| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Prospective Study |
| Article Title |
Real time endoscopic ultrasound elastography and strain ratio in the diagnosis of solid pancreatic lesions
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Hussein Okasha, Shaimaa Elkholy, Ramy El-Sayed, Mohamed Naguib Wifi, Mohamed El-Nady, Walid El-Nabawi, Waleed A El-Dayem, Mohamed I Radwan, Ali Farag, Yahya El-sherif, Emad Al-Gemeie, Ahmed Salman, Mohamed El-Sherbiny, Ahmed El-Mazny and Reem E Mahdy |
| Funding Agency and Grant Number |
|
| Corresponding Author |
Shaimaa Elkholy , MD, Lecturer, Department of Internal Medicine, Faculty of Medicine, Cairo University, Kasralainy street Cairo, Cairo 11311, Egypt. shaimaa.elkholy@cu.edu.eg |
| Key Words |
Endoscopic Ultrasound; Elastography; Strain Ratio; Real Time; Pancreatic lesions |
| Core Tip |
This prospective study included 172 patients with solid pancreatic lesions (SPL) to evaluate the value of combining the elastography score to strain ratio for differentiating benign from malignant lesions. Adding both elastography to strain ratio resulted in a sensitivity of 98%, specificity of 77%, positive predictive value (PPV) of 91%, negative predictive value (NPV) of 95% and accuracy of 92% for the diagnosis of SPL. The best cut-off level of strain ratio was 7.8 with a sensitivity of 92%, specificity of 77%, PPV of 91%, NPV of 80% and an accuracy of 88%. So, adding both diagnostic tools increases the yielding of diagnosis. |
| Publish Date |
2017-08-28 06:54 |
| Citation |
Okasha H, Elkholy S, El-Sayed R, Wifi M, El-Nady M, El-Nabawi W, El-Dayem WA, Radwan MI, Farag A, El-sherif Y, Al-Gemeie E, Salman A, El-Sherbiny M, El-Mazny A, Mahdy RE. Real time endoscopic ultrasound elastography and strain ratio in the diagnosis of solid pancreatic lesions. World J Gastroenterol 2017; 23(32): 5962-5968 |
| URL |
http://www.wjgnet.com/1007-9327/full/v23/i32/5962.htm |
| DOI |
http://dx.doi.org/10.3748/wjg.v23.i32.5962 |
