Table 1.
Enhanced EUS according to disease | Contrast-enhanced harmonic EUS | EUS elastography (strain elastography) |
---|---|---|
Solid lesion | ||
Pancreatic cancer | Hypovascular enhancement | Heterogeneous blue pattern |
Inflammatory tumor | Isovascular enhancement | Green to blue pattern according to the degree of fibrosis |
Endocrine tumor | Hypevascular enhancement | Homogeneous blue pattern |
Cystic lesion | ||
IPMN | ||
Mucus clot | Absence of vascularity | |
Mural nodule | Presence of vascularity | |
Lymph node | ||
Malignant | Heterogeneous enhancement | Blue pattern |
Benign | Homogeneous enhancement | Red to green pattern |
Liver metastasis | Absence of vascularity in Kupffer-phase imaging |
EUS, endoscopic ultrasonography; IPMN, intraductal papillary mucinous neoplasm.