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Endosonographic criteria and definitions of chronic pancreatitis (CP) and presumed histologic correlates

Endosonographic criteria and definitions of chronic pancreatitis (CP) and presumed histologic correlates
EUS criteria for CP MST definition* Histological correlate
Hyperechoic foci Small distinct reflectors Focal fibrosis
Hyperechoic strand Small string-like hyperechoic structures Bridging fibrosis
Lobular out gland margin No MST definition Fibrosis, glandular atrophy
Lobularity Containing lobules-rounded homogeneous areas separated by strands of another echogenicity Interlobular fibrosis
Cyst Abnormal anechoic round or oval structure Cysts/pseudocysts
Stone Hyperechoic lesion with acoustic shadowing within a duct or gallbladder Calcified stones
Calcification Hyperechoic lesion with acoustic shadow within a parenchymal organ or a mass Parenchymal calcification
Ductal dilation No MST definition >3 mm in head, >2 mm in body, >1 mm in tail
Side branch dilation No MST definition Side branch dilation
Duct irregularity Coarse, uneven outline of the duct Focal dilation/narrowing
Hyperechoic duct margins No MST definition Periductal fibrosis
Atrophy No MST definition Atrophy
Inhomogeneous echo pattern No MST definition Edema
Chronic_pancreatitis_terms.htm
* Minimum Standard Terminology version 1.0.
Dig Endosc 1998;10:158-184.
Graphic 75105 Version 1.0