Evidence map›Paper›PMID 40805241›Full record

ReviewCancers2025

Contrast-Enhanced Harmonic Endoscopic Ultrasonography for Prediction of Aggressiveness and Treatment Response in Patients with Pancreatic Lesions.

Marco Spadaccini, Gianluca Franchellucci, Marta Andreozzi, Maria Terrin, Matteo Tacelli, Piera Zaccari, Maria Chiara Petrone, Gaetano Lauri, Matteo Colombo, Valeria Poletti and 9 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

19 authors.

Marco SpadacciniDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0003-3909-9012
Gianluca FranchellucciEndoscopy Unit, Humanitas Clinical and Research Center-IRCCS, 20089 Rozzano, Italy.ORCID 0000-0002-3440-4981
Marta AndreozziDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Maria TerrinDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0009-0001-3922-1148
Matteo TacelliPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-2642-6694
Piera ZaccariPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-4041-5601
Maria Chiara PetronePancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-1045-209X
Gaetano LauriPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-3530-3573
Matteo ColomboDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Valeria PolettiDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Giacomo MarcozziDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Antonella DuranteDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Roberto LeoneDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Maria Margherita MassaroDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Antonio FacciorussoFaculty of Medicine and Surgery, University of Salento, 73100 Lecce, Italy.ORCID 0000-0002-2107-2156
Alessandro FugazzaEndoscopy Unit, Humanitas Clinical and Research Center-IRCCS, 20089 Rozzano, Italy.ORCID 0000-0003-0485-4903
Alessandro RepiciDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Paolo Giorgio ArcidiaconoPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-6692-7720
Silvia CarraraDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic ultrasonography represents a crucial aspect of the diagnosis of pancreatic lesions. The echo-endoscopic features of pancreatic lesions, particularly their contrast behavior with the advent of Contrast-Enhanced EUS (CE-EUS) and Contrast Enhanced Harmonic-EUS (CH-EUS), can predict a lesion's aggressiveness, depending on its nature. According to this, CH-EUS could be applied to structure an even more dedicated approach to patient care, for example, to ascertain eligibility for surgical intervention of a pancreatic ductal adenocarcinoma (PDAC) or the response to neoadjuvant chemotherapy in cases deemed borderline resectable. In addition to PDAC, other significant issues pertain to the management of small neuroendocrine tumors (NETs) and intraductal papillary mucinous neoplasms (IPMNs). In this context, CH-EUS can be crucial. The aim of this review is to underline the most recent evidence for EUS and CH-EUS applications in pancreatic lesion aggressiveness assessment and to focus on possible future research directions to further extend the application of CH-EUS in this field.

Indexed as

aggressivenesschemotherapyCH-EUSIPMNmicrocirculationNETPDACprognosissurgeryvascularity

Identifiers

PMID40805241
PMCPMC12346609

What OpenQuestion holds

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Registered trials

None linked

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.