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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Review Article

Clinical Usefulness of Ultrasound Elastography in Colonic Diseases: A Narrative Review

Author(s): Zhongxian Qiu, Ruoting Zheng, Jiawei Lin, Jiafan Li and Yuxia Zhai*

Volume 20, 2024

Published on: 25 May, 2023

Article ID: e300323215222 Pages: 11

DOI: 10.2174/1573405620666230330112422

open_access

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Abstract

Ultrasound elastography is an innovation of ultrasound technology that has developed since the 1990s. It has been successfully applied for many organs, such as the thyroid, breast, liver, prostate, and muscle systems, providing qualitative and quantitative information about tissue stiffness for clinical diagnoses. For colorectal tumors, ultrasound elastography can distinguish colon adenoma from colon adenocarcinoma and predict the chemotherapeutic effects of colon cancer by monitoring the stiffness changes of cancer tissue. In Crohn’s disease, ultrasound elastography helps assess the stages of the course and guides further treatment strategies. Compared with colonoscopy, ultrasound elastography frees patients from the fears of uncomfortable procedures and enables operators to comprehensively observe the bowel wall and the surrounding structures. In this review, we introduced the principles and the pathological bases of ultrasound elastography and compared the diagnostic efficacies of colonoscopy with colonic ultrasound elastography. Meanwhile, we summarized the ultrasonography of colonic diseases and reviewed the clinical usefulness of ultrasound elastography in colonic diseases.

Keywords: Ultrasound elastography, Colon neoplasm, Tissue stiffness, Colonoscopy, Image tool, Ultrasonography.


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