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GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer

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Summary:Abstract: In the last 2 decades, endoscopic ultrasound (EUS) has become an important procedure for the diagnosis and management of several pancreatic diseases, including pancreatic cancer. This article presents two recently developed EUS-guided techniques for the management of pancreatic cancer: fine-needle tattooing and fiducial placement. Preoperative EUS-guided fine-needle tattooing of small pancreatic tumors helps in precise localization of these lesions during surgery, potentially ensuring adequate margins of resection while preserving healthy pancreatic tissue. In pancreatic cancer patients planned for imaging-guided radiation therapy, EUS-guided fiducial placement improves the accuracy of target delineation during stereotactic body radiation therapy (SBRT). Hydrogel, a new injectable liquid with multimodal visibility recently approved as a liquid fiducial, is currently under investigation in pancreatic head cancer as an EUS-injected spacer to potentially reduce SBRT gastrointestinal wall toxicity. In this article, GRUPUGE presents an updated perspective of these two EUS-guided techniques, addressing their current clinical applications and technical aspects and analyzing existing data on their efficacy and safety.
Main Authors:Marques,Susana
Other Authors:Bispo,Miguel; Leite,Sílvia; Moreira,Teresa; Caldeira,Ana; Moutinho-Ribeiro,Pedro; Nunes,Nuno
Subject:Endoscopic ultrasound-guided fine-needle tattooing Endoscopic ultrasound-guided fiducial placement Endoscopic ultrasound-guided hydrogel injection Pancreatic cancer
Year:2021
Country:Portugal
Document type:article
Access type:open access
Associated institution:Fundação para a Ciência e Tecnologia
Language:English
Origin:SciELO Portugal
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author Marques,Susana
author2 Bispo,Miguel
Leite,Sílvia
Moreira,Teresa
Caldeira,Ana
Moutinho-Ribeiro,Pedro
Nunes,Nuno
author2_role author
author
author
author
author
author
author_facet Marques,Susana
Bispo,Miguel
Leite,Sílvia
Moreira,Teresa
Caldeira,Ana
Moutinho-Ribeiro,Pedro
Nunes,Nuno
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Marques,Susana\"},{\"Person.name\":\"Bispo,Miguel\"},{\"Person.name\":\"Leite,Sílvia\"},{\"Person.name\":\"Moreira,Teresa\"},{\"Person.name\":\"Caldeira,Ana\"},{\"Person.name\":\"Moutinho-Ribeiro,Pedro\"},{\"Person.name\":\"Nunes,Nuno\"}]
datacite.creators.creator.creatorName.fl_str_mv Marques,Susana
Bispo,Miguel
Leite,Sílvia
Moreira,Teresa
Caldeira,Ana
Moutinho-Ribeiro,Pedro
Nunes,Nuno
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
datacite.titles.title.fl_str_mv GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
dc.creator.none.fl_str_mv Marques,Susana
Bispo,Miguel
Leite,Sílvia
Moreira,Teresa
Caldeira,Ana
Moutinho-Ribeiro,Pedro
Nunes,Nuno
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452021000200106
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv GE-Portuguese Journal of Gastroenterology v.28 n.2 2021
dc.subject.none.fl_str_mv Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
dc.title.fl_str_mv GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Abstract: In the last 2 decades, endoscopic ultrasound (EUS) has become an important procedure for the diagnosis and management of several pancreatic diseases, including pancreatic cancer. This article presents two recently developed EUS-guided techniques for the management of pancreatic cancer: fine-needle tattooing and fiducial placement. Preoperative EUS-guided fine-needle tattooing of small pancreatic tumors helps in precise localization of these lesions during surgery, potentially ensuring adequate margins of resection while preserving healthy pancreatic tissue. In pancreatic cancer patients planned for imaging-guided radiation therapy, EUS-guided fiducial placement improves the accuracy of target delineation during stereotactic body radiation therapy (SBRT). Hydrogel, a new injectable liquid with multimodal visibility recently approved as a liquid fiducial, is currently under investigation in pancreatic head cancer as an EUS-injected spacer to potentially reduce SBRT gastrointestinal wall toxicity. In this article, GRUPUGE presents an updated perspective of these two EUS-guided techniques, addressing their current clinical applications and technical aspects and analyzing existing data on their efficacy and safety.
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identifier.url.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452021000200106
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person_str_mv Marques,Susana
Bispo,Miguel
Leite,Sílvia
Moreira,Teresa
Caldeira,Ana
Moutinho-Ribeiro,Pedro
Nunes,Nuno
publishDate 2021
publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
reponame_str SciELO Portugal
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spelling GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic CancerMarques,SusanaBispo,MiguelLeite,SílviaMoreira,TeresaCaldeira,AnaMoutinho-Ribeiro,PedroNunes,NunoEndoscopic ultrasound-guided fine-needle tattooingEndoscopic ultrasound-guided fiducial placementEndoscopic ultrasound-guided hydrogel injectionPancreatic canceropen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452021000200106URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452021000200106URLHasVersion2021-04-01Abstract: In the last 2 decades, endoscopic ultrasound (EUS) has become an important procedure for the diagnosis and management of several pancreatic diseases, including pancreatic cancer. This article presents two recently developed EUS-guided techniques for the management of pancreatic cancer: fine-needle tattooing and fiducial placement. Preoperative EUS-guided fine-needle tattooing of small pancreatic tumors helps in precise localization of these lesions during surgery, potentially ensuring adequate margins of resection while preserving healthy pancreatic tissue. In pancreatic cancer patients planned for imaging-guided radiation therapy, EUS-guided fiducial placement improves the accuracy of target delineation during stereotactic body radiation therapy (SBRT). Hydrogel, a new injectable liquid with multimodal visibility recently approved as a liquid fiducial, is currently under investigation in pancreatic head cancer as an EUS-injected spacer to potentially reduce SBRT gastrointestinal wall toxicity. In this article, GRUPUGE presents an updated perspective of these two EUS-guided techniques, addressing their current clinical applications and technical aspects and analyzing existing data on their efficacy and safety.Sociedade Portuguesa de GastrenterologiaGE-Portuguese Journal of Gastroenterology v.28 n.2 2021text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature
spellingShingle GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
Marques,Susana
Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
status SINGLETON
subject.fl_str_mv Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
title GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
title_full GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
title_fullStr GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
title_full_unstemmed GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
title_short GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
title_sort GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fiducial Placement in Pancreatic Cancer
topic Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
topic_facet Endoscopic ultrasound-guided fine-needle tattooing
Endoscopic ultrasound-guided fiducial placement
Endoscopic ultrasound-guided hydrogel injection
Pancreatic cancer
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452021000200106
visible 1