{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T17:30:59Z","timestamp":1781803859969,"version":"3.54.5"},"reference-count":88,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,11,15]],"date-time":"2020-11-15T00:00:00Z","timestamp":1605398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Endoscopic ultrasonography (EUS) has been applied to the diagnosis of various digestive disorders. Although it has been widely accepted and its diagnostic value is high, the dependence of EUS diagnosis on image interpretation done by the endosonographer has persisted as an important difficulty. Consequently, high interobserver reliability (IOR) in EUS diagnosis is important to demonstrate the reliability of EUS diagnosis. We reviewed the literature on the IOR of EUS diagnosis for various diseases such as chronic pancreatitis, pancreatic solid\/cystic mass, lymphadenopathy, and gastrointestinal and subepithelial lesions. The IOR of EUS diagnosis differs depending on the disease; moreover, EUS findings with high IOR and those with IOR that was not necessarily high were used as diagnostic criteria. Therefore, to further increase the value of EUS diagnosis, EUS diagnostic criteria with high diagnostic characteristics based on EUS findings with high IOR must be established.<\/jats:p>","DOI":"10.3390\/diagnostics10110953","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T11:04:20Z","timestamp":1605524660000},"page":"953","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Interobserver Reliability of Endoscopic Ultrasonography: Literature Review"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5158-5606","authenticated-orcid":false,"given":"Akira","family":"Yamamiya","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2271-2717","authenticated-orcid":false,"given":"Atsushi","family":"Irisawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Kashima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Kunogi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Nagashima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahito","family":"Minaguchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoya","family":"Izawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akane","family":"Yamabe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koki","family":"Hoshi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3716-3386","authenticated-orcid":false,"given":"Keiichi","family":"Tominaga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Iijima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichi","family":"Goda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi Mibu, Tochigi 321-0293, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0140-6736(80)91122-8","article-title":"Ultrasonic endoscope","volume":"315","author":"DiMango","year":"1980","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1055\/s-2007-1021752","article-title":"Ultrasonic tomography by means of an ultrasonic fiberendoscope","volume":"12","author":"Strohm","year":"1980","journal-title":"Endoscopy"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"627","DOI":"10.2214\/ajr.135.3.627","article-title":"High speed rotating scanner for transgastric sonography","volume":"135","author":"Hisanaga","year":"1980","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/S0016-5085(82)80012-7","article-title":"Human endoscopic ultrasonography","volume":"83","author":"DiMagno","year":"1982","journal-title":"Gastroenterology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2493","DOI":"10.1111\/j.1572-0241.2006.00740.x","article-title":"Endoscopic ultrasound fine needle aspirate DNA analysis to differentiate malignant and benign pancreatic masses","volume":"101","author":"Khalid","year":"2006","journal-title":"Am. J. Gastroenterol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/j.gie.2010.02.038","article-title":"EUS diagnosis of chronic pancreatitis","volume":"71","author":"Gardner","year":"2010","journal-title":"Gastrointest. Endosc"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/S0016-5107(03)70036-4","article-title":"EUS-guided celiac plexus neurolysis and celiac plexus block","volume":"57","author":"Levy","year":"2003","journal-title":"Gastrointest. Endosc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1055\/s-2007-966590","article-title":"The influence of endoscopic biliary stents on the accuracy of endoscopic ultrasound for pancreatic head cancer staging","volume":"39","author":"Fusaroli","year":"2007","journal-title":"Endoscopy"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1055\/s-2004-814320","article-title":"The No Endosonographic Detection of Tumor (NEST) study: A case series of pancreatic cancers missed on endoscopic ultrasonography","volume":"36","author":"Bhutani","year":"2004","journal-title":"Endoscopy"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2768","DOI":"10.1111\/j.1572-0241.2002.07020.x","article-title":"Comparison of endoscopic ultrasound-guided fine needle aspiration for focal pancreatic lesions in patients with normal parenchyma and chronic pancreatitis","volume":"97","author":"Brand","year":"2002","journal-title":"Am. J. Gastroenterol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.gie.2005.06.051","article-title":"Yield of EUS-guided FNA of pancreatic masses in the presence or the absence of chronic