sugimoto H., Hayashi D. et al. Age-related changes in pancreatic elasticity: When should we be concerned about their effect on strain elastography? Ultrasonics 2016; 69: 90–96, doi: 10.1016/j.ultras.2016.03.018.
 
10.
Janssen J., Papavassiliou I. Effect of aging and diffuse chronic pancreatitis on pancreas elasticity evaluated using semiquantitative EUS elastography. Ultraschall Med. 2014; 35(3): 253–258, doi: 10.1055/s-0033-1355767.
 
11.
Gapp J., Chandra S. Acute Pancreatitis. StatPearls [Internet], Jun. 2021 [online] https://www.ncbi.nlm.nih.gov/b... [accessed on 15 March 2022].
 
12.
Klöppel G., Detlefsen S., Feyerabend B. Fibrosis of the pancreas: the initial tissue damage and the resulting pattern. Virchows Arch. 2004; 445(1): 1–8, doi: 10.1007/s00428-004-1021-5.
 
13.
Kaya M., Değirmenci S., Göya C., Tuncel E.T., Uçmak F., Kaplan M.A. The importance of acoustic radiation force impulse (ARFI) elastography in the diagnosis and clinical course of acute pancreatitis. Turk. J. Gastroenterol. 2018; 29(3): 342–347, doi: 10.5152/tjg.2018.17338.
 
14.
Göya C., Hamidi C., Hattapoğlu S., Çetinçakmak M.G., Teke M., Degirmenci M.S. et al. Use of acoustic radiation force impulse elastography to diagnose acute pancreatitis at hospital admission: comparison with sonography and computed tomography. J. Ultrasound Med. 2014; 33(8): 1453–1460, doi: 10.7863/ultra.33.8.1453.
 
15.
Goertz R.S., Schuderer J., Strobel D., Pfeifer L., Neurath M.F., Wildner D. Acoustic radiation force impulse shear wave elastography (ARFI) of acute and chronic pancreatitis and pancreatic tumor. Eur. J. Radiol. 2016; 85(12): 2211–2216, doi: 10.1016/j.ejrad.2016.10.019.
 
16.
Mateen M.A., Muheet K.A., Mohan R.J., Rao P.N., Majaz H.M., Rao G.V. et al. Evaluation of ultrasound based acoustic radiation force impulse (ARFI) and eSie touch sonoelastography for diagnosis of inflammatory pancreatic diseases. JOP 2012; 13(1): 36–44.
 
17.
Sezgin O., Yaraş S., Özdoğan O. The course and prognostic value of increased pancreas stiffness detected by ultrasound elastography during acute pancreatitis. Pancreatology 2021; 21(7): 1285–1290, doi: 10.1016/j.pan.2021.07.006.
 
18.
Xie J., Zou L., Yao M., Xu G., Zhao L., Xu H. et al. A preliminary investigation of normal pancreas and acute pancreatitis elasticity using virtual touch tissue quantification (VTQ) imaging. Med. Sci. Monit. 2015; 21: 1693–1699, doi: 10.12659/MSM.892239.
 
19.
Rifu K., Watanabe J., Sasanuma H., Taniguchi N. Evaluation of the elasticity of the pancreas using acoustic radiation force impulse elastography in patients with acute pancreatitis: a systematic review and meta-analysis. Ultrasound Med. Biol. 2022; 48(3): 406–413, doi: 10.1016/j.ultrasmedbio.2021.11.013.
 
20.
Benjamin O., Lappin S.L. Chronic Pancreatitis. StatPearls [Internet], Jun. 2021 [online] https://www.ncbi.nlm.nih.gov/b... [accessed on 15 March 2022].
 
21.
Nakaoka K., Hashimoto S., Miyahara R., Kawashima H., Ohno E., Ishikawa T. et al. Current status of the diagnosis of chronic pancreatitis by ultrasonographic elastography. Korean J. Intern. Med. 2022; 37(1): 27–36, doi: 10.3904/kjim.2021.252.
 
22.
Yashima Y., Sasahira N., Isayama H., Kogure H., Ikeda H., Hirano K. et al. Acoustic radiation force impulse elastography for noninvasive assessment of chronic pancreatitis. J. Gastroenterol. 2012; 47(4): 427–432, doi: 10.1007/s00535-011-0491-x.
 
23.
Kuwahara T., Hirooka Y., Kawashima H., Ohno E., Ishikawa T., Yamamura T. et al. Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis. J. Gastroenterol. Hepatol. 2018; 33(3): 756–761, doi: 10.1111/jgh.13926.
 
24.
Llamoza-Torres C.J., Fuentes-Pardo M., Álvarez-Higueras F.J., Alberca-de-Las-Parras F., Carballo-Álvarez F. Usefulness of percutaneous elastography by acoustic radiation force impulse for the non-invasive diagnosis of chronic pancreatitis. Rev. Esp. Enferm. Dig. 2016; 108(8): 450–456, doi: 10.17235/reed.2016.4103/2016.
 
25.
Pozzi R., Parzanese I., Baccarin A., Giunta M., Conti C.B., Cantù P. et al. Point shear-wave elastography in chronic pancreatitis: A promising tool for staging disease severity. Pancreatology 2017; 17(6): 905–910, doi: 10.1016/j.pan.2017.10.003.
 
26.
Yamashita Y., Tanioka K., Kawaji Y., Tamura T., Nuta J., Hatamaru K. et al. Utility of elastography with endoscopic ultrasonography shear-wave measurement for diagnosing chronic pancreatitis. Gut Liver 2020; 14(5): 659–664, doi: 10.5009/gnl19170.
 
27.
Park M.K., Jo J., Kwon H., Cho J.H., Oh J.Y., Noh M.H. et al. Usefulness of acoustic radiation force impulse elastography in the differential diagnosis of benign and malignant solid pancreatic lesions. Ultrasonography 2014; 33(1): 26–33, doi: 10.14366/usg.13017.
 
28.
Mayerle J., Beyer G., Simon P., Dickson E.J., Carter R.C., Duthie F. et al. Prospective cohort study comparing transient EUS guided elastography to EUS-FNA for the diagnosis of solid pancreatic mass lesions. Pancreatology 2016; 16(1): 110–114, doi: 10.1016/j.pan.2015.10.003.
 
eISSN:1734-025X
Journals System - logo
Scroll to top