Evidence map›Paper›PMID 31091868›Full record

ArticleClinical endoscopy2019

Diagnostic Ability of Convex-Arrayed Endoscopic Ultrasonography for Major Vascular Invasion in Pancreatic Cancer.

Yuki Fujii, Kazuyuki Matsumoto, Hironari Kato, Yosuke Saragai, Saimon Takada, Sho Mizukawa, Shinichiro Muro, Daisuke Uchida, Takeshi Tomoda, Shigeru Horiguchi and 2 more

Abstract read
In one paragraph

Article in Clinical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. The expanding role of endoscopic ultrasound elastography.Clinical journal of gastroenterology · 2022
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yuki FujiiDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Kazuyuki MatsumotoDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Hironari KatoDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Yosuke SaragaiDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Saimon TakadaDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Sho MizukawaDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Shinichiro MuroDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Daisuke UchidaDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Takeshi TomodaDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Shigeru HoriguchiDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.
Noriyuki TanakaDepartment of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan.
Hiroyuki OkadaDepartment of Gastroenterology and Hepatology, Dentistry and Pharmaceutical Science, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThis study aimed to examine the diagnostic ability of endoscopic ultrasonography (EUS) for major vascular invasion in pancreatic cancer and to evaluate the relationship between EUS findings and pathological distance.

methodsIn total, 57 consecutive patients who underwent EUS for pancreatic cancer before surgery were retrospectively reviewed. EUS image findings were divided into four types according to the relationship between the tumor and major vessel (types 1 and 2: invasion, types 3 and 4: non-invasion). We also compared the EUS findings and pathologically measured distances between the tumors and evaluated vessels.

resultsThe sensitivity, specificity, and accuracy of EUS diagnosis for vascular invasion were 89%, 92%, and 91%, respectively, in the veins and 83%, 94%, and 93%, respectively, in the arteries. The pathologically evaluated distances of cases with type 2 EUS findings were significantly shorter than those of cases with type 3 EUS findings in both the major veins (median [interquartile range], 96 [0-742] µm vs. 2,833 [1,076-5,694] µm, p=0.012) and arteries (623 [0-854] µm vs. 3,097 [1,396-6,000] µm, p=0.0061). All cases with a distance of ≥1,000 µm between the tumors and main vessels were correctly diagnosed.

conclusionTumors at a distance ≥1,000 µm from the main vessels were correctly diagnosed by EUS.

Indexed as

Endoscopic ultrasonographyPancreatic cancerPathological distanceStagingVascular invasion

Identifiers

PMID31091868
PMCPMC6785423

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.