pancreatitis","volume":"62","author":"Varadarajulu","year":"2005","journal-title":"Gastrointest. Endosc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.gie.2008.10.030","article-title":"EUS\/EUS-FNA for suspected pancreatic cancer: Influence of chronic pancreatitis and clinical presentation with or without obstructive jaundice on performance characteristics","volume":"70","author":"Krishna","year":"2009","journal-title":"Gastrointest. Endosc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1111\/j.1440-1746.2007.05119.x","article-title":"Value of repeat endoscopic ultrasound-guided fine needle aspiration for suspected pancreatic cancer","volume":"23","author":"Eloubeidi","year":"2008","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1016\/j.gie.2006.09.026","article-title":"Diagnostic performance of EUS for chronic pancreatitis: A comparison with histopathology","volume":"65","author":"Chong","year":"2007","journal-title":"Gastrointest. Endosc."},{"key":"ref_16","first-page":"130","article-title":"Endoscopic ultrasonography of chronic pancreatitis and pancreatic pseudocysts","volume":"123","author":"Lees","year":"1986","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1097\/MPA.0b013e3181b2bc1a","article-title":"Histopathologic correlation of endoscopic ultrasound findings of chronic pancreatitis in human autopsies","volume":"38","author":"Bhutani","year":"2009","journal-title":"Pancreas"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.gie.2006.12.043","article-title":"Histopathologic correlates of noncalcific chronic pancreatitis by EUS: A prospective tissue characterization study","volume":"66","author":"Varadarajulu","year":"2007","journal-title":"Gastrointest. Endosc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2498","DOI":"10.1038\/ajg.2010.274","article-title":"Endoscopic ultrasound, secretin endoscopic pancreatic function test, and histology: Correlation in chronic pancreatitis","volume":"105","author":"Albashir","year":"2010","journal-title":"Am. J. Gastroenterol."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"The International Working Group for Minimal Standard Terminology in Gastrointestinal Endosonography (1998). Minimal standard terminology in gastrointestinal endosonography. Dig. Endosc., 10, 159\u2013184.","DOI":"10.1111\/j.1443-1661.1998.tb00555.x"},{"key":"ref_21","first-page":"1251","article-title":"EUS-based criteria for the diagnosis of chronic pancreatitis: The Rosemont classification","volume":"69","author":"Catalano","year":"2009","journal-title":"Gastrointestndosc"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S0016-5107(01)70401-4","article-title":"The reliability of EUS for the diagnosis of chronic pancreatitis: Interobserver agreement among experienced endosonographers","volume":"53","author":"Wallace","year":"2001","journal-title":"Gastrointest. Endosc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.gie.2009.10.043","article-title":"Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis","volume":"71","author":"Stevens","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.pan.2012.03.054","article-title":"Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: Interobserver agreement in same day back-to-back procedures","volume":"12","author":"Poves","year":"2012","journal-title":"Pancreatology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1097\/MCG.0b013e3181f42d69","article-title":"Interobserver agreement for pancreatic endoscopic ultrasonography determined by same day back-to-back examinations","volume":"45","author":"Gardner","year":"2011","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/MPA.0b013e3182016a25","article-title":"Intraobserver agreement among endosonographers for endoscopic ultrasound features of chronic pancreatitis a blinded multicenter study","volume":"40","author":"Lieb","year":"2011","journal-title":"Pancreas"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.gie.2006.09.018","article-title":"Interobserver agreement for EUS findings in familial pancreatic-cancer kindreds","volume":"66","author":"Topazian","year":"2007","journal-title":"Gastrointest. Endosc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1155\/2011\/302382","article-title":"Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: Comparing interobserver reliability and intertest agreement","volume":"25","author":"Kalmin","year":"2011","journal-title":"Can. J. Gastroenterol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1136\/gut.2003.029934","article-title":"Dynamic imaging of pancreatic diseases by contrast enhanced coded phase inversion harmonic ultrasonography","volume":"53","author":"Kitano","year":"2004","journal-title":"Gut"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.gie.2011.03.1246","article-title":"Techniques of image enhancement in EUS (with videos)","volume":"74","author":"Fusaroli","year":"2011","journal-title":"Gastrointest. Endosc."