A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management
Abstract
:1. Introduction
2. Unique EUS Properties Favoring Its Use in the Assessment of Focal Solid Liver Lesions
3. Literature Search
4. EUS-Guided Focal Solid Liver Lesions Diagnosis
4.1. Visualization Capability
4.1.1. B-Mode Traditional EUS
4.1.2. EUS-Related Enhancement Techniques
4.2. Tissue Diagnosis Capability
5. EUS-Guided Solid Liver Lesions Treatment
5.1. EUS-Guided Ethanol Injection
5.2. EUS-Guided Radiofrequency Ablation (RFA)
5.3. EUS-Guided Laser Ablation by Neodymium:yttium-Aluminum-Garnet (Nd-YAG)
5.4. EUS-Guided Iodine-125 Brachytherapy
5.5. EUS-Guided High-Intensity Focused Ultrasound (HIFU)
5.6. EUS-Guided Photodynamic Therapy (PDT)
6. Adverse Events
7. Limitations
8. Conclusions
Funding
Conflicts of Interest
Abbreviations
EUS | Endoscopic ultrasound |
CT | computerized tomography |
MRI | magnetic resonance imaging; |
CE | contrast-enhanced |
US | ultrasound |
FNA | fine needle aspiration |
RTE | real-time elastography |
RFA | radiofrequency ablation |
HIFU | high-intensity focused ultrasound |
PDT | photodynamic therapy |
HCC | hepatocellular carcinoma |
UCA | ultrasound contrast agents |
CH-EUS | contrast harmonic-EUS |
EUS-LB | EUS-guided liver biopsy |
FNB | fine needle biopsy |
TACE | trans-arterial chemoembolization |
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Type of Study | Patients No. | Tissue Acquisition | Diagnostic Yield, n (%) | Complications, n (%) | |
---|---|---|---|---|---|
Nguyen et al. [14] | Prospective | 14 | FNA | 14 (100) | 0 |
TenBerge et al. [36] | Retrospective | 26 | FNA | 23 (88.6) | 1 (3.8) * |
DeWitt et al. [37] | Retrospective | 77 | FNA | 79 (91) | 0 |
Hollerbach et al. [42] | Prospective | 33 | FNA | 31 (94) | 2 (6.1) ** |
McGrath et al. [43] | Prospective | 7 | FNA | 7 (100) | 0 |
Sing et al. [12] | Prospective | 9 | FNA | 8 (88.9) | 0 |
Sing et al. [13] | Prospective | 26 | FNA | 25 (96) | 0 |
Crowe et al. [44] | Retrospective | 16 | FNA | 12 (75) | 0 |
Prachayakul et al. [45] | Retrospective | 14 | FNA | 14 (100) | 0 |
Oh D. et al. [33] | Prospective | 47 | FNA | 42 (90.5) | 0 |
Ichim et al. [4] | Prospective | 48 | FNA | 47 (98) | 0 |
Lee et al. [46] | Prospective | 21 | FNB | 19 (90.5) | 0 |
Chon et al. [39] | Retrospective | 58 | FNB | 52 (89.7) | 1 (1.7) *** |
EUS-Guided: | Study Type | Patients No. | Technical Success (%) | Lesion Location | Therapeutic Response | Complications, n (%) |
---|---|---|---|---|---|---|
Ethanol therapy in hepatocellular carcinoma | ||||||
Nakaji et al. [48] | Case report | 1 | 100 | Segment 8 | Complete | 0 |
Lisotti et al. [49] | Case report | 1 | 100 | Segment 2 | Complete | 0 |
Nakaji et al. [50] | Case report | 1 | 100 | Segment 3 | Complete | 0 |
Nakaji et al. [51] | Retrospective | 12 | 100 | Caudate lobe | Complete | 2 (16.7) * |
Jiang et al. [52] | RCT | 10 | 92 | Left lobe | Partial (30%) | 0 |
Ethanol therapy in liver metastasis | ||||||
Hu et al. [53] | Case report | 1 | 00 | Left lobe | Near-complete | 1 (100) * |
Barclay et al. [54] | Case report | 1 | 100 | Left lobe | Complete | 1 (100) ** |
Ablation by Nd-YAG | ||||||
Di Matteo et al. [55] | Case report | 1 | 100 | Caudate lobe | Complete | 0 |
Jiang et al. [56] | Prospective | 10 | 100 | Left lobe | Complete | 0 |
Iodine-125 brachytherapy | ||||||
Jiang et al. [52] | RCT | 13 | 92 | Left lobe | Near-complete | 0 |
Procedure | Efficacy | Complications | Mortality |
---|---|---|---|
Tissue diagnosis (EUS-LB) | High | Mild to moderate | None |
EUS-guided solid liver lesions treatment | |||
Ethanol therapy Laser ablation by Nd-YAG Iodine-125 brachytherapy | High High High | Mild Mild Mild | None None None |
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Sbeit, W.; Kadah, A.; Mari, A.; Mahamid, M.; Khoury, T. A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management. Diagnostics 2020, 10, 688. https://doi.org/10.3390/diagnostics10090688
Sbeit W, Kadah A, Mari A, Mahamid M, Khoury T. A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management. Diagnostics. 2020; 10(9):688. https://doi.org/10.3390/diagnostics10090688
Chicago/Turabian StyleSbeit, Wisam, Anas Kadah, Amir Mari, Mahmud Mahamid, and Tawfik Khoury. 2020. "A Comprehensive Narrative Review on the Evolving Role of Endoscopic Ultrasound in Focal Solid Liver Lesions Diagnosis and Management" Diagnostics 10, no. 9: 688. https://doi.org/10.3390/diagnostics10090688