{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T15:26:11Z","timestamp":1792337171459,"version":"4.4.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This continuing medical education article highlights the central role of transcutaneous sonography in diagnosing parenchymal pancreatic diseases. It emphasizes the importance of in-depth knowledge of sonographic imaging of organ anatomy and a structured examination methodology, particularly for identifying acute and chronic pancreatitis and related complications. The article provides detailed guidance for optimized examination techniques and equipment settings, even under challenging conditions, and discusses the application of ultrasound in various scenarios of pancreatic diseases. Moreover, the relevance of advanced sonographic techniques such as high-frequency sonography, elastography, and contrast-enhanced sonography is illuminated in the context of expanded diagnostic workup.<\/jats:p>","DOI":"10.1055\/a-2336-1700","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T22:47:13Z","timestamp":1718923633000},"page":"124-144","source":"Crossref","is-referenced-by-count":3,"title":["Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases"],"prefix":"10.1055","volume":"46","author":[{"given":"Robert","family":"Henker","sequence":"additional","affiliation":[{"name":"Interdisciplinary Ultrasound Unit, Department of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Leipzig, Germany"},{"name":"Klinik f\u00fcr Innere Medizin, Erzgebirgsklinikum gGmbH, Haus Zschopau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Blank","sequence":"additional","affiliation":[{"name":"Interdisciplinary Ultrasound Unit, Department of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Leipzig, Germany"},{"name":"Division of Interdisciplinary Ultrasound, Department of Internal Medicine I, Halle University Medical Center, Halle\u00a0(Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8109-8526","authenticated-orcid":false,"given":"Thomas","family":"Karlas","sequence":"additional","affiliation":[{"name":"Interdisciplinary Ultrasound Unit, Department of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1055\/a-1735-3864","article-title":"S3-Leitlinie Pankreatitis \u2013 Leitlinie der Deutschen Gesellschaft f\u00fcr Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) \u2013 September 2021 \u2013 AWMF Registernummer 021-003","volume":"60","author":"G Beyer","year":"2022","journal-title":"Z Gastroenterol"},{"issue":"42","key":"ref3","doi-asserted-by":"publisher","first-page":"7247","DOI":"10.3748\/wjg.v19.i42.7247","article-title":"Ultrasonography in diagnosing chronic pancreatitis: new aspects","volume":"19","author":"G Dimcevski","year":"2013","journal-title":"World J Gastroenterol"},{"issue":"09","key":"ref4","doi-asserted-by":"publisher","first-page":"1235","DOI":"10.1055\/a-1993-5356","article-title":"Ultraschallger\u00e4te f\u00fcr die abdominelle Diagnostik: neue Techniken und Applikationen \u2013 Was gibt es? Was ist m\u00f6glich? Was ist sinnvoll?","volume":"61","author":"T Karlas","year":"2023","journal-title":"Z Gastroenterol"},{"issue":"12","key":"ref5","doi-asserted-by":"publisher","first-page":"e0209448","DOI":"10.1371\/journal.pone.0209448","article-title":"Association of fatty pancreas with pancreatic endocrine and exocrine function","volume":"13","author":"H Miyake","year":"2018","journal-title":"PLoS One"},{"issue":"02","key":"ref6","doi-asserted-by":"publisher","first-page":"213","DOI":"10.4103\/EUS-D-22-00162","article-title":"Pancreatic changes with lifestyle and age: What is normal and what is concerning?","volume":"12","author":"K M\u00f6ller","year":"2023","journal-title":"Endosc Ultrasound"},{"issue":"07","key":"ref7","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1055\/s-0031-1273362","article-title":"Normwerte in der Abdomensonografie \u2013 biliopankreatisches System und Milz","volume":"49","author":"M Sienz","year":"2011","journal-title":"Zeitschrift f\u00fcr Gastroenterologie"},{"issue":"02","key":"ref8","doi-asserted-by":"publisher","first-page":"200","DOI":"10.4103\/EUS-D-22-00119","article-title":"Pancreatic duct imaging during aging","volume":"12","author":"K M\u00f6ller","year":"2023","journal-title":"Endosc Ultrasound"},{"issue":"07","key":"ref9","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1080\/00365520500515370","article-title":"Impact of the operator\u2019s