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1053\/j.gastro.2009.08.049","article-title":"Quantitative perfusion analysis of transabdominal contrast-enhanced ultrasonography of pancreatic masses and carcinomas","volume":"137","author":"Kersting","year":"2009","journal-title":"Gastroenterology"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1055\/s-0030-1255537","article-title":"Contrast-enhanced harmonic endoscopic ultrasound in solid lesions of the pancreas: Results of a pilot study","volume":"42","author":"Gincoul","year":"2010","journal-title":"Endoscopy"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"4243","DOI":"10.3748\/wjg.v18.i32.4243","article-title":"Pancreatico-biliary endoscopic ultrasound: A systematic review of the levels of evidence, performance and outcomes","volume":"18","author":"Fusaroli","year":"2012","journal-title":"World J. Gastroenterol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.gie.2012.02.051","article-title":"Contrast-enhanced EUS for differential diagnosis of pancreatic mass lesions: A meta-analysis","volume":"76","author":"Gong","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1038\/ajg.2011.354","article-title":"Characterization of small solid tumors in the pancreas: The value of contrast-enhanced harmonic endoscopic ultrasonography","volume":"107","author":"Kitano","year":"2012","journal-title":"Am. J. Gastroenterol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1111\/j.1440-1746.2012.07115.x","article-title":"Interobserver agreement in contrast harmonic endoscopic ultrasound","volume":"27","author":"Fusaroli","year":"2012","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1055\/s-0034-1364969","article-title":"Contrast-harmonic endoscopic ultrasound for the diagnosis of pancreatic adenocarcinoma: A prospective multicenter trial","volume":"46","author":"Gincul","year":"2014","journal-title":"Endoscopy"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1080\/00365521.2018.1524023","article-title":"Accuracy of EUS and CEH EUS for the diagnosis of pancreatic tumours","volume":"53","author":"Laclav","year":"2018","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1016\/j.gie.2017.12.033","article-title":"Contrast harmonic EUS for the prediction of pancreatic neuroendocrine tumor aggressiveness (with videos)","volume":"87","author":"Palazzo","year":"2018","journal-title":"Gastrointest. Endosc."},{"key":"ref_40","first-page":"244","article-title":"Interobserver agreement of EUS elastography in the evaluation of solid pancreatic lesions","volume":"4","author":"Soares","year":"2015","journal-title":"Endosc. Int. Open"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1001\/archsurg.138.4.427","article-title":"Incidental pancreatic cysts: Clinicopathologic characteristics and comparison with symptomatic patients","volume":"138","author":"Targarona","year":"2003","journal-title":"Arch. Surg."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1007\/s11605-003-0035-7","article-title":"Cystic pancreatic neoplasms: Enucleate or resect?","volume":"7","author":"Kiely","year":"2003","journal-title":"J. Gastrointest. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/0002-9610(92)90263-Q","article-title":"Spectrum of cystic tumors of the pancreas","volume":"163","author":"Talamini","year":"1992","journal-title":"Am. J. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"3295","DOI":"10.1111\/j.1572-0241.2001.05328.x","article-title":"Can EUS alone differentiate between malignant and benign cystic lesions of the pancreas?","volume":"96","author":"Ahmad","year":"2001","journal-title":"Am. J. Gastroenterol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3229","DOI":"10.1111\/j.1572-0241.2001.05317.x","article-title":"Endoscopic ultrasound and pancreatic cysts: A sticky situation!","volume":"96","author":"Hernandez","year":"2001","journal-title":"Am. J. Gastroenterol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/S0016-5107(97)70269-4","article-title":"Solitary cystic tumor of the pancreas: EUS-pathologic correlation","volume":"45","author":"Koito","year":"1997","journal-title":"Gastrointest. Endosc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1148\/radiology.190.3.8115622","article-title":"Pancreatic tumors: Evaluation with endoscopic US, CT, and MR imaging","volume":"190","author":"Muller","year":"1994","journal-title":"Radiology"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1148\/rg.256045161","article-title":"Cystic pancreatic lesions: A simple imaging-based classification system for guiding management","volume":"25","author":"Sahani","year":"2005","journal-title":"Radiographics"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1067\/mge.2003.298","article-title":"Interobserver agreement among endosonographers for the diagnosis of neoplastic versus non-neoplastic pancreatic cystic lesions","volume":"58","author":"Ahmad","year":"2003","journal-title":"Gastrointest. Endosc."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.pan.2018.01.002","article-title":"Agreement among magnetic resonance imaging magnetic resonance cholangiopancreatography (MRI-MRCP) and endoscopic ultrasound (EUS) in the evaluation of morphological features of branch duct intraductal papillary mucinous neoplasm (BD-IPMN)","volume":"18","author":"Gonzalez","year":"2018","journal-title":"Pancreatology"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1055\/s-0030-1256434","article-title":"Interobserver agreement for endosonography in the diagnosis of pancreatic cysts","volume":"43","author":"Verlaan","year":"2011","journal-title":"Endoscopy"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/S0016-5107(94)70206-3","article-title":"Endosonographic features predictive of lymph node metastasis","volume":"40","author":"Catalano","year":"1994","journal-title":"Gastrointest. Endosc."