
Practical approach to linear EUS examination of the liver
Author(s) -
Hussein Hassan Okasha,
Mahmoud Farouk,
Ramy Ibrahim El Hendawy,
Rasha Mohamed Mahmoud,
Ahmed M. Elmeligui,
Hassan Atalla,
Alaa Hashim,
Katarzyna M. Pawlak
Publication year - 2021
Publication title -
endoscopic ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.883
H-Index - 24
eISSN - 2303-9027
pISSN - 2226-7190
DOI - 10.4103/eus-d-20-00162
Subject(s) - medicine , radiology , magnetic resonance imaging , digestive tract , modality (human–computer interaction) , computer science , artificial intelligence
EUS has become a substantial diagnostic and therapeutic modality for digestive tract conditions. The extent of endosonographic assessment is wide, and, among others, it allows for the evaluation of liver anatomy and related pathologies. Moreover, EUS assessment has proved more accurate in detecting small focal liver lesions missed by standard imaging examinations such as computed tomography or magnetic resonance. Endosonographically, various liver segments can be visualized by transgastric and transduodenal scanning following anatomical landmarks, thus providing arranged systematic examination. In addition, knowledge considering the correct position during examination is crucial for EUS-guided procedures such as hepaticogastrostomy, ablation of tumors, and measurement of portal pressure gradient. The evolution of EUS-guided intervention has contributed to the increasing importance of understanding the hepatic segmental anatomy during the EUS examination.