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. 2022 May 2;11(4):252–274. doi: 10.4103/EUS-D-21-00151

Table 2.

Tsukuba scoring system

Scoring Figure Color distribution Significance
1 graphic file with name EUS-11-252-g002.jpg The entire lesion is evenly shaded green The strain of the nodule is even. The nodule is entirely soft. It often indicates a benign lesion
2 graphic file with name EUS-11-252-g003.jpg The lesion is shaded with a mosaic pattern of green and blue, and the green area is bigger than the blue area Strain in most areas of the nodule, while few areas with no strain. The nodule is mostly soft. It also indicates a benign lesion
3 graphic file with name EUS-11-252-g004.jpg The middle is blue and the periphery is green The core area of the nodule is stiff and hardly strain, while the peripheral area is still soft and has strain. It indicates a suspicious lesion usually
4 graphic file with name EUS-11-252-g005.jpg The entire lesion is all blue No strain in the nodule, it is entirely rigid. It also indicates a suspicious lesion
5 graphic file with name EUS-11-252-g006.jpg Blue area extends from the nodule boundary to the surrounding tissue No strain in the nodule and the surrounding tissue, both of them are rigid. It also indicates a suspicious lesion