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1067\/mge.2001.114060","article-title":"EUS in patients with benign and malignant lymphadenopathy","volume":"53","author":"Faige","year":"2001","journal-title":"Gastrointest. Endosc."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1067\/mge.2001.119873","article-title":"The utility of EUS and EUS-guided fine needle aspiration in detecting celiac lymph node metastasis in patients with esophageal cancer: A single-center experience","volume":"54","author":"Eloubeidi","year":"2001","journal-title":"Gastrointest. Endosc."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.ajg.2017.05.015","article-title":"Endoscopic ultrasound-guided fine-needle aspiration and cytology for differentiating benign from malignant lymph nodes","volume":"18","author":"Okasha","year":"2017","journal-title":"Arab. J. Gastroenterol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"5755","DOI":"10.3748\/wjg.v23.i31.5755","article-title":"Accuracy of endoscopic ultrasound-guided tissue acquisition in the evaluation of lymph nodes enlargement in the absence of on-site pathologist","volume":"23","author":"Chin","year":"2017","journal-title":"World J. Gastroenterol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1111\/j.1572-0241.2004.04064.x","article-title":"Endoscopic ultrasound-guided fine needle aspiration is superior to lymph node echofeatures: A prospective evaluation of mediastinal and peri-intestinal lymphadenopathy","volume":"99","author":"Chen","year":"2004","journal-title":"Am. J. Gastroenterol."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Takasaki, Y., Irisawa, A., Shibukawa, G., Sato, A., Abe, Y., Yamabe, A., Arakawa, N., Maki, T., Yoshida, Y., and Igarashi, R. (2019). New endoscopic ultrasonography criteria for malignant lymphadenopathy based on interrater agreement. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0212427"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"3204","DOI":"10.1007\/s10620-011-1725-8","article-title":"Interobserver agreement on the endosonographic features of lymph nodes in aerodigestive malignancies","volume":"56","author":"Panjala","year":"2011","journal-title":"Dig. Dis. Sci."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.gie.2010.04.013","article-title":"Characterization of intra-abdominal lesions of undetermined origin by contrast-enhanced harmonic EUS (with videos)","volume":"72","author":"Xia","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1055\/s-2006-925158","article-title":"Endoscopic ultrasound elastography: The first step towards virtual biopsy? Preliminary results in 49 patients","volume":"38","author":"Giovannini","year":"2006","journal-title":"Endoscopy"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1055\/s-2007-966946","article-title":"Endosonographic elastography in the diagnosis of mediastinal lymph nodes","volume":"39","author":"Janssen","year":"2007","journal-title":"Endoscopy"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"E45","DOI":"10.1055\/s-0031-1273493","article-title":"Intra- and interobserver agreement of endoscopic sonoelastography in the evaluation of lymph nodes","volume":"32","author":"Larsen","year":"2011","journal-title":"Ultraschall Med."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1002\/jcu.1055","article-title":"Endoscopic ultrasonography in the diagnosis of gallbladder wall lesions in patients with gallstones","volume":"29","author":"Muguruma","year":"2001","journal-title":"J. Clin. Ultrasound."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1007\/s10620-011-1870-0","article-title":"Clinical usefulness of endoscopic ultrasonography in the differential diagnosis of gallbladder wall thickening","volume":"57","author":"Kim","year":"2012","journal-title":"Dig. Dis. Sci."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.gie.2013.03.1328","article-title":"Utility of contrast-enhanced harmonic EUS in the diagnosis of malignant gallbladder polyps (with videos)","volume":"78","author":"Choi","year":"2013","journal-title":"Gastrointest. Endosc."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1007\/s00464-012-2620-x","article-title":"Differential diagnosis between gallbladder adenomas and cholesterol polyps on contrast-enhanced harmonic endoscopic ultrasonography","volume":"27","author":"Park","year":"2013","journal-title":"Surg. Endosc."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1007\/s10620-014-3115-5","article-title":"Contrast-enhanced harmonic endoscopic ultrasonography in the differential diagnosis of gallbladder wall thickening","volume":"59","author":"Imazu","year":"2014","journal-title":"Dig. Dis. Sci."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.gie.2010.10.011","article-title":"Estimation of malignant potential of GI stromal tumors by contrast-enhanced harmonic EUS","volume":"73","author":"Sakamoto","year":"2011","journal-title":"Gastrointest. Endosc."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1067\/mge.2001.111384","article-title":"Interobserver agreement for EUS in the evaluation and diagnosis of submucosal masses","volume":"53","author":"Gress","year":"2001","journal-title":"Gastrointest. Endosc."