experience on value of high-resolution transabdominal ultrasound in the diagnosis of choledocholithiasis: a prospective comparison using endoscopic retrograde cholangiography as the gold standard","volume":"41","author":"S Rickes","year":"2006","journal-title":"Scand J Gastroenterol"},{"issue":"01","key":"ref10","doi-asserted-by":"publisher","first-page":"e33666","DOI":"10.7759\/cureus.33666","article-title":"Acute Gallstone Pancreatitis: If a Picture Is Worth a Thousand Words, How Many Images Do We Need?","volume":"15","author":"S E Chen","year":"2023","journal-title":"Cureus"},{"issue":"07","key":"ref11","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1136\/gut.25.7.756","article-title":"Classification of pancreatitis","volume":"25","author":"M Sarner","year":"1984","journal-title":"Gut"},{"issue":"27","key":"ref12","doi-asserted-by":"publisher","first-page":"4342","DOI":"10.3748\/wjg.v27.i27.4342","article-title":"Comprehensive review of diagnostic modalities for early chronic pancreatitis","volume":"27","author":"Q-C Ge","year":"2021","journal-title":"World J Gastroenterol"},{"issue":"01","key":"ref13","doi-asserted-by":"publisher","first-page":"E35","DOI":"10.1055\/a-1542-9146","article-title":"Diagnostic Accuracy of Transabdominal Ultrasound and Computed Tomography in Chronic Pancreatitis: A Head-to-Head Comparison","volume":"7","author":"I K Nordaas","year":"2021","journal-title":"Ultrasound Int Open"},{"issue":"05","key":"ref14","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1055\/a-0583-8254","article-title":"Gute \u00dcbereinstimmung des transabdominalen und endoskopischen Ultraschalls der Bauchspeicheldr\u00fcse bei chronischer Pankreatitis","volume":"40","author":"T Engjom","year":"2019","journal-title":"Ultraschall in Med (Stuttgart, Germany 1980)"},{"issue":"09","key":"ref15","doi-asserted-by":"publisher","first-page":"3820","DOI":"10.1007\/s00330-016-4720-9","article-title":"Diagnostic performance of imaging modalities in chronic pancreatitis: a systematic review and meta-analysis","volume":"27","author":"Y Issa","year":"2017","journal-title":"Eur Radiol"},{"issue":"03","key":"ref16","doi-asserted-by":"publisher","first-page":"196","DOI":"10.4103\/eus.eus_23_17","article-title":"Autoimmune pancreatitis: Imaging features","volume":"7","author":"Y Dong","year":"2018","journal-title":"Endoscopic ultrasound"},{"issue":"02","key":"ref17","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1055\/s-0044-101254","article-title":"Die EFSUMB-Leitlinien und Empfehlungen f\u00fcr den klinischen Einsatz des kontrastverst\u00e4rkten Ultraschalls (CEUS) bei nicht-hepatischen Anwendungen: Update 2017 (Kurzversion)","volume":"39","author":"P S Sidhu","year":"2018","journal-title":"Ultraschall in der Medizin\u00a0(Stuttgart, Germany 1980)"},{"issue":"03","key":"ref18","doi-asserted-by":"publisher","first-page":"e0121121","DOI":"10.1371\/journal.pone.0121121","article-title":"Ultrasound echo-intensity predicts severe pancreatic affection in cystic fibrosis patients","volume":"10","author":"T Engjom","year":"2015","journal-title":"PLoS One"},{"issue":"04","key":"ref19","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1007\/s10396-021-01133-y","article-title":"Role of transabdominal ultrasound in the diagnosis of autoimmune pancreatitis","volume":"48","author":"S Okaniwa","year":"2021","journal-title":"J Med Ultrason (2001)"},{"issue":"02","key":"ref20","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1038\/bjc.1987.178","article-title":"Atrophic gastritis and vitamin C status in two towns with different stomach cancer death-rates","volume":"56","author":"M L Burr","year":"1987","journal-title":"Br J Cancer"},{"issue":"03","key":"ref21","first-page":"198","article-title":"Quantitative analysis of tissue perfusion using contrast-enhanced transabdominal ultrasound (CEUS) in the evaluation of the severity of acute pancreatitis","volume":"12","author":"A Golea","year":"2010","journal-title":"Med Ultrason"},{"issue":"05","key":"ref22","doi-asserted-by":"publisher","first-page":"3189","DOI":"10.3892\/etm.2016.3760","article-title":"Accuracy of contrast-enhanced ultrasound compared with conventional ultrasound in acute pancreatitis: Diagnosis and complication monitoring","volume":"12","author":"D Cai","year":"2016","journal-title":"Exp Ther Med"},{"issue":"02","key":"ref23","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s40477-020-00467-6","article-title":"Intracavitary