SIUMB recommendations for focal pancreatic lesions
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ORIGINAL ARTICLE
SIUMB recommendations for focal pancreatic lesions Mirko D’Onofrio1 · Ilario de Sio2 · Paoletta Mirk3 · Gianpaolo Vidili4 · Michele Bertolotto5 · Vito Cantisani6 · Cosima Schiavone7 · The SIUMBexperts committee Received: 27 July 2020 / Accepted: 4 August 2020 © The Author(s) 2020
Abstract Contrast-enhanced ultrasonography (CEUS) is increasingly being performed in Italy and Europe, particularly in the field of hepato-gastroenterology. Initially, it was mainly carried out to characterize focal hepatic lesions, but, since then, numerous studies have demonstrated its efficacy in the differential diagnosis of focal pancreatic pathologies (D’Onofrio et al. in Expert Rev Med Devices 7(2):257–273, 2010; Vidili et al. in J Ultrasound 22(1):41–51, 2019). The purpose of this paper is to provide Italian Medical Doctors with recommendations and thereby practical guidelines on the management of these patients. The present paper reports the final conclusions reached by the SIUMB guideline commission. This paper addresses particularly percutaneous ultrasound (US) examination (transabdominal US) and is drawn up specifically for publication. Keywords Pancreas · Ultrasound · Pancreatic cancer · Pancreatic cystic lesions · Contrast-enhanced ultrasound · CEUS · Pancreatic biopsy · Pancreatic cancer · Pancreatic adenocarcinoma
Background Contrast-enhanced ultrasonography (CEUS) is increasingly being performed in Italy and Europe, particularly in the field of hepato-gastroenterology. Initially, it was mainly The SIUMB experts’ committee members are listed in Acknowledgements. * Mirko D’Onofrio [email protected] 1
Department of Radiology, G.B. Rossi Hospital, University of Verona, Verona, Italy
2
Department of Hepatogastroenterology, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy
3
Department of Radiology, Catholic University of the Sacred Heart-Fondazione Policlinico A. Gemelli, Rome, Italy
4
Department of Medical, Surgical and Experimental Sciences, University of Sassari, Viale San Pietro 43b, 07100 Sassari, Italy
5
Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, Italy
6
Department of Radiological Sciences, Policlinico Umberto I, University La Sapienza, Rome, Italy
7
Unit of Ultrasound in Internal Medicine, Department of Medicine and Science of Aging, “G. d’Annunzio” University of Chieti, Chieti, Italy
carried out to characterize focal hepatic lesions, but, since then, numerous studies have demonstrated its efficacy in the differential diagnosis of focal pancreatic pathologies [1, 2]. The purpose of this paper is to provide Italian Medical Doctors with recommendations and thereby practical guidelines on the management of these patients. The present paper reports the final conclusions reached by the SIUMB guideline commission. A bibliographic search for focal pancreatic lesions was carried out on PubMed using the following search terms: 2006–2016: • • • • •
"contrast enhanced ultrasound". "pancreatic cancers". "pancreatic adeno
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