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.3748\/wjg.15.1141","article-title":"Intrapancreatic accessory spleen: A case report and review of the literature","volume":"15","author":"Guo","year":"2009","journal-title":"World J. Gastroenterol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1159\/000452760","article-title":"Intrapancreatic accessory spleen: A diagnosis not to forget!","volume":"10","author":"Marques","year":"2016","journal-title":"Case Rep. Gastroenterol."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1002\/dc.22813","article-title":"Intrapancreatic accessory spleen: A case report and review of literature","volume":"41","author":"Rodriguez","year":"2013","journal-title":"Diagn. Cytopathol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4103\/eus.eus_35_19","article-title":"Recognizing intrapancreatic accessory spleen via EUS: Interobserver variability","volume":"8","author":"Kim","year":"2019","journal-title":"Endosc. Ultrasound."},{"key":"ref_75","first-page":"819","article-title":"Endoscopic ultrasonography in gastric lymphoma","volume":"126","author":"Caletti","year":"1996","journal-title":"Schweiz Med. Wochenschr."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/S0016-5107(93)70053-X","article-title":"Endoscopic ultrasonography in primary gastric lymphoma: Correlation with endoscopic and histologic findings","volume":"39","author":"Suekane","year":"1993","journal-title":"Gastrointest. Endosc."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1055\/s-2007-1010385","article-title":"Endoscopic ultrasonography in the local staging of primary gastric lymphoma","volume":"25","author":"Palazzo","year":"1993","journal-title":"Endoscopy"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1055\/s-2007-1009102","article-title":"The role of endoscopic ultrasonography in monitoring treatment: Response to chemotherapy in lymphoma","volume":"26","year":"1994","journal-title":"Endoscopy"},{"key":"ref_79","first-page":"14","article-title":"Accuracy of endoscopic ultrasonography in the diagnosis and staging of gastric cancer and lymphoma","volume":"113","author":"Caletti","year":"1993","journal-title":"Surgery"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1067\/mge.2002.123421","article-title":"Interobserver agreement in staging gastric malt lymphoma by EUS","volume":"55","author":"Fusaroli","year":"2002","journal-title":"Gastrointest. Endosc."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1385\/IJGC:34:1:01","article-title":"Prognostic value and interobserver agreement of endoscopic ultrasonography for superficial squamous cell carcinoma of the esophagus: A prospective study","volume":"34","author":"Yanai","year":"2003","journal-title":"Int. J. Gastrointest. Cancer"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1055\/s-2007-1004267","article-title":"Interobserver agreement in the staging of rectal cancer using endoscopic ultrasonography","volume":"29","author":"Burtin","year":"1997","journal-title":"Endoscopy"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/S0016-5107(96)70011-1","article-title":"Interobserver variability in endoscopic ultrasonography: A prospective evaluation","volume":"44","author":"Roubein","year":"1996","journal-title":"Gastrointest. Endosc."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1055\/s-2003-39422","article-title":"High interobserver variability in endosonographic staging of upper gastrointestinal cancers","volume":"41","author":"Meining","year":"2003","journal-title":"Z. Gastroenterol."},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Kuwahara, T., Hara, K., Mizuno, N., Haba, S., Okuno, N., Koda, H., Miyano, A., and Fumihara, D. (2020). Current status of artificial intelligence analysis for endoscopic ultrasonography. Dig. Endosc., Online ahead of print.","DOI":"10.1111\/den.13880"},{"key":"ref_86","doi-asserted-by":"crossref","unstructured":"Marya, N.B., Powers, P.D., Chari, S.T., Gleeson, F.C., Leggett, C.L., Abu Dayyeh, B.K., Chandrasekhara, V., Iyer, P.G., Majumder, S., and Pearson, R.K. (2020). Utilisation of artificial intelligence for the development of an EUS-convolutional neural network model trained to enhance the diagnosis of autoimmune pancreatitis. Gut, Online ahead of print.","DOI":"10.1136\/gutjnl-2020-322821"},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Minoda, Y., Ihara, E., Komori, K., Ogino, H., Otsuka, Y., Chinen, T., Tsuda, Y., Ando, K., Yamamoto, H., and Ogawa, Y. (2020). Efficacy of endoscopic ultrasound with artificial intelligence for the diagnosis of gastrointestinal stromal tumors. J. Gastroenterol. Online ahead of print.","DOI":"10.1007\/s00535-020-01725-4"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"1","DOI":"10.14309\/ctg.0000000000000045","article-title":"Usefulness of Deep Learning Analysis for the Diagnosis of Malignancy in Intraductal Papillary Mucinous Neoplasms of the Pancreas","volume":"10","author":"Kuwahara","year":"2019","journal-title":"Clin. Transl. Gastroenterol."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/10\/11\/953\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:33:33Z","timestamp":1760178813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/10\/11\/953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,15]]},"references-count":88,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["diagnostics10110953"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics10110953","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,15]]}}}