contrast-enhanced ultrasound in ultrasound-guided percutaneous management of abdominal fluid collections\/abscesses by a single clinician: an example of point-of-care ultrasound","volume":"23","author":"G Francica","year":"2020","journal-title":"J Ultrasound"},{"issue":"05","key":"ref24","doi-asserted-by":"publisher","first-page":"1976","DOI":"10.3390\/tomography9050154","article-title":"The Role of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Neoplastic Portal Vein Thrombosis in Patients with Hepatocellular Carcinoma","volume":"9","author":"L Cerrito","year":"2023","journal-title":"Tomography (Ann Arbor, Mich.)"},{"issue":"03","key":"ref25","doi-asserted-by":"publisher","first-page":"2060","DOI":"10.1007\/s00330-021-08243-8","article-title":"Clinical value of contrast-enhanced ultrasound enhancement patterns for differentiating solid pancreatic lesions","volume":"32","author":"Y Wang","year":"2022","journal-title":"Eur Radiol"},{"issue":"25","key":"ref26","doi-asserted-by":"publisher","first-page":"4021","DOI":"10.3748\/wjg.v29.i25.4021","article-title":"Dynamic contrast enhanced ultrasound in gastrointestinal diseases: A current trend or an indispensable tool?","volume":"29","author":"M Paratore","year":"2023","journal-title":"World journal of gastroenterology"},{"issue":"04","key":"ref27","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1055\/a-0838-9937","article-title":"Die EFSUMB-Leitlinien und Empfehlungen f\u00fcr die klinische Praxis der Elastografie bei nichthepatischen Anwendungen: Update 2018","volume":"40","author":"A S\u0103ftoiu","year":"2019","journal-title":"Ultraschall in Med (Stuttgart, Germany 1980)"},{"issue":"01","key":"ref28","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s10620-021-06844-3","article-title":"Pancreatic Steatosis Is Associated with Both Metabolic Syndrome and Pancreatic Stiffness Detected by Ultrasound Elastography","volume":"67","author":"O Sezgin","year":"2022","journal-title":"Dig Dis Sci"},{"issue":"03","key":"ref29","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1111\/jgh.13926","article-title":"Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis","volume":"33","author":"T Kuwahara","year":"2018","journal-title":"J Gastroenterol Hepatol"},{"issue":"13","key":"ref30","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13132266","article-title":"The Role of Transabdominal Ultrasound Elastography in Gastrointestinal Non-Liver Diseases: Current Application and Future Prospectives","volume":"13","author":"M Paratore","year":"2023","journal-title":"Diagnostics (Basel)"},{"issue":"04","key":"ref31","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1016\/j.pan.2021.02.014","article-title":"An initial trial of quantitative evaluation of autoimmune pancreatitis using shear wave elastography and shear wave dispersion in transabdominal ultrasound","volume":"21","author":"H Suzuki","year":"2021","journal-title":"Pancreatology"},{"issue":"06","key":"ref32","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/j.ultrasmedbio.2018.02.016","article-title":"Ultrasound-Guided Percutaneous Core Needle Biopsy for the Diagnosis of Pancreatic Disease","volume":"44","author":"Y Huang","year":"2018","journal-title":"Ultrasound Med Biol"},{"issue":"01","key":"ref33","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.pan.2019.10.006","article-title":"Endoscopic and surgical drainage for pancreatic fluid collections are better than percutaneous drainage: Meta-analysis","volume":"20","author":"L Szak\u00f3","year":"2020","journal-title":"Pancreatology"},{"issue":"10","key":"ref35","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1007\/s00108-021-01156-0","article-title":"Bildgebende Diagnostik bei\u00a0chronischer Pankreatitis","volume":"62","author":"V Blank","year":"2021","journal-title":"Der Internist"}],"container-title":["Ultraschall in der Medizin - European Journal of Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2336-1700.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T03:22:37Z","timestamp":1743650557000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2336-1700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,20]]},"references-count":33,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2025,4,2]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2336-1700","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,20]]}}}