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Therefore, conventional EUS is useful to detect early pancreatic lesions. Moreover, EUS is an important imaging modality to detect early morphologic changes in chronic pancreatitis (CP). An EUS\u2010based method is used to diagnose CP worldwide. Moreover, conventional EUS is an important method for the diagnosis of early\u2010stage CP. However, diagnosis using conventional EUS is operator\u2010dependent, and an approach that allows more objective diagnosis is needed. In this regard, EUS technology for measurement of tissue elasticity facilitates diagnosis. There are different methods such as strain elastography, shear\u2010wave elastography, and measurement of optimal ultrasound speed. Strain elastography is useful for differential diagnosis of solid pancreatic lesions, malignant lymph nodes, CP, and gastrointestinal subepithelial lesions. Shear\u2010wave elastography is useful for diagnosis of CP and liver cirrhosis. Measurement of optimal ultrasound speed is useful for diagnosis of CP. A strong advantage of EUS is its ability to evaluate elasticity noninvasively. This review describes the methods and their usefulness in various diseases.<\/jats:p>","DOI":"10.1111\/den.70055","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T04:10:46Z","timestamp":1761624646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Advances in Endoscopic Ultrasonography Technology for Measurement of Tissue Elasticity"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6725-5708","authenticated-orcid":false,"given":"Yasunobu","family":"Yamashita","sequence":"first","affiliation":[{"name":"Second Department of Internal Medicine Wakayama Medical University  Wakayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6885-9223","authenticated-orcid":false,"given":"Masayuki","family":"Kitano","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine 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